Utilization Review Nurse Salary at Inland Empire Health Plan BETA

Current Emanate Health Employees - Please log into your Workday account to apply Everyone at Emanate Health plays a vital role in the care we deliver. No matter what department you belong to, the work you do at Emanate Health affects lives. When you join Emanate Health, you become part of a team that works together to strengthen our communities and grow as individuals. On Glassdoor's list of "Best Places to Work" in 2021, Emanate Health was named the #1 ranked health care system in the United States, and the #19 ranked company in the country. Job Summary The Utilization Review Nurse will evaluate medical records to determine medical necessity by applying clinical acumen and the appropriate application of policies and guidelines to urgent and standard reviews. You will document decisions using indicated protocol sets, or clinical guidelines and provide support and review of medical claims and utilization practices. Complete medical necessity and level of care reviews for requested servi

Magnet Medical is seeking a travel Interventional Radiology Technologist for a travel job in Colton, California. Job Description & Requirements Specialty: Interventional Radiology Technologist Discipline: Allied Health Professional Start Date: 05/19/2025 Duration: 13 weeks 40 hours per week Shift: 10 hours, days Employment Type: Travel An Interventional Radiology (IR) Technologist specializes in assisting with minimally invasive procedures that utilize imaging techniques such as fluoroscopy, CT scans, and ultrasound to guide physicians in the diagnosis and treatment of various medical conditions. IR Technologists work closely with interventional radiologists and other medical professionals to perform procedures that can treat diseases, blockages, and injuries without the need for traditional surgery. They are responsible for preparing patients, operating imaging equipment, and ensuring a sterile and safe environment during procedures. Key Responsibilities: Pre-Procedure Preparation: Pr

Magnet Medical is seeking a travel Interventional Radiology Technologist for a travel job in Colton, California. Job Description & Requirements Specialty: Interventional Radiology Technologist Discipline: Allied Health Professional Start Date: 05/19/2025 Duration: 13 weeks 36 hours per week Shift: 12 hours, days Employment Type: Travel An Interventional Radiology (IR) Technologist specializes in assisting with minimally invasive procedures that utilize imaging techniques such as fluoroscopy, CT scans, and ultrasound to guide physicians in the diagnosis and treatment of various medical conditions. IR Technologists work closely with interventional radiologists and other medical professionals to perform procedures that can treat diseases, blockages, and injuries without the need for traditional surgery. They are responsible for preparing patients, operating imaging equipment, and ensuring a sterile and safe environment during procedures. Key Responsibilities: Pre-Procedure Preparation: Pr

Current Emanate Health Employees - Please log into your Workday account to apply Everyone at Emanate Health plays a vital role in the care we deliver. No matter what department you belong to, the work you do at Emanate Health affects lives. When you join Emanate Health, you become part of a team that works together to strengthen our communities and grow as individuals. On Glassdoor's list of "Best Places to Work" in 2021, Emanate Health was named the #1 ranked health care system in the United States, and the #19 ranked company in the country. Job Summary The Utilization Review Nurse will evaluate medical records to determine medical necessity by applying clinical acumen and the appropriate application of policies and guidelines to urgent and standard reviews. You will document decisions using indicated protocol sets, or clinical guidelines and provide support and review of medical claims and utilization practices. Complete medical necessity and level of care reviews for requested servi

Job Description Job Description:\n\nSuccess Education Colleges (SEC) is a family of institutions comprised of Marsha Fuerst School of Nursing, North-West College, Glendale Career College and Nevada Career Institute. SEC is a leader in allied health education, and has been offering quality and affordable health care training programs for over 58 years. Our Colleges mission is to prepare students in short term programs for gainful employment. To accomplish this, we provide a professional faculty, well-qualified administrators, and a top-notch support staff. Marsha Fuerst School of Nursing has received approval by the Board of Registered Nurses (BRN) and has recently introduced an Associate of Arts degree in Nursing at the campus Adjunct RN (Med-Surg) Intermediate & Advanced /Clinical/Theory Instructor - Varies (we have rotations available on each given day of the week 12 hours plus 4 hours prep time for Clinical and Theory 4 hours 4 hours prep time, Instructor experience required It is t

Responsibilities Come and join the RMC Family! We have been in the community since 1935. Our mission is to provide comprehensive multi-specialty medical services in the greater Riverside region. Your passion, inspiration, and talents are invaluable to us and our mission to serve others. Our facility can provide a place for you to thrive and continue your professional development. Quality Healthcare is our passion, improving lives is our reward. We are working to change lives and transform the delivery of healthcare. Riverside Medical Clinic is the best place to work, practice medicine, and receive care. SUMMARY: Responsible for the processes of evaluating the necessity, appropriateness, and efficiency of outpatient/ambulatory services per health plan and regulatory standards. Assists the Manager of Medical Management and/or the Regional Director of Quality Risk & Utilization Management in preparing required documentation for Health Plan audits and appeals. This role entails overseeing

Overview: At HealthPro Heritage we hire people who share our vision, who work diligently and provide the kind of care that will help change patient's lives for the better. As an Associate, your dedication and commitment deserve respect and recognition. If you're looking for a career and straightforward and realistic 'care' expectations, maybe it's time to look at our company. The Physical Therapist evaluates and treats residents, under orders from a physician, through the use of a variety of therapeutic procedures designed to restore loss of muscle strength, coordination and body alignment, to relieve pain and to improve movement and function. The Physical Therapist participates as a member of the interdisciplinary team providing support and information within the area of Physical Therapy. Pay Range: $50.00 - $56.00 /hour Responsibilities: 1. Review available resident information and evaluate the impact of this information on the assessment and treatment process. 2. Conduct and documen

Responsibilities Join the Southwest Healthcare Team! About Us: Creating Health and Harmony, Southwest Healthcare is a comprehensive network of care with convenient hospital and ambulatory care/outpatient locations here to serve the Southern California community. With over 7,000 passionate providers and healthcare employees, our shared goal is to provide convenient access to a wide range of healthcare services in a way that benefits you, your family, and the entire community. Southwest Healthcare is comprised of five acute care hospitals and several non-hospital access points, including: Corona Regional Medical Center, Palmdale Regional Medical Center, Southwest Healthcare Rancho Springs Hospital, Southwest Healthcare Inland Valley Hospital and Temecula Valley Hospital, Temecula Valley Day Surgery, A+ Urgent Care Centers, Apex Heart Specialists and Riverside Medical Clinics. We've won various awards throughout our region and focus on career development and promotion, where the people ar