Medical Review Nurse jobs in Cerritos, CA

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Clinical Excellence Specialist (RN) Stroke Coordinator/Tele...
Valley Presbyterian - 112 reviews - Van Nuys, CA 91405
Collaborates with nurse leaders in preparation of 90-day evaluation of Nurse Residents and orientees. Regularly reviews the AHA/ASA standards of care for stroke...
Registered Nurse
People's Care - 43 reviews - Culver City, CA 90230
Full Benefits - Medical, Dental, Vision, Life Insurance. People's Care Residential Services is currently seeking a Registered Nurse for our residential homes....

RN Care Review Clinician, Inpatient Review

Molina Healthcare - 675 reviews - Long Beach, CA
Recent hospital experience in ICU, Medical, or ER unit. May also perform prior authorization reviews and/or related duties as needed....


$70,000 - $90,000 a year
Medical record collection. You will be responsible in performing chart reviews for a managed care organization. HEDIS RN/LPN CODERS RHIT*....
Easily apply

Wellness Nurse (RN) - 3 reviews - Los Angeles, CA
$44 an hour
The Wellness Nurse (WN) is a three-year, grant-funded position under the U.S. Proficient computer skills necessary to complete documentation, review electronic...

Clinical Reviewer - Irvine

Santa Ana (SAN) - RCPS - Santa Ana, CA
Experience in both nurse review and assisting with. CLINICAL REVIEW SPECIALIST. Performs Medi Cal clinical medical file review of hospital documentation for...

Master Trainer Nurse, Facility Site Review

Molina Healthcare - 675 reviews - Long Beach, CA
Experience conducting Quality Improvement activities such as medical audits, site reviews or utilization management activities....

Front Office Assistant

MemorialCare - 80 reviews - Long Beach, CA   +1 location
High school graduate or equivalent required Administrative Medical Assisting (Front Office Medical Assistant) required Certificate or Medical Terminology...

Utilization Review Nurse

MemorialCare - 80 reviews - Fountain Valley, CA
Applies criteria and guidelines used for medical necessity review appropriately. Identify appropriate clinical guidelines necessary to accurately perform...

Sr. Retrospective review nurse (Remote)

Alvarez & Marsal - 28 reviews - Los Angeles, CA 90071
Perform retrospective review for medical necessity appeals against medical review criteria to make benefit of determinations....

Program Assistant

CalOptima - 27 reviews - Orange, CA
Request medical records or clinical responses from health networks, physician medical groups, and/or providers....
Easily apply

RN - Clinical Services Trainer - Remote - Mississippi

Molina Healthcare - 675 reviews - Long Beach, CA
Assists Care Review Clinicians with methods to present cases at multidisciplinary rounds. Completion of an accredited Registered Nurse (RN) Program and an...
Medical Director
Provide utilization review of medical charts, especially those corresponding to patients seen by part-time staff....
Charge Nurse - Full Time - Nights
NaphCare, Inc. - 113 reviews - Santa Ana, CA
Respond to and initiate care for medical emergencies within the facility, including the ability to perform continuous CPR until properly relieved....
Registered Nurse Medical/Surgical (Med/Surg RN)
Care Revolutions - Los Angeles, CA
$51 - $58 an hour
PRN Registered Nurse, PRN at Hospitals, Per diem Registered Nurse, Per diem Jobs, PRN Jobs, PRN Work, PRN Shifts....
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