Utilization Management Nurse Auditor
$98.2k - $214.6kUniversity of California
Job Title
Work Location: Los Angeles, CA, USA
Onsite or Remote Flexible Hybrid Work Schedule Monday - Friday, 8AM - 5PM
Salary Range: $98200 - 214600 Annually
Employment Type: 2 - Staff: Career Duration Indefinite
Primary Duties and Responsibilities
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Job Qualifications
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University of California$60 - $75 per hour
...Utilization Management Nurse We are seeking a Utilization Management Nurse to join our team! As a Utilization Management Nurse on the team, you will be responsible for reviewing patient files and treatment methods with an eye for efficiency and effectiveness. Your...SuggestedHourly payWork at officeFlexible hours$60 - $75 per hour
...Utilization Management NurseWe are seeking a Utilization Management Nurse to join our team! As a Utilization Management Nurse on the team, you will be responsible for reviewing patient files and treatment methods with an eye for efficiency and effectiveness. Your role...SuggestedWork at officeFlexible hours$102k - $123k
...influence best practices across the industry?As an Aerospace Management Systems Auditor, you will be responsible for delivering BSI’s audit... ...industry and consumer groups, organizations and governments.Utilizing its extensive expertise in key industry sectors - including...SuggestedFull timeContract workTemporary workWork experience placementLive inWork at officeRemote workWork from home- ...Utilization Management Policy Initiatives Nurse RN II The Utilization Management Policy Initiatives Nurse RN II, under the purview of the Utilization Management (UM) Department Leadership Team, is responsible for managing, reviewing, updating and creating Healthcare...Suggested
- ...Job Description Job Description About the Role Join myPlace Health as a Registered Nurse - Utilization Management in Los Angeles, CA. myPlace Health specializes in providing value-based, comprehensive care and coverage for older adults with significant needs, enabling...SuggestedFull time
- ...NeueHealth seeks a full-time Utilization Management (UM) Prior Authorization (PA) Nurse in California. You will review and authorize prior authorizations for treatments, medications, and tests, ensuring alignment with contract requirements, coverage policies, and medical...Full timeContract workRemote work
$88.85k
...Utilization Management (UM) Claims Review Nurse RN IISalary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.)L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County...- ...Utilization Review NurseAstrana Health is looking for a CA-licensed Utilization Review Nurse to assist our Health Services Department. In this position, you will utilize your... ...least one year of outpatient Utilization Management experience in a fast-paced setting.Our Values...Live inRemote work
- ...Working Nurse in Los Angeles, CA, is seeking a Utilization Management Claims Review Nurse RN II to conduct clinical reviews of medical claims ensuring medical necessity, proper documentation, and accurate billing. The role supports payment integrity through retrospective...
$30 - $34 per hour
...A health services company is seeking a Utilization Management Review Nurse in Monterey Park, CA. This hybrid role includes conducting reviews for inpatient admissions and outpatient procedures, ensuring compliance with regulations, and working collaboratively with the...Hourly payWeekend work$60k - $65k
...NKSFB, LLC is the largest business management firm in the country, with more than 650 employees working from seven offices in the Los... ...connections with people in Entertainment. We are seeking a Staff Auditor to be a key contributor in our Audit Department. In addition...Full timeTemporary workWork experience placementSummer workWork at officeFlexible hours$2,213 - $2,308 per week
...Registered Nurse (RN) | Utilization Review Location: Beverly Hills, CA Agency: GQR Healthcare Pay: $2,213 to $2,308 per week... ...Date: ASAP About the Position Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location:...Hourly payWeekly payFull timeContract workImmediate startShift work$2,276 - $2,371 per week
...Registered Nurse (RN) | Utilization Review Location: Burbank, CA Agency: GQR Healthcare Pay: $2,276 to $2,371 per week Shift... ...Date: ASAP About the Position Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location:...Hourly payWeekly payFull timeContract workImmediate startShift work$2,804 - $2,899 per week
...Registered Nurse (RN) | Utilization Review Location: Glendale, CA Agency: GQR Healthcare Pay: $2,804 to $2,899 per week Shift... ...RN in Glendale, California, 91206! Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location:...Hourly payWeekly payFull timeContract workTemporary workImmediate startShift work$2,213 - $2,308 per week
...Registered Nurse (RN) | Utilization Review Location: Beverly Hills, CA Agency: GQR Healthcare Pay: $2,213 to $2,308 per week... ...in Beverly Hills, California, 90210! Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location:...Hourly payWeekly payFull timeContract workImmediate startShift work$2,804 - $2,899 per week
...Registered Nurse (RN) | Utilization Review Location: Glendale, CA Agency: GQR Healthcare Pay: $2,804 to $2,899 per week Shift... ...Date: ASAP About the Position Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location:...Hourly payWeekly payFull timeContract workTemporary workImmediate startShift work$3,499 per week
...Registered Nurse (RN) | Utilization Review Location: Los Angeles, CA Agency: GQR Healthcare Pay: $3,499 per week Shift Information... ...RN in Los Angeles, California, 90027! **Job Title: Case Manager • Registered Nurse (RN) • Days** **Location:** Los Angeles...Full timeContract workLocal areaImmediate startShift workDay shift$3,499 per week
...Registered Nurse (RN) | Utilization Review Location: Los Angeles, CA Agency: GQR Healthcare Pay: $3,499 per week Shift Information... ...Date: ASAP About the Position Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location:...Hourly payWeekly payFull timeContract workImmediate startShift workWeekend work$2,804 - $2,899 per week
...Registered Nurse (RN) | Utilization Review Location: Glendale, CA Agency: GQR Healthcare Pay: $2,804 to $2,899 per week Shift... ...Date: ASAP About the Position Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location:...Hourly payWeekly payFull timeContract workTemporary workImmediate startShift work$2,276 - $2,371 per week
...Registered Nurse (RN) | Utilization Review Location: Los Angeles, CA Agency: GQR Healthcare Pay: $2,276 to $2,371 per week Shift Information: Days Contract Duration: 26 Weeks Start Date: ASAP About the Position Contract - W2 Registered...Hourly payWeekly payFull timeContract workImmediate startShift work$31.93 per hour
...despite any challenges, goes beyond just a job; it's a calling that drives us forward every day. Job Overview The LVN Utilization Management Nurse (UM Nurse) will provide routine review of authorization requests from all lines of business using respective national/...Hourly payFlexible hours$34 - $47 per hour
...Description Astrana Health is looking for a CA-licensed Utilization Review Nurse to assist our Health Services Department. In this position... ...seeking nurses with at least one year of outpatient Utilization Management experience in a fast-paced setting. Our Values:...Hourly payLive inWork at officeRemote workMonday to FridayShift work$70k - $80k
...NKSFB, LLC is the largest business management firm in the country, with more than 650... ...Entertainment. We are seeking a Senior Staff Auditor to be a key contributor in our Audit... ...throughout the audit process. Utilize data analytics and computer-assisted audit...Summer workWork at officeFlexible hours- ...Job description: A prestigious investment management firm seeks a Senior Internal Auditor to join their dynamic team. In this position you will be responsible for conducting operational, financial, and regulatory internal audits (no SOX testing). The following statements...
$111.2k - $151.5k
...reviewed and compiled financial statements, and internal control and management letters; to minimize risks and surprises, optimize engagement... ...by attending continuing professional education courses or utilizing other training resourcesConduct or review research of complex...Full timeContract workWork at officeLocal areaFlexible hours- ...Job Description Job Description Medication Compliance Nurse Auditor (LVN) Regional Skilled Nursing Facilities Reports to: Regional Clinical Director and COO About the Role We are seeking a detail-oriented Licensed Vocational Nurse (LVN) to join our regional...
- ...Case Manager Utilization RN Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and continued... ...exam. License, Certification, Registration Registered Nurse License (California) Basic Life Support Additional Requirements...Full timeWork experience placementWork at officeLocal areaShift workWeekend work
- ...regulations. ~ Proven track record of successfully leading and managing audit engagements. ~ Excellent communication and... ...matter. Our long-term competitive advantage stems from effectively utilizing the skills and talents of our people. Gain the expertise needed...
$175k - $227.5k
...For Circle is seeking a seasoned Senior Manager of Internal Audit to lead the strategic... ...a leadership capacity managing teams of auditors. CPA preferred; CIA or CISA a plus. Expert... ...COSO 2013 requirements. Proficiency in utilizing AI tools (Such as ChatGPT, Claude, Codex...Work at officeFlexible hours- ...them Communicate the status of work and issues with seniors, managers, or partners in a timely manner Work with other members of a... ...Solid understanding of audit issues Ability to utilize firm technology to enhance client service Proficiency in Microsoft...InternshipWork at office
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