Medical Review Nurse $60,000 jobs in Cerritos, CA

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Claims - Registered Nurse Consultant
Argo Group - 15 reviews - Costa Mesa, CA
Review medical records, question compensability and create medical action plans/strategies that result in claim resolution....
Acute Dialysis Registered Nurse (RN) - Evenings - Sign On Bo...
Fresenius Medical Care is a people business. Communicate problems or concerns to the Inpatient Program Manager, appropriately credentialed physician, patient...
F) coordinating weekly Complex Case Review; Conversant knowledge and experience with case management, care coordination, and/or utilization review....
Sponsored by Tenet Healthcare

RN Clinical Staff Telemetry FT Days

Martin Luther King, Jr. Community Hospital - Los Angeles, CA
Electronic Medical Record experience preferred. Certification in Medical / Surgical Nursing preferred. The Clinical Staff Nurse is a skilled and experienced...

Quality Coord RN

Kaiser Permanente - 3,527 reviews - Bellflower, CA  +2 locations
Designs, conducts and evaluates studies and problem focused reviews requested by the Medical Center Administration, medical staff, or department administrators...

Quality Improvement RN

Alignment Healthcare - 3 reviews - Orange, CA
$100,000 a year
Registered Nurse (RN). Conducts activities such as inter-rater reliability studies, chart reviews, data collection, program effectiveness and comparative...
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Nurse Consultant

Kaiser Permanente - 3,527 reviews - Irvine, CA
Registered Nurse degree required. Interprets clinical cases (grievances and appeals including lab values, medical records and interpretation) and presents...


Beacon Health Options - 177 reviews - Cypress, CA
Current California Licensure as a Registered Nurse. The Utilization Management Clinician will be responsible for completing triage assessments to determine...

Case Management Nurse/Supervisor

Accountable Health Care IPA - 4 reviews - Signal Hill, CA
Utilization review experience. Experience in telephonic concurrent review process. Develop and submit daily census reports to the Medical Director....
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RN Case Manager - CLIN.RN.CASE.MANAGER.2.PDD - 1.28.16

WEST ANAHEIM MEDICAL CENTER - 21 reviews - Anaheim, CA 92804
Current California Registered Nurse License required. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost...


Los Angeles County Human Resources - Los Angeles, CA
Children's Medical Services Program. The Pediatric Palliative Care Public Health Nurse will review waiver applications and make level of care determinations....

Case Manager PD

MemorialCare Foundation - Long Beach, CA
Case Mgmt, Utilization Review Organization :. In addition to multiple locations throughout Orange County, MemorialCare Medical Group offers Urgent Care Centers...

Quality Improvement Nurse

Asian Pacific Health Care Venture, Inc. - Los Angeles, CA 90029
Assists Medical Director in conducting peer review per APHCV Peer Review Policy and Procedure. Patient Centered Medical Home:....
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RN Psych Nurse (Covina area)
AccentCare - 116 reviews - Ontario, CA
As a RN Psychiatric Nurse in our client/patient home you will:. Perform patient assessments, review client medications and monitor client and caregiver...
REGISTERED NURSE Same Day ServicePer Diem Varied Fountain Va...
Fountain Valley Regional Hospital and Medical Center - Fountain Valley, CA
Reviews each patients chart for completeness. Fountain Valley Regional Hospital and Medical Center Job Type:....
Sponsored by Tenet Healthcare

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Company with Medical Review Nurse $60,000 jobs
AccentCare is a national leader in post-acute home healthcare services