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
...Clinical Review Nurse - Prior Authorization Akido builds AI-powered doctors. Akido is the first AI-native care provider, combining cutting-edge technology with a nationwide medical network to address America's physician shortage and make exceptional healthcare universal...Suggested- ...Behavioral Health Intake Specialist The Behavioral Health Intake... ...once eligibility and any prior authorization requirements are confirmed.... ...presentations to licensed clinical staff in real time, following... ...documentation accuracy are reviewed monthly. Accuracy of...SuggestedContract workWork experience placementWork at office
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...complaint or otherwise oppose discrimination. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.Work at office- ...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...
$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$17 per hour
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...telecommute as scheduled) 1 Senior Compensation & Classification Specialist Job no: 560201 Work type: Staff Location: Pomona Categories:... ...reclassification, in-range progression, and equity-adjustment reviews across multiple bargaining units, resolving escalated or...Full timeContract workFor contractorsWork experience placementWork at officeRemote workMonday to Friday- Senior Compensation & Classification Specialist Job no: 560201 Work type: Staff Location: Pomona Categories: Confidential, Probationary... ...reclassification, in-range progression, and equity-adjustment reviews across multiple bargaining units, resolving escalated or...Full timeContract workFor contractorsWork experience placementWork at officeRemote work
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...Medical Record Reviewer Position summary: Responsible for the review and evaluation of the medical record in order to assign accurate diagnosis and procedural codes ensuring optimal reimbursement while remaining compliant with all regulatory agencies. Also, responsible...Shift workWeekend work- San Gabriel/Pomona Regional Center in Pomona, CA seeks a Vendor Payment Specialist to process accounts payable efficiently and accurately. You will review invoices, ensure documentation integrity, and support electronic payments while adhering to internal controls and...Work at office
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Job Description Hill International is seeking a Cost Specialist in Pomona, California. Responsibilities Download financial data from various... ...forecast reports. (approximately 1200+ records) Prepare/review/update project budgets/baselines, short- and long-term forecasts...Temporary workLocal areaFlexible hours- ...the Clean Energy Revolution Become a Rights Analysis, Senior Specialist at Southern California Edison (SCE) and build a better tomorrow... ...and perform Rights Studies for Major Projects Organization. · Review legal descriptions and associated documents in support of SCE’s...Remote workRelocation
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