18 Utilization Review Jobs in Irvine, CA
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Utilization Review Specialist Newport Healthcare - Irvine, California in the lives of young people and their families each and every day. Empowering Lives. Restoring Families.® Responsibilities: The Utilization Review Specialist is responsible for managing an active caseload 3 days ago
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Sr. Workplace Project Manager Blizzard Entertainment - Irvine, CA, United States and leads status review meetings, which may include internal team members, vendors, and customers. Measure, analyze, and develop key metrics for facility utilization and efficiency. Responsible for training 20 days ago
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Health & Benefits Financial Consultant Marsh McLennan - Irvine, CA, US project objectives; ability to work independently and on a team. Capable of performing data analysis (example includes but is not limited to review claims and utilization data and look for trends More than 30 days ago
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Project Manager- Commercial TI Jobot - Irvine, CA and third-party Safety Director on implementing the safety program. •Always ensure strict adherence to ethics and compliance requirements. •Support and drive utilization of various initiatives $90,000 - $120,000/Year 18 days ago
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INSURANCE VERIFICATION SPECIALIST II - DIGESTIVE HEALTH CLINIC Hoag Memorial Hospital Presbyterian - Newport Beach, CA, US oversees a larger volume or variety of accounts. Serves as a direct liaison between insurance carrier and organization and notifies of Utilization Review documentation. Communicates financial class changes 19 days ago
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Financial Management Systems Analyst Internal Revenue Service - Santa Ana, California program plans and determine impact of changes on program goals; Experience using cross-functional programs and their interrelationship with assigned program to conduct reviews, studies/projects 86962.0-167336.0 17 days ago
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Care Review Processor with Managed Care Exp. -- Remote | WFH Get.It Recruit - Administrative - Long Beach, California PSTAlternate: Sunday to Thursday, 10:00 AM - 6:30 PM PSTFlexibility to work additional hours and weekends as needed.QualificationsMinimum of 2 years' experience in a Utilization Review role within a Healthcare 16 days ago
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CMO Needed| Excellent Pay and Benefits| FQHC| Newport Beach, CA Provider Healthcare - Newport Beach, California, United States Participate in utilization and peer review programs which evaluates the quality of the medical staff and medical services being performed at the clinics Provide supervision and consultation to physician 17 days ago
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california workers compensation claims examiner Randstad - long beach, california medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review. Maintains professional client relationships $55 - $60 per hour 23 days ago
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LVN/LPN Case Manager Assistant - Part Time Days - Riverside Kaiser Permanente - Riverside, California reviews Promotes prudent utilization of all resources (fiscal, human, environmental, equipment and services) by evaluating resources available to the patient and balancing cost and quality to assure optimal 2 days ago
Top locations
- Los Angeles, CA (45)
- Riverside, CA (13)
- Long Beach, CA (12)
- Rancho Cucamonga, CA (10)
- Torrance, CA (8)
- Newport Beach, CA (8)
- San Bernardino, CA (7)
- San Gabriel, CA (6)
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