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

24 Utilization Review Jobs in San Pedro, CA

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 10 days ago
CARE MANAGER I (RN) - PD - CARE MANAGEMENT (Utilization Review) Hoag Memorial Hospital Presbyterian - Newport Beach, CA, US Salary Range: $47.7200 - $73.3700 /hour. Actual compensation may vary based on geographic location, work experience, skill level, and education. Case Manager – RN (Utilization Review) Do you thrive 2 days ago
Healthcare - Care Review Processor I Saviance Technologies - Long Beach, California and data entry support for Members that require hospitalization and/or utilization review for other healthcare services. Checks eligibility and verifies benefits, obtains and enters data into systems 4 days ago
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
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Therapist, Mental Health - Outpatient Discovery Mood & Anxiety Program - Los Alamitos, California and/or snack a minimum of once per week. Facilitates multi-family groups, family program, and/or family weekend. Provides utilization reviews to insurance companies, providing appropriate clinical information 4 days ago
Customer Success Utilization Manager - Northern California KARL STORZ Endoscopy - America - El Segundo, CA & use cases (including software upgrades and remote upgrades). Analyze data to maximize utilization of KARL STORZ software, OR1, and video products. Host Quarterly Business Reviews with executive 18 days ago
Sr. Departmental Applications & Analytics Analyst Korn Ferry - Los Angeles, CA , collaborating with business partners to review, analyze, and manage reporting and data requests. Tool Utilization: Utilize Cerner and Data Warehousing tools to track regulatory reporting needs, and work with EMR $60 - $65 per hour 5 days ago
RN Care Coordinator CommonSpirit Health - Long Beach, California . The RN Care Coordinator consistently conducts the utilization review process and the discharge planning process as required by hospital policies standards of practice and Federal and State regulations 15 days ago
CMO Needed| $350-375k Base, Plus Full Benefits| FQHC| Los Angeles, CA Provider Healthcare - Los Angeles, California, United States primary care to patients of all ages Participate in the development of clinic protocols and procedures to ensure quality medical care Participate in utilization and peer review programs which evaluates Yesterday
RN-Quality & Safety Improvement Consultant V, Clinical Quality Consulting (KFH/HP) Kaiser Permanente - Los Angeles, California through utilization review, clinical records audit, claim denials, member satisfaction surveys, and auditing surveys for their cost effectiveness and impact on department functioning; ensuring process 7 days ago

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