Medical Review Nurse $40,000 jobs in Cerritos, CA

Filter results by:
Sort by: relevance - date
You refined by: $40,000+ (undo) Salaries estimated if unavailable
Job Type
Experience Level
Jobs 1 to 10 of 942
Upload your resume - Let employers find you
QI HEDIS Network Support Nurse
Care1st Health Plan - 26 reviews - Monterey Park, CA
Provide support to the Medicare HCC risk adjustment review process and medical record audit. Medical record abstraction and audit....
Easily apply
Grievance and Appeals Nurse Specialist
MediQuest Staffing - 2 reviews - Orange, CA 92868
$34.50 - $55.15 an hour
Prepares clinical reviews and provides monitoring of cases involving medical decisions and quality or care or service, and insures all cases are completed in...
Registered Nurse
Assures maintenance of office and medical supplies, forms and inventories. Participates in quarterly utilization review and chart audits (peer and self) for...

Medical Review Nurse - Medicare/Medicaid

Quality Health Strategies - 9 reviews - Cerritos, CA
Health Integrity has multiple openings for experienced Prepay Medical Review RN's (Claims Analysts) to join our Cerritos, CA based Unified Program Integrity...
Easily apply

Medicare Medical Review Nurse

NCI Information Systems, Inc. - 5 reviews - Anaheim, CA
As the Medicare Medical Review Nurse ( Medical Reviewer ), you will primarily responsible for conducting clinical reviews of medical records during the course...

Specialist, Appeals & Grievances

Molina Healthcare - 400 reviews - Long Beach, CA
Requests and reviews medical records, notes, and/or detailed bills as appropriate; Evaluates for medical necessity and appropriate levels of care;...

RN Care Review Clinician, Inpatient Review (Remote:CA)

Molina Healthcare - 400 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....

Medical Review Nurse Auditor - Multiple Locations

Quality Health Strategies - 9 reviews - Cerritos, CA
Health Integrity has exciting opportunities for Medical Review Nurse Auditors to join our Cerritos, CA based Unified Program Integrity Contractors (UPIC) team....
Easily apply

Medical Management Spec - RN

SCAN Health Plan - 48 reviews - Long Beach, CA 90806
3+ years of concurrent review /case management experience in a medical group, IPA or HMO. Medical Management Specialist – Out of Area Unit....

Orange CONTRACT Concurrent Review Nurse (RN) – Managed Care

CareNational Healthcare Services (CNHS) - Orange, CA 92868
$48 an hour
CONTRACT Concurrent Review Nurse (RN)*. Perform Utilization Review pre-authorization, concurrent and retrospective review as needed for inpatient or outpatient...
Easily apply

Orange CONTRACT Concurrent Review Nurse (LVN) – Health Plan

CareNational Healthcare Services (CNHS) - Orange, CA 92868
$38 an hour
CONTRACT Concurrent Review Nurse (LVN)*. Perform Utilization Review pre-authorization, concurrent and retrospective review as needed for inpatient or outpatient...
Easily apply

Registered Nurse (RN) $50+/hr

Care Revolutions - Irvine, CA
$50 an hour
Our nurses consistently get 5-star ratings from medical facilities. Care Revolutions healthcare professional goes through a strict vetting process licensure and...
Easily apply

Clinical Documentation Specialist

AHMC Anaheim Regional Medical Center  - Anaheim, CA
Performs monthly closed chart reviews. Performs concurrent record reviews on all selected admissions and documents findings....
Appeals Reviewer RN - Case Management Resource Center
Adventist Health Southern California - Glendale, CA 91222
Performs retrospective, post discharge, and post serviced medical necessity review to determine appellate potential of clinical disputes/denial or those...
RN Care Manager FT Shifts
Martin Luther King, Jr. Community Hospital - Los Angeles, CA
Completes and documents timely clinical reviews based on assessment of medical necessity and documented clinical findings in accordance with Hospital policy and...

Never miss a job. Get new jobs emailed to you daily.

Be the first to see new Medical Review Nurse $40,000 jobs in Cerritos, CA
You can cancel email alerts at any time.