Average salary: $43,932 /yearly
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- ...Job Description LanceSoft is seeking a travel nurse RN Utilization Review for a travel nursing job in Duarte, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 12/02/2025 ~ Duration: 8 weeks ~40...SuggestedWeekly payLong term contractPermanent employmentTemporary workWork at officeShift workNight shift
LanceSoft
Duarte, CA27 days ago $54.86 - $68.51 per hour
Join to apply for the Utilization Review RN role at CommonSpirit Health 1 day ago Be among the first 25 applicants Job Summary and Responsibilities Responsible for the review of medical records for appropriate admission status and continued hospitalization. Works in...Suggested- ...organization’s vision becomes a reality. Job Summary: We are seeking a dedicated and passionate individual to join our team as a Utilization Review Specialist focusing on serving our clients in the mental health and substance abuse industry. This is an excellent...SuggestedFull time
- ...Organization, Inc. is looking for a full-time qualified UM Nurse Reviewer who will be responsible for reviewing and processing... ...with Denial Coordinator, Physician Reviewer, and Director of Utilization Management for use of criteria / guidelines. Utilization of mandatory...SuggestedFull timeTemporary workWork at officeRemote workFlexible hours
- ...accordance with current Federal and State standards. The incumbent applies comprehensive knowledge of MDS processes, performs utilization reviews, and has knowledge of Quality Improvement and Care Planning. Compensation: 100-125K annually Location: Duarte, CA...SuggestedFull timePart time
Royal Oaks - a HumanGood community
Walnut, CA21 days ago $45.83 - $61.61 per hour
...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...SuggestedFull timePart timeWork experience placementLocal areaShift workAfternoon shift- Formulary Strategy & Utilization Review Pharmacist Shape the drug benefit landscape—analyze and optimize medication use. Key Responsibilities: Review prescribing trends and propose cost-saving alternatives. Maintain evidence-based formularies across multiple payers. Conduct...Suggested
$40 - $42 per hour
...necessity consistent with MCG or CMS criteria. Requests and reviews medical records and notes as appropriate; evaluates for medical... ...concurrent Case Management system, including appropriate resource utilization and identification of avoidable days. Assure quality care by...SuggestedFull timeImmediate start- ...Oversees an 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...SuggestedWeekend work
$100k - $125k
Licensed Behavioral Health Quality and Utilization Review Consultant I Location: Los Angeles, CA | Salary: $100,000 - $125,000 Job Summary In addition to the responsibilities listed below, this position is also responsible for reviewing services (e.g., mental health assessments...SuggestedFull timeContract workFor contractorsWork at officeLocal area- Overview Join to apply for the LVN Utilization Review Representative, Inpatient Review (Part Time) role at CHOC Children's. Work Location: Orange, California. Work Shift: Day - 08hrs (United States of America). Job Summary The qualified candidate will have direct experience...SuggestedPart timeWork at officeMonday to FridayShift work3 days per week
- ...leadership to deliver financial and strategic results through the utilization of Financial Planning and Analysis of best practices. Support... ...on the AOP process. Support monthly/quarterly business review process. Financial modeling and ad hoc analytics. Develop...SuggestedLocal area
- ...shifts as needed. + Supervises the proper selection, purchase, and utilization of Company assets in support of warehouse operations. +... ...insurance and hold harmless agreements for all contracted vendors. + Reviews the management of shipping and loading audits daily ensuring...SuggestedWork at officeLocal areaShift workNight shiftDay shiftAfternoon shift
$198.23k - $227.58k
...trains, motivates, and directs department personnel; evaluates and reviews work for acceptability and conformance with department... ...College staff, including individuals from minoritized groups. 25. Utilizes critical thinking, decision-making, and problem-solving skills...SuggestedTemporary workWork at officeLocal area$94.56k - $120.65k
...assigned staff; directs work activities of clerical personnel; reviews work for accuracy; recommends workflow improvements. Works with... ...College staff, including individuals from minoritized groups. Utilizes critical thinking, decision-making, and problem-solving with tact...SuggestedHourly payFull timeContract workWork at officeLocal area$90k - $110k
...federal codes, approved plans, and safety standards, while also reviewing detailed plans and preparing permit documentation for higher-... ..., AND ABILITIES Knowledge of Building inspection procedures utilized by public agencies. Familiarity with established safety standards...Full timeFor contractorsWork at officeLocal areaFlexible hours- ...the overall quality of the departments services by developing, reviewing, and implementing policies and procedures to meet legal... ...College staff, including individuals from minoritized groups. 21. Utilizes critical thinking, sound decision-making, and problem-solving...Full timeWork at officeLocal area
$90k - $120k
...This individual must understand the Brand and the retail space, utilizing this knowledge to manage and direct Marketing staff and... ...planning and executing incentives and will participate in Campaign review. Leads new projects for the team as needed to address issues/new...Full time$102.94k
...complex or unique conditions. This role includes coordinating or reviewing the work of engineering aides or technicians. ESSENTIAL DUTIES... ...Design, analyze, and oversee construction of public works and utility projects. Prepare and review comprehensive plans, specifications...Full timeFor contractorsLocal areaFlexible hours$140k - $165k
...supervise inspectors, and coordinate with engineers, contractors, and utility companies. The ideal candidate is a highly motivated self-... ...Oversight & Design Management Lead the preparation and review of plans, specifications, and cost estimates for a wide range of...Full timeContract workFor contractorsWork at officeLocal areaFlexible hours$31.03 - $46.54 per hour
...was named the #1 ranked health care system in the United States, and the #19 ranked company in the country. Job Summary The Utilization Review Nurse will evaluate medical records to determine medical necessity by applying clinical acumen and the appropriate application...Full time$65.62k - $83.75k
...development purposes. Monitors requests for program services; utilizes case management approach; schedules services for assigned classes... ...records, and other policies and procedures. Verifies and reviews forms and reports for completeness and conformance with established...Hourly payFull timeContract workWork at officeLocal area$119.59k - $138.64k
...Responsibilities Plans, organizes, assigns, supervises, and reviews the work of assigned staff in the Financial Aid Department; trains... ...College staff, including individuals from minoritized groups. Utilizes critical thinking, decision-making, and problem-solving skills...Work at officeLocal area$114.8k - $192k
...opportunities to help you stay sharp and advance your legal career. Utilization of Progressive AI Tools: Leverage AI tools to streamline legal... ...and researches, drafts, files, and argues appellate briefs in review courts. The role includes participation in team huddles,...Temporary workCasual workRemote workFlexible hours$72.18k - $97.42k
...UTILITY ACCOUNTANT Southern California Public Power Authority (SCPPA) is seeking qualified applicants for immediate hire for the position... .... Perform accounts payable function including receiving and reviewing invoices, ensuring proper approvals for payment, and entering...Full timeContract workLocal areaImmediate start$105.4k
...performing complex engineering work on a variety of public works, utility, and infrastructure projects. Working under general direction,... ...components of larger, more complex projects. Develop and review engineering designs, specifications, estimates, and reports to...Full timeContract workFor contractorsLocal areaFlexible hours- ...company that provides quality solutions and installations for wet utilities including sewer, water, storm drain systems and fire lines. We... ...the client for project coordination and communications. Reviews project deliverables to include drawings, calculations and specifics...For contractorsFor subcontractor
Boudreau Pipeline
Corona, CA11 days ago - ...return. Maintain Organizational and Time Management Standards: Utilize effective time management skills to meet business objectives.... ...application process, please let us know. We look forward to reviewing your application and potentially welcoming you to our premier team...Shift work
- ...reporting relationships; identifies opportunities for improvement and reviews with the Chief; directs the implementation of improvements.... ...during major emergency situations and natural disasters utilizing the organizational structure and protocols of the Standardized...Full timeContract workWork at officeLocal area
$60k - $80k
...Description Job Description Description: Responsibilities: Review, analyze, and audit law firm generated prebills (or electronic... ...with the insurance carriers’ guidelines through the utilization of an electronic billing system. Conduct line by line review...Work at officeLocal areaMonday to Friday
