Latest Utilization Review jobs in Orange, CA - JobisJob United States Mobile

36 Utilization Review Jobs in Orange, CA

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
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
Director of Care Management Adventist Health - Glendale, CA, United States combination of education/related experience: Required Master's Degree: Preferred Seven years' hospital discharge planning, utilization review, case management and social work experience: Preferred Five years 14 days ago
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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Registered Nurse - Utilization Review / CDI TactStaff - Los Angeles, CA, US in good standing Preferred: 1. 2+ years of ambulatory care experience 2. BSN 3. Utilization review experience Job Duties: 1. Review occurrence reports and the related pertinent medical records to determine More than 30 days ago
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
Accounting/Finance - Financial Clearance Specialist III TalentBurst, Inc. - Irwindale, California required by third party payor for treatment authorization requests. Work on all pending utilization review patients, and achieve authorization for the following day. Getting emergent authorizations from walk 2 days ago
Financial Clearance Specialist III ICONMA, LLC - Irwindale, California all forms required by third party payor for treatment authorization requests. Work on all pending utilization review patients, and achieve authorization for the following day. Getting emergent authorizations 2 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 16 days ago
Physician / Family Medicine Vista Community Clinic - La Habra, California 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 12 days ago

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