Medical Review Nurse jobs in Cerritos, CA

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REGISTERED NURSE OR $10,000.00 Sign on Bonus Full Time 12 hr...
Fountain Valley Regional Hospital and Medical Center 1,072 reviews - Fountain Valley, CA
Reviews each patients chart for completeness. Fountain Valley Regional Hospital and Medical Center. Demonstrates flexibility to work as out-patient nurse or...
Sponsored by Tenet Healthcare
Clinical Appeals RN
UnitedHealth Group 2,438 reviews - Cypress, CA
Utilization review and/or case management experience. RN, nurse, clinical, appeals, case management, utilization review, utilization management, managed care,...
Sponsored

Clinical Appeals RN

UnitedHealth Group 2,438 reviews - Cypress, CA
Utilization review and/or case management experience. RN, nurse, clinical, appeals, case management, utilization review, utilization management, managed care,...

Delegation Oversight Nurse

Molina Healthcare 190 reviews - Long Beach, CA 90844
Registered Nurse or Licensed Vocational or Practical Nurse graduate from an accredited school of nursing. Minimum one year Utilization Review....

UTILIZATION MANAGEMENT CLINICIAN

Value Options 173 reviews - Cypress, CA 90630
Current California Licensure as a Registered Nurse. The Utilization Management Clinician will be responsible for completing triage assessments to determine...

Licensed Vocational Nurse-LVN

Alta Gardens Care Center - Genesis HealthCare - Garden Grove, CA
Under the direction of a Registered Nurse (RN), the Licensed Vocational Nurse delivers efficient and effective nursing care while achieving positive clinical...

Nurse Auditor

Managed Resources, Inc. - Los Angeles, CA
The Nurse Auditor will conduct audits on medical claim data and/or medical records to support charges. The nurse auditor uses medical and nursing knowledge of...
Easily apply

Case Manager / Registered Nurse

Tri-City Regional Medical Center - Hawaiian Gardens, CA 90716
CASE MANAGER / REGISTERED NURSE. Computer and Electronic Medical Record experience required. Gardens Regional Hospital & Medical Center, Department of Human...
Easily apply

Registered Nurse- All Shifts Available

Del Amo Hospital 8 reviews - Torrance, CA 90505
Reviews plan of. Medical, dental, vision, life, STD, LTD, and AD&D insurance. Current licensure as a Registered nurse through the State of....

Medical Case Manager (Pre Authorization Nurse Reviewer)

CalOptima 12 reviews - Orange, CA
Reviews all requests for medical appropriateness by using established clinical protocols to determine the medical necessity of the request....

RN Case Manager/Patien Care Coordinator

Royal Majesty Home Care Inc - Long Beach, CA 90807
Continually assess patient’s eligibility for home health care and facilitate medical review, as needed.*. Request medical records from physicians, hospitals,...
Easily apply

CASE MANAGER/PD - CASE.MGMT.RN.CASE.MGR.PDD -1.18.16

LA PALMA INTERCOMMUNITY HOSPITAL 10 reviews - La Palma, CA 90623
Current California Registered Nurse License required. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost...
Utilization Review Nurse
Recovery Institute of America - Dana Point, CA
Coordinates peer review with RIOA Physician consultants on clinical cases that are not meeting the medical necessity criteria....
Easily apply
Sponsored
Delegation Oversight Specialist - RN
HealthCare Support Staffing 58 reviews - Long Beach, CA
$35 - $40 an hour
Clinical review experience and chart auditing. Must be familiar with physician referrals, medical decision-making, working in a clinical environment, compliance...
Easily apply
Sponsored
Clinical Informatics Specialist (3 Openings)
City Of Hope 94 reviews - Duarte, CA
Stay abreast of latest development in Medical Informatics, and communicate key innovations to the appropriate individuals or groups....
Sponsored
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