Search Results: 6,136 vacancies

 ...part of them. We have raised the expectations of what a community clinic can deliver because we think quality care is for everyone. And,...  ...us to keep moving forward. Job Overview The Physician Reviewer of Utilization Management will provide routine review of authorization... 
Suggested
Holiday work
Flexible hours

AltaMed Health Services Corporation

Montebello, CA
3 days ago
 ...Anticipated End Date: 2024-05-06 Position Title: Nurse Reviewer I Job Description: Nurse Reviewer I Location: Within...  ...diagnostic imaging services by utilizing appropriate policies, clinical and department guidelines. Collaborates with healthcare providers... 
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Work experience placement
Local area
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Day shift
Monday to Friday

Elevance Health

Cerritos, CA
3 days ago
 ...authorizations, inpatient/outpatient medical necessity/utilization review, and/or other utilization management activities aimed at...  ...Functions as a hands-on supervisor, coordinating and monitoring clinical and non-clinical team activities to facilitate integrated, proactive... 
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Molina Healthcare

Long Beach, CA
1 day 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
1 day ago
 ...methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity... 
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Full time
Part time
Work experience placement

St. Francis Medical Center

Lynwood, CA
3 days ago
 ...EST. Daily responsibilities will include the following: Candidates will be reviewing medical patient records against standard medical criteria. Candidates MUST have 3 years of clinical nursing experience along with 1 year of utilization or medical claims review experience... 
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Saviance

Long Beach, CA
4 days ago
 ...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
1 day ago

$500 - $600 per day

 ...serve the Veteran community? Would you enjoy being able to review medical records and complete assessment questionnaires to help...  ...options available. PandoLogic. Category: Healthcare, Keywords: Clinical Psychologist By applying, you consent to your information... 
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Daily paid
Full time
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MRG Exams

Norwalk, CA
5 days ago
 ...Responsibilities Utilization Review (UR) Coordinator Opportunity.  Position: PRN (as needed)  This position is on-site and...  ...an intensive outpatient program (IOP). We also have a satellite clinic offering Intensive Outpatient Programs in the West Valley region... 
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Relief
Local area
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Shift PRN

Montebello, CA
5 days ago
 ...Job Description JOB TITLE: CARE REVIEW CLINICIAN INPATIENT REVIEW : REGISTERED NURSE For this position we are seeking a (RN) Registered...  ...state and federal regulations and guidelines. Analyzes clinical service requests from members or providers against evidence... 
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Holiday work
Immediate start
Remote job
Home office
Flexible hours

Molina Healthcare

Long Beach, CA
1 day ago
 ...M-F 8:30 AM to 5:00 PM PST. KNOWLEDGE/SKILLS/ABILITIES Analyzes clinical service requests from members or providers against evidence based clinical guidelines. Conducts inpatient reviews to determine financial responsibility for Molina Healthcare and its members... 
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Remote job

Molina Healthcare

Long Beach, CA
1 day ago
 ...TRB and Associates is seeking an experienced and motivated plan review engineer with current registration as a civil, structural, mechanical, or architect (State of California preferred) and a minimum of two years of experience in plan review and/or design on commercial... 
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Holiday work
Full time
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Part time
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TRB and Associates, Inc.

Long Beach, CA
2 days ago
 ...rapidly, and we anticipate that our Colton Location in San Bernadino County, will be operational by Summer of 2024. Utilization Review Coordinator Position Overview Pay: $25 - $30 / Hour Ocean View Utilization Review Coordinator in our psychiatric health... 
Suggested
Summer work

COLLABORATIVE NEUROSCIENCE NETWORK LLC

Long Beach, CA
28 days ago
 ...state of Nebraska. This position supports our Inpatient Medical review process with our Nebraska Medicaid Health Plan. Strong...  ...all state and federal regulations and guidelines. Analyzes clinical service requests from members or providers against evidence based... 
Suggested
Weekend work
Monday to Friday

Molina Healthcare

Long Beach, CA
1 day ago
 ...Job Description JOB DESCRIPTION Job Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations... 
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Remote job
Monday to Friday

Molina Healthcare

Long Beach, CA
1 day ago
 ...information City: South Gate State: California Team Clinical Services Working time Full- Time Description &...  ...attendance and research presentation at conferences, regular peer review with a BCBA-D  Service Areas:   Huntington Park, South... 
Holiday work
Full time
Relocation bonus
Flexible hours

Intercare Therapy

South Gate, CA
11 days ago
 ...primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing...  ...safety standards. Required Experience: Minimum 0-2 years of clinical practice. Preferably hospital nursing, utilization management,... 
Remote job

Saviance Technologies

Long Beach, CA
more than 2 months ago
 ...training portal and other community resources. Job Summary: The Clinical Supervisor II provides clinical and administrative supervision,...  .... Ensure the creation, development, implementation and review of clients' individualized mental health treatment plan.... 
Local area
Relocation bonus
3 days per week
Weekday work

Counseling4Kids

Torrance, CA
1 day ago
 ...POSITION SUMMARY: Under the direction of the Senior Director of Clinical Operations (SDCO), and in partnership with the Dental Director...  .../AIDS required. Knowledge of clinic operations, utilization review, quality management, patient billing, accounting, budgeting and... 
Full time
Local area
Shift work
Saturday

APLA Health

Long Beach, CA
1 day ago
 ...Santa Fe Springs, California 90670 POSITION OVERVIEW: The Clinical Supervisor is responsible for all clinical aspects of treatment...  ...Engages with payers as needed for funding meetings (i.e., IEP, peer reviews) •Stay up to date on best practices for ABA treatment to... 
Full time
Outdoor

The Center for Autism and Related Disorders, Inc.

Santa Fe Springs, CA
3 days ago