Latest Medical Review Specialist jobs in California

35 Medical Review Specialist Jobs in California

Medical Director The Ekeo Group - Fresno, CA, United States effective care coordination, particularly around hospital discharge, short-term, and long-term placement • Oversee participants' use of medical specialists and inpatient care • Participate in rotating night 8 days ago
Medical Certification Specialist 1-2 Statewide, LA , and/or long term care programs are in compliance with federal certification, state regulations, and established state standards. LEVEL OF WORK: Experienced. SUPERVISION RECEIVED: Broad review from Medical $5,119.00 - $9,211.00 Monthly Yesterday
Discharge Coordinator vTech Solution - Orange, CA, US with all appropriate needs for the continuation of care, entering and documenting all findings. • Conducting morning, afternoon, and evening record review for all assigned clients ensuring there is no change in medical 13 days ago
Manager Utilization Review/Medical Specialist - Full Time Exempt - Days - 8hr at Emanate Health Emanate Health - Covina, California for Medi-Cal patients. The Manager Utilization Review/MediCal Specialist will manage the program to provide the appropriate care and hospital services for all Medi-Cal patients while maximizing reimbursement 18 days ago
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Medical Certification Specialist 1 - 2 Statewide, LA , and/or long term care programs are in compliance with federal certification, state regulations, and established state standards. LEVEL OF WORK: Experienced. SUPERVISION RECEIVED: Broad review from Medical $5,119.00 - $9,211.00 Monthly 26 days ago
Group CDS - Data Quality Desert Valley Medical Group - Victorville, California conducting clinically based concurrent and retrospective reviews of medical records. This review is to evaluate that the clinical documentation is reflective of quality of care outcomes and reimbursement 18 days ago
Physician, Internal Medicine Dora Cerrillos - San Fernando, CA, US responsible for overseeing and managing the care of assigned patients. The Physician specialist will actively participate in Quality/PI, Peer Review and Patient Safety programs as directed by the CMO 2 days ago
NURSE PRACTITIONER / PRIMARY CARE PROVIDER Unity Works Staffing & Solutions - Modesto, CA, United States At the direction of the Medical Director, review outcomes and utilization data, including hospitalizations, and use of specialists to establish best practices and policy improvements Take part in rotating night 4 days ago
UTILIZATION REVIEW SPECIALIST Fresno County, CA The Fresno County Department of Behavioral Health invites applications for the position of Utilization Review Specialist. Incumbents review client health records to ensure proper utilization of treatment $97,110.00 - $118,040.00 Annually 8 days ago
Grievance and Appeals Nurse Specialist Impresiv Health - Orange, California Title: Grievance and Appeals Nurse Specialist Duration: up to 6 months Compensation: $40.87-$67.82 In Office Description: The Grievance and Appeals Nurse Specialist participates in managing medical 5 days ago

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