Search Results: 6,829 vacancies

 ...Description Title: Utilization Review Assistant Location: Long Beach Department: Utilization Management MCH OP Status: Full-time Shift: Days, Weekends Pay Range*: $22.41/hour - $32.50/hour At MemorialCare... 
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MemorialCare

Long Beach, CA
2 days ago
 ...progressing 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... 
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COLLABORATIVE NEUROSCIENCE NETWORK LLC

Long Beach, CA
a month ago
 ...Responsibilities Utilization Review (UR) Coordinator Opportunity.  Position: PRN (as needed)  This position is on-site and cannot be done remotely.  For nearly 60 years, Calvary Healing Center has provided a full continuum of care, specializing in addiction... 
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Relief
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Shift PRN

Montebello, CA
6 days ago
 ...to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service...  ...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. 3. Five years acute care nursing experience... 
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Prime Healthcare

Lynwood, CA
a month ago
 ...2024-05-31 Position Title: Nurse Reviewer I Job Description: Nurse Reviewer I...  ...reviews for diagnostic imaging services by utilizing appropriate policies, clinical and department...  ...background. Current unrestricted RN CA license in applicable state(s) required... 
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Elevance Health

Cerritos, CA
3 days ago

$36.46 - $46.88 per hour

 ...staff and appropriate community agencies. Reviews, monitors, evaluates and coordinates the...  ...providing continuity of care, including Utilization management, Transfer coordination,...  ...Experience ~ Two (2) years combined RN experience in an acute care setting or case... 
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Kaiser

Brea, CA
5 days ago
 ...DESCRIPTION For this position we are seeking a (RN) Registered Nurse who resides in and is...  ...position supports our Inpatient Medical review process with our Nebraska Medicaid Health...  ...experience with appeals reviews and/or utilization management working on the managed care... 
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Molina Healthcare

Long Beach, CA
3 days ago
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 ...more than a job. It's the calling of our lives and it compels us to keep moving forward. Job Overview The Physician Reviewer of Utilization Management will provide routine review of authorization requests from all lines of business using respective national/state... 
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AltaMed Health Services Corporation

Montebello, CA
4 hours 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
1 day ago
 ...include the following: Candidates will be reviewing medical patient records against standard...  ...nursing experience along with 1 year of utilization or medical claims review experience....  ...less experienced clinical peers and LVN, RN and administrative support staff.... 
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Saviance

Long Beach, CA
1 day ago
 ...The City of La Habra is recruiting to fill the position of Utilities Supervisor in the Public Works Department. So if you have an interest...  ...direction, plans, organizes, manages and supervises, and reviews the work of water and sewer technicians in the Water and Sewer... 
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City of La Habra, CA

La Habra, 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
3 days ago
 ...direction of the Director, Medical Management this position is responsible for overseeing and managing the day-to-day operations of the Utilization Management Department, health plan delegated activities, and medical management initiatives. This position works closely with the... 
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AltaMed

Montebello, CA
2 days ago
 ...a Registered Nurse with UM and Inpatient Review experience. The Care Review Clinician must...  ..., unrestricted State Registered Nursing (RN) license in good standing. Must have...  ...Certification, Association Active, unrestricted Utilization Management Certification (CPHM). To... 
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Molina Healthcare

Long Beach, CA
3 days ago
 ...Type: Full Time Job Number: 2024-00113 Department: Public Utilities Opening Date: 04/30/2024 Closing Date: 5/21/2024 5:00 PM...  ...Requests for Proposal, specifications and bid packages; review bids, and recommend vendor selection; ensure work is performed... 
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City of Anaheim, CA

Anaheim, CA
3 days ago
 ...prior authorizations, inpatient/outpatient medical necessity/utilization review, and/or other utilization management activities aimed at providing...  ...Association Active, unrestricted State Registered Nursing (RN) in good standing. Must have valid driver's license with... 
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Monday to Friday

Molina Healthcare

Long Beach, CA
3 days ago
 ...Description Job Title: Director, Utilization Management Department: Health Services - UM About the Role: Leads and shapes...  ...Department functions, including prior authorizations, concurrent review, medical claims review, and appeals and grievances. Directs... 

Astrana Health

Monterey Park, CA
3 days ago
 ...Manages the day-to-day operations of the Utilization Management Program in the Service Area or...  ...direction to staff regarding utilization review, care coordination, discharge planning, and...  ..., Registration ~ Current California RN license. Additional Requirements:... 
Full time
Local area
Shift work

Kaiser Permanente

Harbor City, CA
more than 2 months ago
 ...(AA) and Equal Opportunity Employers (EOE) inclusive of veterans and those with disabilities. California residents click to review your privacy rights. By applying to this position, you consent to receive an initial text message to collect your communication... 
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Careerbuilder-US

Anaheim, CA
4 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... 
Work experience placement
Local area
Night shift

Isuzu Motors Limited

Anaheim, CA
1 day ago