Registered Nurse:Utilization Review,16:00:00-04:30:00 Job at B2B Staffing Services, Torrance, CA

  • B2B Staffing Services
  • Torrance, CA

Job Description

  • Location: Torrance, California
  • Type: Travel
  • Job 17789408
  • Apply Now
Acute Hospital Experience by Specialty

Pediatrics*
ICU
MS
Case Management/Utilization Review

Pre-Cert Review*
Prior Authorizations*
Retrospective Review*
Admission Criteria
Care coordination
Concurrent Review
Continued Stay Reviews
Determine Medical Necessity per Evidence-Based Guidelines
Disease management
Plan of Care
Utilize InterQual Criteria
Utilization Review

Pre-Cert Review*
Prior Authorization*
Retrospective Review*
Admission Criteria
Concurrent Review
Continued Stay Reviews
CPT (Current Procedural Terminology) coding and billing
Medical Necessity
Utilize InterQual Criteria
Work Settings

Acute Hospital
Ambulatory
Regulatory

CMS: Centers for Medicare and Medicaid Services
CPT (Current Procedural Terminology) coding and billing
Department of Health
DRG (Diagnosis Related Groups)
HIPAA guidelines (Health Insurance Portability and Accountability Act)
The Joint Commission/ Core Measure/National Safety Goals
Additional Skills

remote UR work
CA and Medi-Cal experience/knowledge*

Job Tags

Remote work

Similar Jobs

Aegis Worldwide

Mold Setter Job at Aegis Worldwide

 ...growth Bericap SC, LLC has a full-time, hourly opening for a Mold Setter reporting to the Tooling Manager . This role will...  ...duration of downtime) Setting and pulling molds in and out of the machines as the schedule requires Ensure the proper tagging and... 

Verdes Cannabis

Harvest Assistant Job at Verdes Cannabis

Harvest Assistant Verdes Cannabis | Albuquerque, NMPay: $18.00 per hour | Full-Time, 40 hours per weekPosition Summary Verdes Cannabis is seeking a dependable and detail-oriented Harvest Assistant to support the harvesting and processing of cannabis plants. This is a...

Reach for Resources Inc

Community Recreation Support Specialist: New Brighton, MN Job at Reach for Resources Inc

 ...successfully participate in community-based recreation programs which may include but are not limited to dance, t-ball, summer camps, art classes, yoga, and swimming lessons. Specialists work directly within Parks and Recreation activities, blending in with staff and... 

Kaiser Permanente

Manager, Radiology and Imaging - Silverdale WA Job at Kaiser Permanente

 ...RADIOLOGY AND IMAGING - SILVERDALE WA APPROX. 25 - 28 DIRECT REPORTS - MANAGERIAL EXPERIENCE LEVEL NEEDED FOR THIS ROLE/LOCATION Kaiser Permanente Washington is offering an opportunity that blends purpose, innovation, and community impact-right in the heart of Silverdale.... 

JConnect Infotech

Looking for Licensed Practical Nurse OR LPN Job at JConnect Infotech

Licensed Practical NurseLocation: Sissonville, WV 25320. Shift: 7:00 pm 7:00 am. Contract: 6 weeks. Start: ASAP. Requirements: Must have State License/Compact License, Must have BLS/CPR, 1-2 year of LTC experience required, Must be COVID vaccinated.