Medical Review Nurse jobs in Cerritos, CA

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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....
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Bilingual Spanish Occupational Nurse - RN
Trojan Battary Company - Santa Fe Springs, CA
Reviews all Company medical records on a timely basis (at least once yearly). Provides on-site medical treatment....
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MemorialCare - Fountain Valley, CA
Medical terminology required. Case Mgmt, Utilization Review Schedule :. In addition to multiple locations throughout Orange County, MemorialCare Medical Group...

Staff Nurse - Full Time/Part Time/ Per Diem

Del Amo Hospital - 9 reviews - Torrance, CA 90505
Setting preferred • Charge Nurse:. Nurses (RN’s) at Del Amo Hospital. Great benefits that include medical, dental, vision, life, STD, LTD....

Physician Specialist – Psychiatrist

JWCH Institute - 6 reviews - Los Angeles, CA
Consults with chief medical officer regarding work performance of nurse practitioners and nurses. Chief Medical Officer/Designee....
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Quality Manager

South Coast Global Medical Center - Santa Ana, CA
Completes medical record review as assigned. Participates in RN reviews for Peer Review process. Current CA Registered Nurse license preferred....
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RN, Utilization Management Specialist - Antelope Valley

L.A. Care Health Plan - 26 reviews - Los Angeles, CA 90017
The RN, Utilization Management Specialist - Antelope Valley works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent post...

RN - Quality Coordinator

LOS ANGELES COMMUNITY HOSPITAL - 10 reviews - Los Angeles, CA 90023
The primary function of the Quality Management Coordinator is to coordinate Performance Improvement activities and peer review involving the Medical Staff....
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Medical Case Manager

CalOptima - 15 reviews - Orange, CA
Identifies cases needing a Manager’s, Director’s or Medical Director’s review or input and routes accordingly....

Back Office Medical Assistant

LOS ALAMITOS CARDIOVASCULAR - 2 reviews - Los Alamitos, CA 90720
Back Office Medical Assistant. Accomplishes history review with patient. The medical assistant consistently demonstrates professional skills and abilities,...
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RN Case Manager

ProHealth Staffing - 9 reviews - Cerritos, CA
To improve familiarity with the case decisions and process of utilization review, case management nurses may specialize in a specific medical discipline, such...
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SDS RN - Same Day Surgery Registered Nurse

Valley Healthcare Staffing - Los Angeles, CA
$55 an hour
Registered Nurse Travel Assignment*. Much have experience in Pre-op/Post-Op, Clinical Chart Review, Pre-anesthesia patient assessment. SDS....
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Care Review Clinician - Remote
Molina Healthcare - 237 reviews - Long Beach, CA
Completion of an accredited Licensed Vocational Nurse (LVN), or Licensed Practical Nurse (LPN) Program, Associate's Degree in nursing, Bachelor's Degree in...
Home Health RN Oasis Reviewer
Haven Health - 2 reviews - Long Beach, CA
Registered Nurse (RN). Active California Registered Nurse (RN) license. Review complaints, errors, incidents, and grievances to ensure they are documented...
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Claims - Registered Nurse Consultant
Argo Group - 19 reviews - Costa Mesa, CA
Review medical records, question compensability and create medical action plans/strategies that result in claim resolution....
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Company with Medical Review Nurse jobs
Headquartered in Long Beach, California, Molina Healthcare is a managed care company serving around 3.5 million people through government-based healthcare programs.