Average salary: $44,427 /yearly

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 ...this is 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... 
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AltaMed Health Services Corporation

Montebello, CA
1 day ago
 ...Anticipated End Date: 2024-05-06 Position Title: Nurse Reviewer I Job Description: Nurse Reviewer I Location: Within 50 miles of a pulse point Shift : Monday - Friday, from 9:30 am - 6 pm The Nurse Reviewer I is responsible for conducting preauthorization... 
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Elevance Health

Cerritos, 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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Full time

Avata Partners

Los Angeles, CA
11 hours ago
 ...integrated Care Access and Monitoring team responsible for prior authorizations, inpatient/outpatient medical necessity/utilization review, and/or other utilization management activities aimed at providing Molina Healthcare members with the right care at the right place... 
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Molina Healthcare

Long Beach, CA
4 days ago
 ...treatments and/or procedures. Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare and...  ...Adheres to UM policies and procedures. Occasional travel to other Molina offices or hospitals as requested, may be required... 
Travel

Molina Healthcare

Long Beach, CA
11 hours ago
Immediate need for a talented Supervisor - Case Manager/Utilization Review . This is a 03+ Months Contract opportunity with long-term potential and is located in Los Angeles, CA(Onsite) . Please review the job description below and contact me ASAP if you are interested... 
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Pyramid Consulting, Inc.

Los Angeles, CA
3 days ago
 ...America, you help to empower hundreds of individuals every day in their journeys of recovery. We are actively seeking a utilization review specialist to work in our corporate office in Pasadena, CA. Growth Centers of America understands that an attractive benefits... 
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Growth Management

Pasadena, CA
8 days ago
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 ...requirements of producing required design models, calculations, reports, specifications, and drawings. Duties: Performs technical review of proposed electrical plans and specifications submitted by District personnel, consultant staff, or commissioned architects and... 
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STV Incorporated

Los Angeles, CA
4 days ago
 ...learn. No matter where you are or how you express yourself, it's always the fastest way to share a moment! We're looking for an Ad Review & Integrity Specialist to join the Review Operations team at Snap Inc! What you'll do: Review all Snap Ad submissions to... 
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Snapchat

Los Angeles, CA
2 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
4 days ago
 ...local 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... 
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Saviance

Long Beach, CA
2 days ago
 ...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 of illness. Qualifications: EDUCATION, EXPERIENCE... 
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St. Francis Medical Center

Lynwood, CA
1 day ago
 ...coding based on AMAs CPT, ICD-9-CM, HCPCS II, and OMFS guidelines.Reviews claim fields in accordance with the Gold Standards set forth by...  ...in a different location or state than the location posted. Travel: No At Kaiser Permanente, equity, inclusion and diversity are inextricably... 
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Kaiser Permanente

Pasadena, CA
2 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... 
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SummitHR

Pasadena, CA
8 days 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... 
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SummitHR

Pasadena, CA
8 days ago
 ...be remote, reporting to office located in Sacramento, CA although it can be done remote. We are an experienced Utility Design Reviewer on a direct hire basis with our clients team of professionals. Our client a well-established global EPC organization, together... 
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TRS Staffing Solutions

Los Angeles, CA
6 hours agonew
 ...provide needed information on an account. Special Projects as needed. Required Education and Experience: Previous experience working in a psychiatric or chemical dependency setting, with two years of utilization review experience preferred. Registered Nurse... 

Las Encinas Hospital

Pasadena, CA
26 days ago
 ...Company Description mxdwn is an online music and entertainment magazine with news, reviews and features about the latest and best in modern entertainment. Job Description If you live and breathe movies and love talking about movies, filmmaking, and storytelling... 
Afternoon shift

mxdwn Entertainment

Los Angeles, CA
4 days ago
 ...Job Description JOB TITLE: CARE REVIEW CLINICIAN INPATIENT REVIEW : REGISTERED NURSE For this position we are seeking a (RN) Registered...  .... Adheres to UM policies and procedures. Occasional travel to other Molina offices or hospitals as requested, may be... 
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Molina Healthcare

Long Beach, CA
4 days ago
 ...Job Description Pyramid Consulting is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Los Angeles, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: ASAP... 
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Pyramid Consulting

Los Angeles, CA
13 days ago