Clinical Review Nurse — Prior Authorization Specialist
Akido
Akido is seeking a Clinical Review Nurse - Prior Authorization to join our team in California. The role involves reviewing and processing prior authorization requests to ensure compliance with health plan and regulatory requirements. You'll work closely with medical providers and operational teams to facilitate timely and accurate authorization determinations. The ideal candidate will possess an active California LVN or RN license and have at least 3-5 years of clinical utilization management review experience. Experience with EZCap is preferred. This role directly impacts our mission to enhance the quality of healthcare. #J-18808-Ljbffr Akido
$62.4k - $93.6k
...bearing care models and scaling ScopeAI, its breakthrough clinical AI platform. Read more about Akido's $60M Series B. More... ...Akidolabs.com. The Opportunity ~ The Clinical Review Nurse - Prior Authorization is responsible for reviewing and processing prior...Suggested- Akido Labs is looking for a Clinical Review Nurse in California to manage prior authorization requests. This role ensures compliance with clinical guidelines and coordinates closely with healthcare providers. The ideal candidate will possess an active California LVN or...Suggested
$127.48k - $184.84k
Citizens Business Bank is looking for an Appraisal Review Officer at their Corporate Headquarters in Ontario, CA. This full-time position involves conducting residential and commercial appraisal reviews under the guidance of the Chief Appraiser, ensuring compliance with...SuggestedFull time- ...Hedis Clinical Review Nurse, Lvn Under the direction of the Clinical Quality Improvement (CQI) Supervisor, the HEDIS Clinical Review, LVN provides support to the CQI Supervisor, HEDIS Nurse RN, and other departments on HEDIS and quality improvement-related activities...Suggested
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$19 - $27 per hour
...and organizes merchandise. Assists members with transporting items. Maintains a safe shopping environment. Maintains exit areas. Reviews member receipts. Acknowledges the member and identifies member needs. Assists with securing and safeguarding Sam's Club assets and...Hourly payMinimum wageFull timeTemporary workPart time$119.8k - $160k
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...Position Purpose The Asset Protection Specialist is primarily responsible for preventing financial loss caused by theft and fraud and... ...but not limited to identifying incidents of theft and fraud, reviewing CCTV and exception reports, monitoring the store's physical security...Local area- Position: Nursing Faculty Member Responsibilities... ...working with students in a clinical setting you will:... ...midterm/end of semester reviews. Experience Working... ...Minimum two (2) years of prior experience as a... ...regulations of state authorization agencies. Master’s degree...Full timeLocal areaImmediate startNight shift
$22.32 per hour
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Technology and Educational Systems Specialist Posting Number: A01028 Department: 1606-College... ...interact and collaborate with academic, clinical, and administrative stakeholders in a... ...related field. Preferred Qualifications Prior work experience in health professions...Temporary workWork experience placementWork at office- ...Minimum 5-7 years hands-on P6 scheduling experience managing complex programs/portfolios Emphasize: "Hands-on builder—not just reviewer" Desired Skills / Attributes Knowledge of earned value management (EVM) and cost integration Ability to leverage automation...
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$22 - $23 per hour
...paced environment. Key Responsibilities Accurately enter and update client and order information in internal databases and systems Review, verify, and correct data to ensure accuracy and completeness Maintain strict confidentiality and security of all client and...Hourly payPermanent employmentTemporary workWork at officeLocal area- ...leadership working collaboratively with the Nurse Manager, Director, Physicians, and staff.... ...vendor per AH policy: Preferred Clinical specialty and/or nursing administration certification... ...for staff relief for meals and breaks. Reviews and takes action on requests to adjust...Full timeWork experience placementWork at officeNight shift
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...Shorr Packaging. The Category Sourcing Specialist will be responsible for managing and... ...Operations with accurate item content Review inventory and collaborate with Inventory... ...Shorr Packaging does not provide work authorization sponsorship for this position. Shorr Benefits...Work experience placementWork at office$105k - $110k
Hill International is seeking a Cost Specialist in Pomona, California Responsibilities: Download financial data from various sources (SAP... ...forecast reports. (approximately 1200+ records) Prepare/review/update project budgets/baselines, short- and long-term forecasts...Temporary workLocal areaFlexible hours- Join the Clean Energy Revolution Become a Program Safety Senior Specialist at Southern California Edison (SCE) and build a better tomorrow... ...program costs, resources, schedules, and status for management review. Delivers data analysis and business intelligence reports,...Remote workRelocation
- ...The Behavioral Health Intake Specialist is the first point of... ...scheduled once eligibility and any prior authorization requirements are confirmed.... ...presentations to licensed clinical staff in real time,... ...documentation accuracy are reviewed monthly. Accuracy of program...Contract workWork experience placementWork at office
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$19 - $27 per hour
...Arranges and organizes merchandise. Assists members with transporting items. Maintains a safe shopping environment. Maintains exit areas. Reviews member receipts. Acknowledges the member and identifies member needs. Assists with securing and safeguarding Sam's Club assets and...Hourly payMinimum wageFull timeTemporary workPart timeWork at office$240k - $290k
...Neurology is looking for a full-time headache specialist who appreciates the values of our... ...and collegial, and who has a passion for clinical education. Fellowship training in headache... ...specialists and one experienced nurse practitioner serving our community and are...Full timeRelocation package
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