Expired Utilization Management Nurse jobs in Bakersfield, CA
Bakersfield, CA
$67,332-$112,220/year (est.)
Your Role The Utilization Management team facilitates the review of requests for medical necessity to assure that care is provided to our members timely, at the correct level of care with quality and cost effectiveness standards. The Utilization Management Nurse Consultant will report to the...
Dignity Health Management Services
Bakersfield, CA
$26,244-$223,100/year (est.)
Overview The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale...
Bakersfield, CA
$26,288-$223,100/year (est.)
Responsibilities: Responsibilities may include: - Reviews and approves prior authorization requests for medical necessity within NCQA timelines using the predetermined criteria provided by the different plans and UM Committee criteria.- Responsible for timely and appropriate denial letters that...
Bakersfield, CA
$26,244-$223,100/year (est.)
Company Description HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious...