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

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INSRNC. VERIF SPEC
Monte Nido Inc - Malibu, CA
Collaborating with clients' families onpre-certification/authorization denial, Medical Review denials and/or appealsprocess....
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Registered Nurse Case Manager
Health Essentials LLC. - Santa Ana, CA
Participates in routine chart reviews. Registered Nurse in the state of California. Ensures and documents appropriate use of themedications, durable medical...
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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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Nurse Reviewer - Claims Analyst

Quality Health Strategies - Cerritos, CA
The Nurse Reviewer - Claims Analyst is a mid-level professional performing medical record and claims review for Medicare, Medicaid, and/or other claims data in...

Inpatient Utilization Management Nurse (RN Only)

PremierOne Plus MSO - Cerritos, CA
Utilization Review experience. Perform reviews of current inpatient services and determine medical appropriateness of inpatient and outpatient services...
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IN-PATIENT UTILIZATION MANAGEMENT NURSE (RN ONLY)

PremierOne Plus MSO - Cerritos, CA
Utilization Review experience. Perform reviews of current inpatient services and determine medical appropriateness of inpatient and outpatient services...
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Case Management Nurse

Mckesson - 1,411 reviews - Cerritos, CA
Accountability for processing referral/authorization requests, reviewing medical documentation, determining medical necessity and/or benefit determination,...

Medical Program Manager CA-Huntington Beach or Glendale w/te...

Health Net of California - 587 reviews - Huntington Beach, CA
Needs identification, development and implementation of utilization management, medical review, quality improvement and educational programs....

Clinical Nurse Auditor/Retrospective Review

SynerMed - Innovating Healthcare - Monterey Park, CA 91754
Assist Clinical Review Nurse Team to meet productivity expectations and timeliness of reviews for OP/IP medical services....
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Clinical Reviewer

Santa Ana (SAN) - RCPS - Santa Ana, CA
Experience in both nurse review and assisting with the utilization review appeals process. CLINICAL REVIEW SPECIALIST....

Telephonic Nurse Case Manager

Mitchell International, Inc. - 2 reviews - Irvine, CA
Provides comprehensive review of available medical records to assess for case management value and identify complex medical conditions....

Aesthetic Injector RN

Epithereal Skincare - Marina del Rey, CA 90292
$65 an hour
Certified Nurse Practitioner. Or Certified Nurse Practitioner. Part-Time - PA or Certified Nurse Practitioner, or RN....
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Health Services Specialist

Lynwood Unified School District - 21 reviews - Lynwood, CA
$104,097 - $114,903 a year
Must possess both a valid California School Nurse Services Credential and a California Registered Nurse License issued by the State of California....
Clinical Complaint Specialist
Endologix - 4 reviews - Irvine, CA
Participation in the decision making, development, and/or review process related to Medical Device Reporting (MDR) and/or Vigilance or other international...
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Clinical Specialist
Experience in telephonic concurrent review process; Consult with Medical Director, UM Director, CM/UM/QM Nurses, and other Clinical Specialists in the proper...
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