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  •  ...currently seeking an experienced National Medical Director to join our growing Value...  ...population, specifically Clinical Documentation Review with expertise in application of DRG...  ...independently performing timely clinical chart reviews. At times, responsibilities will... 
    Medical
    Minimum wage
    Full time
    Work experience placement
    Local area
    Remote work

    UnitedHealth Group

    Los Angeles, CA
    14 days ago
  •  ...Avsar Construction is seeking a highly skilled Constructability Review Specialist to support the preconstruction phase of public and...  ...retirement plan with company match ~ Comprehensive Health Insurance (medical, dental, and vision) ~ Paid Time Off for personal and vacation... 
    Medical
    Contract work
    Interim role

    Avsar Construction Development, Inc.

    Los Angeles, CA
    2 days ago
  •  ...Salary: $170,000 - $180,000 Annually JOB TITLE: Constructability Review Specialist Every day at CMTS, we undertake impactful...  ...discretion. Apply: CMTS LLC offers 100% company-paid medical, dental, vision, 401k, life, and long-term disability insurance... 
    Medical
    Full time
    Interim role
    Local area

    CMTS LLC

    Los Angeles, CA
    16 days ago
  • Description & Requirements Maximus is hiring a Clinical Reviewer, LPN to join our team! In this role will you'll review Level I PASRR...  ...Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA.... 
    Medical
    Remote job
    Minimum wage
    Contract work
    Temporary work
    Work experience placement
    Home office

    MAXIMUS

    Los Angeles, CA
    11 hours ago
  • Join to apply for the Medical Claims and Bill Reviewer role at Medata 1 day ago Be among the first 25 applicants Join to apply for the Medical Claims and Bill Reviewer role at Medata Who We Are We’re a group of talented, driven professionals who strive every day to improve... 
    Medical
    Full time
    Contract work
    Work at office
    Remote work
    Flexible hours

    Medata

    Los Angeles, CA
    11 hours ago
  •  ...for conducting comprehensive facility site reviews (FSRs) to ensure compliance with...  ...safety. In this role, you will supports all Medical Group Health Education & Disease Management...  ...clinical studies and access surveys producing charts, graphs, and reports to demonstrate... 
    Medical
    Work at office

    UCLA Health

    Los Angeles, CA
    more than 2 months ago
  • Job Description The Claims Review Coordinator is responsible for the investigation, documentation and resolution of denied claims in...  ..., Plan participants, business managers, health care providers, medical insurance companies and related governmental agencies, and medical... 
    Medical

    Insight Global

    Los Angeles, CA
    more than 2 months ago
  • Job Description Medical Director - Crenshaw, CA - Los Angeles (Relocation assistance) Benefits: Compensation: $335,0...  ...operational needs, while also ensuring quality care through chart and utilization reviews in line with protocols. 60% Clinical Duties: Provides... 
    Medical
    Immediate start
    Relocation package
    Monday to Friday

    Care Partners

    Los Angeles, CA
    11 hours ago
  •  ...preconstruction phase in the following efforts: · Assists in defining and reviewing the Project Requirement Document scope of work and schedule...  ...project value of $400M. Benefits Health Care Plan (Medical, Dental & Vision) Retirement Plan (401k) Paid Vacation... 
    Medical
    Full time
    Interim role

    Overwatch Construction Management

    Los Angeles, CA
    11 hours agonew
  •  ...highly complex functional business area within Clinical Coding Review (CCR) to define and enable strategic and operational priorities...  ...efficiencies, optimize systems & processes, promote quality, and maximize medical and administrative expense savings. Teams may include CCR... 
    Medical

    Davita Inc.

    Los Angeles, CA
    4 days ago
  •  ...Best Workplaces in Financial Services & Insurance Senior Estimate Review Specialist **PRIMARY PURPOSE** **:** To review all estimates...  ...comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life... 
    Medical
    Temporary work
    For contractors
    Work at office
    Local area
    Flexible hours

    Sedgwick

    Los Angeles, CA
    more than 2 months ago
  •  ...Snapchat and other services; and its AR glasses, Spectacles ( . The Review Operations team - a group within Snap's Platform Integrity and...  ...origin, ancestry, physical disability, mental disability, medical condition, genetic information, marital status, sex, gender, gender... 
    Medical
    Work at office
    Local area
    Live in
    Weekend work
    Afternoon shift
    Early shift

    Snap Inc.

    Los Angeles, CA
    more than 2 months ago
  •  ...flexible and experienced physicians for our medical reviewstream division. This telecommute...  ...: Relying on clinical background, reviews health claims providing medical interpretation...  ...recommendations for utilization review, chart reviews, medical necessity,... 
    Medical
    Contract work
    Temporary work
    For contractors
    Remote work
    Flexible hours
    Monday to Friday

    Concentra

    Los Angeles, CA
    14 hours ago
  •  ...s Office One position in the Utilization Review Unit One position in the Pittsburg Health...  ...performs concurrent reviews, which is a chart review process outlined by the Department...  ...measures Providing consultative services to medical staff, behavioral health staff, and... 
    Medical
    Full time
    Traineeship
    Work at office
    Local area

    County of Contra Costa

    Los Angeles, CA
    4 days ago
  • Join to apply for the Physician Utilization Reviewer (Medical Director) role at Medical Review Institute of America Join to apply for the Physician Utilization Reviewer (Medical Director) role at Medical Review Institute of America Who We Are Founded in 1983, Medical Review... 
    Medical
    Full time
    Seasonal work
    Local area
    Remote work
    Flexible hours
    Night shift
    10 hours per week

    Medical Review Institute of America

    Los Angeles, CA
    1 day ago
  •  ...will play a key part in promoting high-quality, cost-effective medical care by applying clinical acumen and applicable policies and guidelines...  ...the issuance of adverse organization determinations. You will review for appropriate care and setting while working closely with... 
    Medical

    UCLA Health

    Los Angeles, CA
    more than 2 months ago
  •  ...and supervision by an Appeals and Grievances Medical Director, the Physician Associate is responsible for ongoing clinical review and adjudication of appeals and grievances...  ...process. + Experience with conducting quality chart reviews + Inpatient PA experience +... 
    Medical
    Minimum wage
    Full time
    Work experience placement
    Local area
    Remote work
    Monday to Friday

    UnitedHealth Group

    Los Angeles, CA
    7 days ago
  •  ...include assisting with recording the physician medical record documentation (electronic or paper) of patient history, review of systems, physical exam findings, progress...  ...physician medical record documentation to assess for charts completeness and will send incomplete charts... 
    Medical
    Hourly pay
    Flexible hours
    Night shift
    Afternoon shift

    UCLA Health

    Los Angeles, CA
    more than 2 months ago
  •  ...apply for the Registered Nurse/Utilization Review role at Emonics LLC 6 months ago Be among...  ...Managed care experience Knowledge of medical management process Knowledge of NCQA regulations...  ...Type of Facility: Outpatient Charting: Epic Seniority level Seniority level Entry... 
    Medical
    Full time
    Contract work
    Part time
    Local area
    Remote work
    Relocation package
    Shift work
    Weekend work

    Emonics LLC

    Beverly Hills, CA
    1 day ago
  •  ...their contributions toward quality improvement. Constructability Review Specialist– School Facilities COMPENSATION & BENEFITS ~ Salary Range: $156,000 - $164,320 annually ~ Company-paid medical, dental, and vision insurance for employees ~401k retirement plan... 
    Full time
    Contract work
    Interim role

    KKCS

    Los Angeles, CA
    6 days ago