Latest Utilization Review jobs in Newport Beach, CA

17 Utilization Review Jobs in Newport Beach, CA

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 26 days ago
CARE MANAGEMENT ASSISTANT - CARE MANAGEMENT Hoag Memorial Hospital Presbyterian - Newport Beach, CA, US , assists with coordination of clinical utilization review, and makes third party payer notifications in support of nursing and social work staff on the Care Management team. The Care Management Assistant More than 30 days ago
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 24 days ago
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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Registered Nurse/Utilization Review APN Consulting - Torrance, California Care experience (can consider 1.5 years) Experience with Utilization Review and Discharge Planning Experience with InterQual 1st-time travelers acceptedFacility Name: Unit: Shift:Day 5x8-Hour (08:00 - 16 2 days ago
Supervisor, Behavioral Health (Utilization Management) Orange, CA . The Supervisor Behavioral Health (Utilization Management) will be responsible for the daily operation of Behavioral Health Integration (BHI) Utilization Management (UM) functions. The incumbent will oversee $90,820.00 - $145,312.00 Annually Yesterday
Supervisor, Outpatient Case Management - Audit and Oversight Prospect Medical Holdings, Inc. - Orange, CA ) years experience in an acute hospital setting. Expertise in any of the following areas: Healthcare Management, Quality Assessment and Improvement, Continuous Quality Improvement., Utilization Review 3 days ago
OTR- Bel Vista Healtcare- PT Valley View Post Acute - Long Beach, CA progress, problem and plans. • Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences as needed. • Participate in in-services training program for other staff 3 days ago
Tax Analyst Internal Revenue Service - Santa Ana, California plans and determine impact of changes on program goals. Experience using knowledge of cross-functional programs and their interrelationship with assigned program to conduct reviews, studies/projects 103409.0-167336.0 15 days ago
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 23 days ago

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