Search Results: 4,649 vacancies

 ...compels us to keep moving forward. Job Overview The Physician Reviewer of Utilization Management will provide routine review of...  ...self-referral and will refer high risk patients to appropriate case management program per AltaMed Case Management Policy. With the... 
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AltaMed Health Services Corporation

Montebello, CA
4 days ago
 ...and ( A )mbition are at the heart of our everyday operations and the way we do business The Opportunity The QA Reviewer is responsible for a variety of Quality activities to ensure compliance with applicable quality objectives and regulatory requirements... 
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Worldwide
Flexible hours

Dechra Pharmaceuticals

Pomona, CA
2 days ago
 ...Anticipated End Date: 2024-05-31 Position Title: Nurse Reviewer I Job Description: Nurse Reviewer I Location: Within 50 miles of a pulse point in the following states: California Washington Nevada Shift : An 8-hour shift from 9:30 am - 6... 
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Elevance Health

Cerritos, CA
2 days ago
 ...comprehensive, competitive and generous providing room for potential growth and position/compensation advancement. Responsibilities: · Review search data provided by customers/abstractors for completeness and accuracy. · Type and/or review all products offered within... 
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SummitHR

Pasadena, CA
11 days ago
 ..., competitive and generous providing room for potential growth and position/compensation advancement. SUMMARY: Capable of reviewing moderate to difficult title documentation and preparing title products. ESSENTIAL FUNCTIONS: Review and organize search... 
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SummitHR

Pasadena, CA
11 days ago
 ...Anticipated End Date: 2024-05-17 Position Title: Reviewer - Therapy Services Job Description: Reviewer - Therapy Services Location: Within 50 miles of pulse point location Hours: Monday - Friday from 9:30 am - 6:00 pm PST The Reviewer -Therapy... 
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Elevance Health

Cerritos, CA
16 hours ago
JOB SUMMARY: Manages the Warranty Review Center's daily activities, including all warranty claim authorization and statistical activities. PRINCIPAL DUTIES & RESPONSIBILITIES: # Manages day-to-day operations of the Warranty Review Center. Supervises staff, including... 
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Isuzu Motors Limited

Anaheim, CA
11 hours agonew
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$50k - $70k

 ...clinical, quality, utilization and service outcomes. Develops and maintains case management policies and procedures. Coordinates care/services with utilization and/or quality reviewers and monitors level and quality of care. Coordinates the interdisciplinary... 
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Kaiser

Bellflower, CA
3 days ago
 ...Nature and Scope The position is responsible for reviewing Quality Control Laboratory data which may include raw material, in-process, and finished product release, instrument qualification protocol/report, stability program results and summaries, raw data related to... 
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American Regent, Inc.

Brea, CA
2 days ago
 ...Job Description Job Description We are seeking a Therapist Case Manager to join our team! You will provide recovery-oriented rehabilitation...  ...issues Provide prevention-oriented therapy Implement and review treatment plans Collaborate with additional treatment... 
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Las Encinas Hospital

Whittier, CA
11 days ago

$2,000 - $3,300 per week

Job Description & Requirements RN Case Manager StartDate: 6/3/2024 Pay Rate: $2000.00 - $3300.00 POSITION SUMMARY RN Case Manager POSITION DUTIES MINIMUM REQUIRED QUALIFICATIONS PREFERRED QUALIFICATIONS Epic experience LENGTH OF ASSIGNMENT 13 SHIFT... 
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AMN Healthcare

Downey, CA
4 hours agonew
 ...opportunity employer fostering a workforce that embraces and reflects the rich diversity of Los Angeles County School Site Reviewer - Instructional Materials $25 Hourly OPPORTUNITY FOR TEMPORARY EMPLOYMENT Online applications must be submitted by: 7... 
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Los Angeles County Office of Education

Downey, CA
2 days ago
 ...the individual served. Performs admission and continued stay review utilizing criteria approved by the medical staff to ensure that...  ...Refers medically complex patients under the age of 65 to the MediCal Case Management program. Facilitates transfer of patients to other... 
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AHMC Healthcare

San Gabriel, CA
2 days ago
 ...to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of...  ...Bachelor degree in a related field or at least one year experience in case management, discharge planning or nursing management; # CCM or... 
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West Anaheim Medical Center

Anaheim, CA
2 days ago
 ...Third Party Lien, Self-pay, and DHMO.Utilizes expert knowledge of coding based on AMAs CPT, ICD-9-CM, HCPCS II, and OMFS guidelines.Reviews claim fields in accordance with the Gold Standards set forth by each payer and mandated by the organization.Applies expertise on... 
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Kaiser Permanente

Pasadena, CA
13 hours ago
Overview: The ED LVN/RN Case Manager uses InterQual criteria to evaluate the appropriateness of admissions, level of care, and readiness...  ...and critical thinking skills necessary to provide utilization review/discharge planning services appropriate to patients with complex... 

AHMC Healthcare

Anaheim, CA
1 day ago
Job Type Full-time Description Position: UM Case Manager UM Case Manager implements the effective and best practices...  .... The UM Case Manager will provide high quality medical care review and service by appropriately applying the Milliman Care Guidelines... 
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Innovative Management Systems, Inc.

La Puente, CA
4 days ago
 ...and direction of the performance Improvement Plan (PIP). Case Management is collaborative practices model including patients,...  ...appropriateness of level of Care as needed. # Complete concurrent review in Meditech daily on insurance, non-funded & MediCal patients,... 

AHMC Healthcare

San Gabriel, CA
2 days ago
 ...Probation Officer and other Police Service sworn personnel in managing cases related to students on probation and at-risk youth; assists in...  ...'s license. Appointment is subject to a fingerprint check, a review of conviction records, a background investigation, medical and... 
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Montebello Unified School District

Montebello, CA
2 days ago
 ...facilities with 22+ micro-communities scattered across Orange County, Los Angeles County and the Inland Empire. Job Description The Case Manager is responsible for assessing the strengths and needs of clients, linking clients with appropriate resources, creating... 
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Illumination Foundation

Anaheim, CA
1 day ago