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...
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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.