11 Medical Reviewer Jobs in California
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Medical Reviewer/Safety Reviewer II-----Remote US Tech Solutions - San Jose, CA, United States Provide review of safety-related data from clinical trials for content, quality, potential study level trend identification, and adherence... 5 days ago
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Special Investigations Unit Medical Reviewer Inland Empire Health Plan - Rancho Cucamonga, California !* Under general supervision, the Special Investigations Unit Medical Reviewer (SIU Medical Reviewer) performs reviews of medical records and healthcare claims to substantiate or refute the accuracy and compliance 7 days ago
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REMOTE Medical Review Officer (MRO) needed - Cerritos CA – 3 – 6 months Full Time M-F Amergis Locum Tenens - Cerritos, California, United States coverage Ensures timely review of all case work to meet business turnaround times Reports to Managing Medical Director and works with a staff of 3 other MD reviewers Interested? Robert Hewitt, MSc. Maxim 6 days ago
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Senior Director, Scientific Communications Denali - South San Francisco, California, USA content for promotional materials and other customer-facing materials. Serve as the key medical reviewer at Medical Legal Review (MLR) process and committee. Collaborate cross functionally with Medical $248,000.00 - $277,333.00 19 days ago
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Physician Spine Surgeon Telecommute Medical Review Concentra - Rancho Cucamonga, California the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer. -Must be in active medical 7 days ago
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Physician Review/Utilization Review Physician Vivo HealthStaff - San Diego, California, United States colleagues. The Physician Reviewer will be a part of the Health Services Department. This department is comprised of areas of Medical Management, Provider Relations/Network Support, Quality Improvement 14 days ago
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Utilization Reviewer - Part Time - Remote and Must be a Resident of CA Acentra Health - Los Angeles, CA to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Position Overview As a Utilization Reviewer, you involves reviewing medical records 3,900 - 4,100 15 days ago
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Utilization Clinical Reviewer (Remote) Must Reside in CA Acentra Health - Los Angeles, CA As a Utilization Clinical Reviewer, you'll harness your expertise to meticulously evaluate medical records against precise criteria, wielding critical thinking and decisive skills to appraise the medical necessity 41 22 days ago
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Travel RN ICU - Intensive Care Unit Registered Nurse Focus Staff - Fairfield, CA , who will perform initial, concurrent, or post service review activities; discharge care coordination; and assisting with efficiency and quality assurance of medical necessity reviews in alignment with Federal, State More than 30 days ago
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QI Nurse Specialist (Facility Site Review Nurse Auditor) Orange, CA : • Certification by health plan as Certified Site Reviewer. • Experience in a health care delivery system, including health plan, medical group or hospital management. Required Licensure / Certifications $85,000.00 - $141,086.00 Monthly More than 30 days ago
Top locations
- Chatsworth, CA (3)
- Los Angeles, CA (3)
- Rancho Cucamonga, CA (2)
- San Diego, CA (2)
- Cerritos, CA (1)
- Irvine, CA (1)
- Orange, CA (1)
- South San Francisco, CA (1)
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