Clinical Utilization Review Specialist
Alsana
Alsana is a national leader in eating disorder treatment, offering a holistic, soul-hearted approach to recovery for adults and adolescents of all genders. As a Utilization Review Specialist, you will support utilization management, including medical necessity reviews, clinical documentation, and patient status determination, collaborating with clinical teams and leadership to ensure appropriate levels of care and regulator compliance. #J-18808-Ljbffr
Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Clinical Utilization Review Specialist in Los Angeles, CA vacancy
$38 - $41 per hour
Utilization Clinical Reviewer - Remote | WFH job at Get It - Healthcare. Los Angeles, CA. Job Summary As a Utilization Clinical Reviewer, you will use your expertise to assess medical records and ensure the appropriate use of psychiatric inpatient care. With your critical...SuggestedRemote jobHourly payFull timeWork from homeFlexible hours- ...Job Description Job Description Position Summary The PACE Utilization Review Specialist – RN oversees clinical utilization management for participants enrolled in the Program for All-Inclusive Care for the Elderly. The position ensures that services are medically...SuggestedWork at office
- ...of Southern California. ASSIGNMENT SUMMARY The Utilization Specialist at Kheir Clinic plays a critical role in ensuring that patients receive... ..., ensuring that all departments meet their targets. • Review scheduling reports and data analytics to assess current...SuggestedLocal area
KHEIR Clinic
Los Angeles, CA2 days ago $50k - $70k
...AvonRisk Utilization Review Administrative Support Supervisor AvonRisk is the nation's leading specialty risk manager for self-insured organizations, uniting respected regional leaders in workers' compensation, liability, managed care, and risk management across 32...SuggestedWork at office$72.8k - $130k
...health optimization on a global scale. Provides expert level review of inpatient clinical records within 24-48 hours of admit; Actively... ...Working DRG lists to Care Coordination Ensures effective utilization of Optum® CDI 3D Technology to document all clarification...SuggestedMinimum wageFull timeWork experience placementLocal areaOptum
Maywood, CA2 days ago$72.8k - $130k
...together. Primary Responsibilities: Provides expert level review of inpatient clinical records within 24-48 hours of admit; identifies gaps in... ...opportunities for improvement and successes Ensures effective utilization of Optum® CDI 3D Technology to document all clarification...Minimum wageFull timeWork experience placementLocal areaOptum
Inglewood, CA2 days ago- ...Certified Coding SpecialistThe Certified Coding Specialist protects and recovers the clinic's patient reimbursement by acting as a coding/billing resource... ...Accounts.Essential Duties and Responsibilities:Reviews coding used for Multispecialty Clinics and Eye Institute...Full timeTemporary workLocal areaFlexible hours
Midwestern University
Glendale, CA1 day ago - ...Company, highly skilled and knowledgeable Constructability Review Specialist to provide advanced field oversight and quality assurance for... ...service influenced by modern technology to positively impact the utilities, telecom, and construction industries. Think Power Solutions...Full timeTemporary workInterim roleRemote work
Pride Resource Partners LLC
Los Angeles, CA2 days ago $250k - $325k
...OB/GYN Pelvic Pain Specialist - HS Assistant, Associate or Clinical Professor Position overview: Position title: HS Assistant, Associate or Clinical... ...Application Window: Open date: April 7, 2026 Most recent review date: Thursday, May 7, 2026 at 11:59pm (Pacific Time)...Traineeship$72.8k - $130k
...number: 2388997 Job category: Medical & Clinical Operations Optum is a global... ...Responsibilities: Provides expert level review of inpatient clinical records within 24-... ...improvement and successes Ensures effective utilization of Optum® CDI 3D Technology to document...Minimum wageFull timeWork experience placementLocal areaUnitedHealth Group
Glendale, CA3 days ago- ...Clinical Nurse ReviewerAs one of the fastest growing Independent Physician Associations in Southern California, our organization offers... ...is our success.We currently have an opening for Clinical Nurse Reviewer. The Clinical Nurse Reviewer will specifically run analysis on...Work experience placementFlexible hours
Care Navigators On Demand
Glendale, CA2 days ago $26 - $41.28 per hour
...Departmental Specific Summary The Project Specialist will provide both administrative and... ...and appropriate, while working with the clinic managers and Regional operations Director... ...regarding all IT Training and systems. Reviews and prioritizes all incoming correspondence...Hourly payFull timeFor contractorsWork experience placementLocal area- White Plains Hospital Medical Center in White Plains, NY, seeks a Clinical Documentation Improvement Specialist to enhance SOI and quality documentation. The CDI will review records, interact with physicians and care teams, and support accurate coding and DRG assignments...
- ...difference with you onboard! POSITION TITLE Patient Retention & Utilization Specialist DEPARTMENT Quality Improvement REPORTS TO Quality... ...as well as agency staff. Willingness to adapt to changes in clinic schedules, agency growth and expansion. Ability to function...Daily paidFull timePart timeWeekend workAfternoon shift
$78k - $110k
Utility Specialist, IKE Orange Barrel Media, LLC West Hollywood, California, United States About this position COMPANY OVERVIEW Orange Barrel... ...applications and service agreements and drive them through utility review Drive make-ready design and construction so that utility...Work at office- ...The Clinical Documentation Specialist (CDS) II is a more experienced CDS, spending at least 75% of their time on independent reviews without supervision, creating queries, and facilitating their... ...experience - minimum ~3 years Utilization review, coding or case...
Cedars-Sinai
Los Angeles, CA13 days ago - ...are seeking dedicated and mission-driven Clinical Physician Assistants (PAs) to support... ...Quality Performance & Risk Adjustment Utilize evidence-based guidelines and MSO documentation... ...clinical documentation audits and chart reviews to improve diagnosis recapture and...Afternoon shift
- ...Clinical Laboratory ScientistJob Title: Clinical Laboratory Scientist - Full Time: 3 shifts... ...and procedures and documents their review.Ensure all daily Quality controls (QC) (... ...Standards:Treats everyone as their customer; utilizes scripting and other tools to ensure...Full timePart timeShift workNight shiftWeekend work
Community hospital of huntington park
Huntington Park, CA1 day ago - ...Summary and Responsibilities As our Clinical Lab Scientist, you will be a critical... ...Performs approved laboratory procedures utilizing a diverse variety of laboratory techniques... ...information and instrument systems, Documentation review and compliance checking, Compliance with...Internship
CommonSpirit Health
Los Angeles, CA1 day ago $22.88 - $38.9 per hour
...surgeries as appropriate in the assigned unit/clinic. He/She closely monitors patients... ...arrangements for any special equipment as needed. Reviews and codes charge slips for patient care... ...as assigned. Essential Duties 1. Utilizes courtesy, compassion, kindness and honesty...Hourly payFull timeWork experience placementWork at officeLocal area- ...Principal Review Specialist, Officer Reporting to Principal Review Manager, the Principal Review Specialist is responsible for performing... .../profit amounts necessary for our accounting department by utilizing and completing Trade Discrepancy Reports. They are also...Work experience placement
- ...Job Summary This associate clinical social worker will provide mental health... ...Facilitates and participates in chart reviews and audits of behavioral health clinicians... ...facilitates outreach initiatives Proactively utilize clinical supervision and/or peer consultation...Temporary workWork at officeLocal areaMonday to FridayFlexible hoursAfternoon shift
Unicare Health Services
Los Angeles, CA1 day ago $23 - $25 per hour
...process. Behavior Intervention Specialist Full time Los Angeles, CA,... ...Specialist (BIS) utilize a behavior analysis method to... ...conducting functional assessments. Review, document and review progress... ...organizational skills. Clinical expertise in crisis intervention...Hourly payFull timeInternshipADP
Los Angeles, CA4 days ago- ...Los Angeles campus, a network of clinical care locations across Southern... ...clinical complexity, and resource utilization. Through concurrent medical record review, clinical documentation analysis... ...Clinical Documentation Specialist (CCDS) or Certified Documentation...Work experience placement
City of Hope
Los Angeles, CA4 days ago - ...require travel throughout the Greater Los Angeles area on a regular basis. The Clinical Documentation Specialist works independently and is responsible for performing clinical chart reviews and pre-charting on risk adjustable patient populations. The Clinical...Work at office
Cedars-Sinai
Los Angeles, CA1 day ago $52.62 - $72.18 per hour
...Summary Prioritizes and performs a wide variety of clinical laboratory tests on various biological specimens. Reviews, evaluates, documents and reports results.... ...Demonstrates working knowledge to troubleshoot and utilize laboratory instrumentation and equipment. Serves...Full timeTraineeshipWork experience placementWork at officeImmediate startShift workDay shift$23 - $28 per hour
...Behavior Analyst (BCBA) or Behavior Specialist, targeting specific... ..., playground, cafeteria). Utilize positive behavior support techniques... ...to the development and review of behavior intervention plans... ...preferably in a school, home or clinical setting. Completion of...Hourly payForte Behavioral Health LLC
Los Angeles, CA5 days ago- Cedars-Sinai is seeking a Clinical Laboratory Scientist II to perform routine and some complex laboratory tests, operate core analyzers, and ensure quality control. You will report results and support training within a busy hospital laboratory. Qualified candidates hold...
- UCLA Health and David Geffen School of Medicine seeks a Clinical Laboratory Scientist in the Brentwood Annex to support Microbiology sections including Bacteriology, Mycobacteriology, Mycology, and Parasitology. You will perform urine and blood cultures, gram stains, fungal...
- ...Job Title Biomedical Specialist – Biomanufacturing Facility Location... ...and microbiological methods, utilizing good aseptic techniques and... ...both research and clinical grade cellular products under... ...provides technical oversight, and reviews test data and GMP documents under...
Csbiomfg
West Hollywood, CA2 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Clinical Utilization Review Specialist. Be the first to apply!
Related searches
- clinical sales specialist Los Angeles, CA
- clinical specialist Los Angeles, CA
- clinical educator Los Angeles, CA
- public health educator Los Angeles, CA
- field clinical specialist Los Angeles, CA
- clinical nurse specialist Los Angeles, CA
- clinical device specialist
- clinical applications specialist
- entry level clinical specialist
- senior clinical specialist