Medical Review Nurse jobs in Cerritos, CA

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Medical Director
Provide utilization review of medical charts, especially those corresponding to patients seen by part-time staff....
RN Clinical Staff Emergency Room (ED) Full Time Nights $17.0...
Electronic Medical Record experience preferred. The Clinical Staff Nurse is a skilled and experienced professional Registered Nurse (RN) responsible for...
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Case Mananger Continuing Care Coordinator RN

Kaiser Permanente - 6,081 reviews - Downey, CA
Interprets regulations, health plan benefits, policies, and procedures for members, physicians, medical office staff, contract providers, and outside agencies....

Nurse Reviewer Associate, (Recent RN Grads) Glendale, CA

Anthem, Inc. - 2,571 reviews - Glendale, CA 91205
Determines if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review....

RN Care Coordinator

St Mary Medical Center - Long Beach - 830 reviews - Long Beach, CA
Current Registered Nurse (R.N.). Mary Medical Center is a 389-bed, acute care, nonprofit hospital located in Long Beach, California....

Medical Case Manager (Ambulatory RN)

CalOptima - 27 reviews - Orange, CA
Identifies cases needing Manager, Director or Medical Director review or input and routes accordingly. Available medical treatments and resources....
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Telephonic Case Manager (RN)

Genex Services - 142 reviews - Anaheim, CA 92802
Review with employer the employee and provider’s concerns. Initial review and assessment of case information and referral objectives....

Manager of Case Management, RN - Long Beach

DaVita Medical Group - 49 reviews - Long Beach, CA   +1 location
Working knowledge of CMS, NCQA, DMCH, HEDIS, medical and regulatory agency guidelines. Conducts monthly staff meetings including utilization management review...

Quality Coordinator, RN

Kaiser Permanente - 6,081 reviews - Downey, CA
Designs, conducts and evaluates studies and problem focused reviews requested by the Medical Center Administration, medical staff, or department administrators...

Registered Nurse (RN)

Ambitions California - Long Beach, CA
Registered Nurse (RN). Inventory and verify medications monthly and review MARs every two weeks. Escorts residents to dental and medical appointments as...
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Sr. Clinical Application Analyst

Alta Hospitals System Corporate/CBO - 14 reviews - Norwalk, CA
Registered Nurse license. Medical, dental, vision insurance. Performs data collection and workflow review of department operations....

Medical Claims Review Nurse RN

UnitedHealth Group - 9,972 reviews - Los Angeles, CA 90079
Work independently and collaborating with Medical Directors and non-clinical partners. Background involving utilization review for an insurance company or...
Clinical Documentation Specialist
UCLA Health - 64 reviews - Los Angeles, CA 90079
Completes clinical review of medical record for identified patients in the required timeframe. Skill in abstracting and interpreting medical information from...
RN QUALITY INITIATIVE COORDINATOR; FULL TIME, DAY SHIFT
PIH HEALTH - 57 reviews - Downey, CA
We’re a nonprofit, regional healthcare network with two hospitals, numerous outpatient medical offices, a multispecialty medical (physician) group, home...
Registered Nurse Medical/Surgical (Med/Surg RN)
Care Revolutions - Los Angeles, CA
$51 - $65 an hour
PRN Registered Nurse, PRN at Hospitals, Per diem Registered Nurse, Per diem Jobs, PRN Jobs, PRN Work, PRN Shifts....