10 Medical Reviewer Jobs in Orange, CA
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Medical Reviewer/Safety Reviewer II-----Remote US Tech Solutions - Irvine, CA, United States Provide review of safety-related data from clinical trials for content, quality, potential study level trend identification, and adherence... 11 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 6 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 12 days ago
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Utilization Review (UR) Specialist - Addiction Treatment Program Renewal Health Group - Tarzana, CA 91356, USA knowledge to work with facilities and providers for care coordination. May access and consult with peer clinical reviewers, Medical Directors and/or delegated clinical reviewers to help ensure medically $65000 - $80000 per year 4 days ago
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Sr Admin - Medical (Remote) Maximus - Los Angeles, CA from which the medical records were submitted. - Ensure correct documents are provided to the physician reviewer and submit assigned reports accurately and timely. - Examine case file to ensure all relevant 18 USD 2 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 6 days ago
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HEDIS Nurse, RN (HYBRID) Inland Empire Health Plan - Rancho Cucamonga, California . Participates in medical record abstraction and accuracy validations (overreads) for HEDIS hybrid pursuit, maintaining subject matter expert status to assist other nurse reviewers. 8. Maintains tracking system 4 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 21 days ago
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HEDIS Improvement Nurse, RN (Hybrid Work Schedule) Inland Empire Health Plan - Rancho Cucamonga, California . Participates in medical record abstraction and accuracy validations (overreads) for HEDIS hybrid pursuit, maintaining subject matter expert status to assist other nurse reviewers. 8. Maintains tracking system 4 days ago
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Utilization Clinical Reviewer (Remote) Must Reside in CA Acentra Health - Los Angeles, California 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 4 days ago
Top locations
- Los Angeles, CA (6)
- Rancho Cucamonga, CA (4)
- Chatsworth, CA (2)
- Cerritos, CA (1)
- Irvine, CA (1)
- California (8)