Search Results: 12,840 vacancies

 ...Restoring Families . Responsibilities: The Utilization Review Specialist is responsible for managing an active caseload of clients at...  ...coverage, per use of clinical information and knowledge of Medical Necessity criteria, to effectively communicate plans of care... 
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Newport Healthcare

Irvine, CA
1 day ago
 ...go solar. Q CELLS Home Energy Solutions seeks an Contract Review Specialist to to manage and control projects through administrative and...  ...storage, solar, and other renewable resources. Benefits* •Medical, Dental, Vision •Paid Time Off •Tuition Reimbursement •... 
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Qcells

Irvine, CA
9 hours ago
 ...Job Description Job Description We're looking for experienced Utilization Review Specialist that has worked in substance abuse industry/mental health for years. Almost 90% of our authorizations are for in network policies so we prefer someone that has experience in... 
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NEW LIFE TREATMENT CENTER

Santa Ana, CA
6 days ago
 ...information, visit Follow Allergan Aesthetics on LinkedIn. Job Description Position Summary The Director of Skincare Medical Review leads and executes the development and implementation of the global medical operations strategy (Pharmacovigilance, Medical Information... 
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AbbVie

Irvine, CA
1 day ago
 ...management tool for proper pricing (Examples: APC, DRG, APRDRG). Reviews and initiates the initial appeal for underpayments observing...  ...methodology, and/or ICD10 and CPT coding - Required Medical billing collector experience and excellent customer service skills... 
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Peregrine Team

Costa Mesa, CA
3 days ago
 ...journey! How you will make an impact: In this role in TMTT Medical Affairs, you will act as primary contact for medical writing...  ...cross-functional stakeholders Conduct literature searches and reviews including developing search strategy, manage associated documentation... 
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Edwards Lifesciences Corporation

Irvine, CA
1 day ago
 ...Healthcare is seeking a motivated Billing Specialist to join our growing and dynamic team....  ...Preparing and submitting billing data and medical claims to insurance companies, including...  ...8 hours). Assist in the creation and review of billing procedures to ensure the... 
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Titanium Healthcare

Garden Grove, CA
5 days ago
 ...and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation, and medical review. At IntegrityM, we offer a culture of opportunity, recognition, collaboration, compassion and supporting our community. We thrive... 
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Integrity Management Services, Inc.

Irvine, CA
2 days ago
 ...Title: LVN Utilization Review Location: Fountain Valley Department: Outpatient Utilization...  ...in Healthcare. Across our family of medical centers, we support each one of our...  ...Along with physician hospitalists / PCPs / Specialists, leads and coordinates activities of... 
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MemorialCare Health System

Fountain Valley, CA
4 days ago
 ...to: ~ Full benefits package including medical, dental, vision, life that fits your lifestyle...  ...Job Summary As a Reimbursement Specialist/Medical Collector at AmeriPharma, you will...  .... Duties and Responsibilities  Reviews patient inventory of assigned accounts... 
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AmeriPharma

Laguna Hills, CA
3 days ago
 ...Job Description Job Description Medical Insurance Verification Specialist needed for Newport Beach Surgery Center. This is a long term temp role. Must be able to work in an office. This is not a HYBRID OR REMOTE option. Must live near NEWPORT BEACH, CALIFORNIA.... 
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Ultimate Staffing Services

Irvine, CA
15 days ago
 ...Anticipated End Date: 2024-05-06 Position Title: Nurse Reviewer I Job Description: Nurse Reviewer I Location: Within...  ...Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues... 
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Elevance Health

Cerritos, CA
4 days ago
 ...Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of...  ...coordinators, participates in the pre-service medical necessity review of patient care. 3. Reviews prior authorization requests for medical... 
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Lakeside Medical

Orange, CA
3 days ago
 ...Job Description Job Description We currently have an open position for a Sr Quality Assurance Specialist - Reviewer reporting to our Quality Assurance department in the Irvine, location. RESPONSIBILITIES: Review all QC HPLC, GC, CE , AAS. TOC, UV, KF, FTIR... 
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LGM PHARMA SOLUTIONS LLC

Irvine, CA
28 days ago
Loan Review is an internal control which serves to aid management and the Board of Directors in monitoring quality and risk within the...  .../or business line incentive may be provided, in addition to a medical and other benefits, dependent on the position.For more information... 
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Pacific Premier Bank

Irvine, CA
9 hours ago
 ...Description Title: LVN Utilization Review Location: Fountain Valley Department: Outpatient Utilization Management Status...  ...Care stands for excellence in Healthcare.Across our family of medical centers, we support each one of our bright, talented employees... 
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MemorialCare

Fountain Valley, CA
1 day ago
 ...qualified candidates to join our Insurance Specialist teams. If you are goal driven, hard-...  ...agencies, employers, third party payors and/or medical payment programs, etc. both in-person...  ...pre-authorizations, medical necessity, review/updating of patient accounts, etc.... 
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Meduit

Brea, CA
9 hours ago
 ...Opportunities Job Summary Are you looking to launch a career in medical billing? Whether you're an experienced medical biller or a...  ...a motivated and enthusiastic Medical Billing Associate/Specialist to join our team! As a Medical Biller, you will be responsible... 

ALFEL RESOURCES INC

Anaheim, CA
26 days ago
 ...data? We're seeking a talented Data Entry Specialist to join our team.   Job Title: Data...  ...making. + Job Responsibilities Review details of documents to ensure required...  ...offerings available for our associates include medical, dental, vision, life insurance, short-... 
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PDS Tech Commercial, Inc.

Garden Grove, CA
11 days ago
 ...Job Description Job Description Job Posting: Document Review Paralegal - Mesothelioma Cases Location : Huntington Beach, CA...  ...gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran... 
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Adams & Martin Group

Huntington Beach, CA
12 days ago