Search Results: 24,178 vacancies

 ...time. The training schedule will be M-F 9AM-5PM 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... 
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Saviance

Long Beach, CA
1 day ago
 ...Anticipated End Date: 2024-05-31 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
3 days ago
 ...Description Title: Utilization Review Assistant Location: Long Beach Department: Utilization Management MCH...  ...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

Long Beach, CA
2 days ago
 ...Anticipated End Date: 2024-05-17 Position Title: Reviewer - Therapy Services Job Description: Reviewer - Therapy Services...  ...Reviewer -Therapy Services is responsible for the review of medical records to determine if requests for therapy services (physical... 
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Elevance Health

Cerritos, CA
1 day ago
 ...Most Loved Workplace Forbes Best-in-State Employer Bill Review Trainer - Hearing Specialist **PRIMARY PURPOSE** : To develop...  ...the appropriate judicial body. Negotiate Workers' Compensation medical liens following unit guidelines, in house resolution unit. **... 
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Sedgwick

Los Angeles, CA
3 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.

Los Angeles, CA
3 days ago
 ...Job Description Job Description Opportunity for a licensed LVN/LPN within the US to join our Medical Claims Reviewing Team. The position is open for applicants across the US, but your work schedule, Monday - Friday, will be 8 AM - 5 PM PST time. There is the possibility... 
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Molina Healthcare

Long Beach, CA
2 days ago
 ...various lines of business including, but not limited to, Medicare, MediCal, USDOL, State Workers Compensation, Third Party Lien, Self-pay,...  ...based on AMAs CPT, ICD-9-CM, HCPCS II, and OMFS guidelines.Reviews claim fields in accordance with the Gold Standards set forth by... 
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Kaiser Permanente

Pasadena, CA
1 day ago
 ...compels us to keep moving forward. Job Overview The Physician Reviewer of Utilization Management will provide routine review of...  ...appropriate to provide guidance for processing of referrals to Medical Director staff and to UM staff. Physician Reviewers may approve... 
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AltaMed Health Services Corporation

Montebello, CA
8 hours ago
We're looking for a talented Revenue Integrity Analyst / Claims Review Specialist to join our team on a 24-week contract basis. As a crucial member of our team, you'll be instrumental in optimizing the operational and financial effectiveness of our dynamic health system... 
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Get It Recruit - Healthcare

Los Angeles, CA
22 days ago
 ...POSITION SUMMARY: Under the direction of the APLA Health Site Medical Director, provides primary medical care for adults at the Long...  .... This also includes timely completion of charting, lab reviews and medication refills. Conduct medical visits for at least... 
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APLA Health

Los Angeles, CA
4 days ago
 ...patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness...  ...evidence based clinical guidelines. Conducts inpatient reviews to determine financial responsibility for Molina Healthcare and... 
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Molina Healthcare

Long Beach, CA
3 days ago
 ...Description: The Clinical Trials (CT) Quality Assurance Reviewer position(s) is located at the Kaiser Permanente Southern California Department...  ...techniques (including criteria development and trending); medical care delivery in hospital and outpatient settings; quality... 
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Kaiser Permanente

Pasadena, CA
1 day ago
 ...Job Description Avata Partners is seeking a Document Review Attorney in The Los Angeles area. What is a Document Review Attorney? A document review attorney is responsible for reviewing all documents pertaining to a court case. Most of the work... 
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Avata Partners

Los Angeles, CA
4 days ago
 ...California Hospital at Hollywood provides comprehensive, high-quality medical care. As an acute care facility, we have physicians and...  ...and more. Union Pay Info: Provides patient care, reviews and administers patient medications, treatments and procedures... 
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Alta Hospitals

Los Angeles, CA
8 hours ago
 ...gastrointestinal, cardiology, internal medicine, orthopedics, surgical services and more. Provides patient care, reviews and administers patient medications, treatments and procedures in a safe, effective and age appropriate manner that meets scope of practice and... 
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Alta Hospitals

Norwalk, CA
8 hours 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... 

SummitHR

Pasadena, CA
12 days ago
Immediate need for a talented Supervisor - Case Manager/Utilization Review . This is a 03+ Months Contract opportunity with long-term...  ...benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on... 
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Pyramid Consulting, Inc.

Los Angeles, CA
2 days ago
 ...seeking a (RN) Registered Nurse who resides in and is licensed in the state of Nebraska. This position supports our Inpatient Medical review process with our Nebraska Medicaid Health Plan. Strong experience with appeals reviews and/or utilization management working on... 
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Molina Healthcare

Long Beach, CA
3 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... 

SummitHR

Pasadena, CA
12 days ago