Utilization review nurse jobs orange county


Position Summary. To provide safe, cost-effective patient care through the health experience, according to established standards utilizing the nursing process, within the scope of practice of Registered Nursing. The case manager is a licensed professional who coordinates and facilitates the ongoing care and appropriate discharge plan of a specific caseload of patients through the continuum of care. The case manager collaborates with members of the health care team, the patient, and their family to assure effective, efficient, and appropriate care and outcomes. Fiscal responsibilities include management of utilization, providing clinical information to payors and assuring appropriate reimbursement.


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WATCH RELATED VIDEO: Utilization Review (UR) / Insurance Case Management Resume and Interview Tips

Average Nurse Case Manager with Utilization Review (UR) Skills Salary in Orange, California


While many nursing jobs are clinical and require an in-person presence, there are a surprising number of nursing jobs from home. Learn about the different types of jobs available and then browse a list of employers who often offer these positions. Types of at-home nursing jobs include:. Medical Call Center. Working in a medical call center is perhaps the at-home nursing job that takes the least experience. Nurses who have worked in a clinical setting can usually transition to this type of work.

However, call center work pays the least. Insurance companies and medical BPOs business process outsourcers hire nurses for these jobs, which are typically employment positions, though some may be for independent contractors. Case Manager. If you work as a nurse in case management, you very well may be able to turn your current job into a telecommuting position or find a new one that allows telecommuting. Case managers coordinate care for patients, often for large insurance companies, and it is very common for these companies to allow at least part-time telecommuting.

Online education is a growing field that is conducive to working at home. Subject matter experts are needed in every field that is taught online, and nursing is no exception. Tech-savvy nurses with teaching experience may be able to use those skills in distance education, either working as an instructor or in developing nursing courses.

These jobs are for online colleges and "brick-and-mortar" schools, as well as private companies that develop courses and training materials.

Usually, a master's degree is the minimal requirement, but often a Ph. Legal Nurse Consultant. Typically this expertise is utilized in-house as opposed to testifying as a medical expert. This type of work could range from managing and interpreting medical records to coordinating medical exams for clients.

A legal nurse consultant may be an independent contractor or may be employed by a law firm or insurance company. Either way, this job lends itself to telecommuting, at least part of the time. Health Care Recruiter. Nursing is just one professional background from which health care recruiters come. Nurses in this field are often employees, and because this type of work involves mostly phone and computer use, it can often be done, at least part-time, from home.

IT jobs, in general, can often be work-at-home, but both the specific field of health IT and general IT usually require time working in an office environment and a high level of skill before transitioning to work-at-home. Nurses may move into this work by learning on the job and eventually make the move to telecommuting full or, more likely, part-time.

Verywell is a health website that contracts with writers who are experts in health fields. Compensation is based on page views, but a starting base pay is offered.

Nurses and physicians are often hired. Nurses and physicians are among the medical professions who work from home at this insurance company. Some jobs are specifically meant to be telecommuting, but other telework opportunities will be considered after working on-site for some time.

See more insurance company jobs from home. After a specific amount of time working on-site, this company allows some nursing positions, such as case managers and medical reviewers, to be telecommuted. Try the keywords "telecommuting" or "work from home" in the jobs database. While most of the home-based jobs at this BPO are for customer service, sales, and B2B telemarketing agents , it also has virtual positions for LPNs and RNs doing telehealth call center work as well as jobs for insurance auditors.

Based in San Antonio, this medical BPO provides support to insurance companies and health care systems. Virtual call center agents who are registered nurses RN answer questions or perform telephone triage. Insurance company Cigna's division Intracorp hires RNs to work at home as disability and workers' comp case managers. Use "work from home" as keywords to search Cigna's job openings.

Hiring is done from a NY location. Healthcare services firm hires work-from-home employees in nursing and coding as well as sales. Use "telecommuting" or "remote" as a keyword. Use keyword "home-based" in its job database. This medical malpractice insurance company, based in California, hires nurses as risk managers and telecommuting may be allowed. This company hires registered nurses from the United States and Canada to work from home to provide telephone triage and health advice to callers from across North America.

It also hires on-site customer service reps, based in Newfoundland, Canada, who need a minimum of a high school diploma. In addition to hiring RNs for remote telephone jobs as case managers, this insurance company hires others in non-medical WAH jobs, such as claims representatives. Check off the option for remote jobs in the company's job listings.

This New York-based health insurance company hires nurses as case managers to work from home. Health Net, a health insurance company operating in 27 states, hires nurses as case managers, care coordinators, and care managers with the option to telecommute.

Use "telecommuting" as a search keyword in the company's job database. Some of its work-at-home positions have geographic requirements, and most are for registered nurses. Many of its RN positions are for field healthcare and involve visiting patients at home. It also sometimes has opportunities for medical coders, chart auditors, licensed insurance reps, accountants, physicians, writers, and salespeople. Based in Annapolis, MD, medical management services company sometimes hires telecommuting nurses, licensed in various states for case management and other nursing jobs.

Based in San Bernardino, CA, this health insurance company employs telecommuting RNs in quality management or case management positions. McKesson, the nation's largest health care services company, specializes in pharmaceutical distribution and health care IT systems and software. This pediatric health system with locations in Delaware, New Jersey, Pennsylvania, Washington, DC, and Florida hires work from home telephone triage nurses.

This Company hires RNs with five years of nursing experience preferably in pediatrics , telephone triage experience and knowledge of and experience in using Barton Schmitt protocols. This company hires licensed nursing professionals in Tennessee, Mississippi, North Carolina, Virginia, Kentucky, and Georgia for full and part-time positions, and some telehealth positions available. This medical recruiting firm in the New York City metro area specializes in non-clinical nursing positions.

Search using the keyword "telecommute. This global contract research organization CRO provides drug discovery, development, and life-cycle management services with in the health care industry. It hires medical writers and clinical research associates CRA for work-at-home positions.

This cloud-based medical documentation company has customer support positions for people with nursing degrees. This California-based company provides service in the worker's compensation industry and to first-party medical and employee benefits sectors.

Some nurse case manager and physician peer review positions are telecommuting. The "remote" in the name of Seattle-area company refers to far away places not working at home.

However, the company does have a telemedicine department and some other telecommuting jobs. Hires registered nurses to practice telephone triage or computer-assisted nursing through inbound and outbound telephone calls with patients whose physicians, hospitals, insurers, or employers are CitraHealth clients. Requirements include 3—5 years in pediatrics, licensure in Texas, carrying malpractice insurance and drug test. Weekends and evenings are required, but part- and full-time schedules are available.

UnitedHealth Group hires registered nurses for telecommuting positions as well as others with experience in the insurance industry. This company is a provider of teleradiology services and solutions. Full medical liability insurance is provided. Anthem, one of the nation's largest healthcare companies, allows some positions, in nursing and in other fields, to be telecommuted after a certain amount of time in the office.

Finding a Job Career Planning. Part of. Applying for the Job. Types of Nursing Careers. She covered parenting, specifically focusing on the subject of work from home, as a writer for The Balance. Learn about our editorial policies. Types of at-home nursing jobs include: Medical Call Center Working in a medical call center is perhaps the at-home nursing job that takes the least experience.

Case Manager If you work as a nurse in case management, you very well may be able to turn your current job into a telecommuting position or find a new one that allows telecommuting. Health Care Recruiter Nursing is just one professional background from which health care recruiters come. Aetna Nurses and physicians are among the medical professions who work from home at this insurance company.

American International Group AIG After a specific amount of time working on-site, this company allows some nursing positions, such as case managers and medical reviewers, to be telecommuted. Cigna Insurance company Cigna's division Intracorp hires RNs to work at home as disability and workers' comp case managers.

Conifer Health Solutions Healthcare services firm hires work-from-home employees in nursing and coding as well as sales. The Doctors Company This medical malpractice insurance company, based in California, hires nurses as risk managers and telecommuting may be allowed. Fonemed This company hires registered nurses from the United States and Canada to work from home to provide telephone triage and health advice to callers from across North America.

The Hartford In addition to hiring RNs for remote telephone jobs as case managers, this insurance company hires others in non-medical WAH jobs, such as claims representatives. Healthfirst This New York-based health insurance company hires nurses as case managers to work from home.

Health Net Health Net, a health insurance company operating in 27 states, hires nurses as case managers, care coordinators, and care managers with the option to telecommute. Humana Some of its work-at-home positions have geographic requirements, and most are for registered nurses.

Conifer Health Solutions Based in Annapolis, MD, medical management services company sometimes hires telecommuting nurses, licensed in various states for case management and other nursing jobs. McKesson McKesson, the nation's largest health care services company, specializes in pharmaceutical distribution and health care IT systems and software. Nurse Telephone Triage This Company hires RNs with five years of nursing experience preferably in pediatrics , telephone triage experience and knowledge of and experience in using Barton Schmitt protocols.

Paradigm Health Services This company hires licensed nursing professionals in Tennessee, Mississippi, North Carolina, Virginia, Kentucky, and Georgia for full and part-time positions, and some telehealth positions available.



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They provide the core nursing and midwifery care in the community. Mission: Our mission is to empower every healthcare professional to find their perfect job, faster and easier than ever before. Vivian has been a huge benefit to us. Travel nursing is a win-win: understaffed hospitals get the support they need, and travel nurses get the experience of exploring a new place. Telephone: Vyvanse is not FDA-approved to treat binge eating disorder in anyone younger than 18 years old. Their heartbreaking journey began the day their mother died unexpectedly in a Long Island nursing home.

Many health care professionals are thinking of leaving their jobs American Medical Association found 2 in 5 nurses intend to leave their.

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Travel Registered Nurse - Utilization Review in Orange, California

utilization review nurse jobs orange county

Negative test results can be a necessity for any number of activities, from going to work to boarding an airplane or attending a sporting event. Delays in getting results — or inability to find a test kit — can mean people with very mild or no symptoms may presume they are not infected and go about their usual routines. Some county mail-in testing programs have been halted due to exploding demand. In places where tests are available, people sometimes have to wait in line for several hours. Gavin Newsom announced Friday that he is activating the California National Guard to add testing sites and boost capacity.

Delta Air Lines employs over 75, international employees.

High-paying per diem assignments, digitally delivered.

Locate a Flu Shot. The statewide toll-free hotline offers counseling information and referrals about pregnancy , infant and toddler issues. WIC provides the following at no cost: healthy foods, nutrition education and counseling, breastfeeding support, and referrals for health care. Influenza or 'flu' is a viral respiratory illness, mainly spread by droplets made when people with flu cough, sneeze or talk. Influenza can cause mild to severe illness.


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Be the first to see new jobs near West Nyack, NY! Enter your email address below to be notified when new jobs are posted. Employers use Nursing Network daily to search for the perfect candidate. Get listed so they can discover you. West Nyack, NY. Additionally, this individual will be responsible for abstraction of patient records according to coding requirements and procedures, utilizing SHP as a tool to review Coding and OASIS inaccuracies and make recommendations for changes. Good Samaritan Hospital also provides social, psychiatric and substance-abuse services and its certified home-care agency supports residents of the Hudson Valley and beyond. Due to a recent upgrade in our online applicant tracking system, anyone who has previously applied for a position with Good Samaritan Hospital will be required to reapply.

FILE - Nurse practitioner Rita Ray collects a nasal swab sample from Sebastian Hernandez, 5, for a COVID test at Families Together of Orange County.

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Our culture is built around our core values, which are the guiding principles for everything we do. For over 60 years, PIH Health has maintained a sense of community and a family-like culture where patients are the top priority, and employees and volunteers are proud to be affiliated with such an outstanding organization. Radius Miles 5 miles 15 miles 25 miles 35 miles 50 miles.


22 jobs found

RELATED VIDEO: Clinical Review Nurse

File a Fictitious Business Name. City of Newark Real Estate Auction. Emergency police services are not affected. The option to schedule a virtual appointment for a Marriage License also remains available.

The client is looking for someone who can work full-time a-5p , but they are open to part-time.

Utilization Management Nurse, RN (Remote)

There are Utilization Review Nurse opportunities available in Orange, all with unique requirements. A Utilization Review Nurse ensures that review recommendations made by the medical staff are followed. They are responsible for collecting, evaluating, and interpreting data to determine whether cost-effective and medically appropriate medical services are being provided in an efficient manner. They also may be tasked with developing and implementing outreach strategies to educate physicians on evidence-based medicine and new procedures, striving to reduce costs of medical care by implementing procedural efficiencies, suggesting other changes to improve overall healthcare system performance, and identifying ways of promoting safety and health in the workplace. We know that finding a job as a Utilization Review Nurse can get a little overwhelming, but it's actually less stressful than you think.

We understand the importance of enjoying a meaningful career. At CHOC, we are a mighty brigade sworn to protect pillow fights, thumb wrestling and first kisses. By keeping kids healthy, we can help keep the magic of childhood alive and well.


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