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

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Medical Review Nurse (RN) Registered Nurse
Healthcare Scouts - California
The Medical Review Registered Nurse (RN) will be responsible for performing retrospective review of large hospital and physician claims for admission...
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Delegation Oversight Specialist - RN
HealthCare Support Staffing 58 reviews - Long Beach, CA
$35 - $40 an hour
Clinical review experience and chart auditing. Must be familiar with physician referrals, medical decision-making, working in a clinical environment, compliance...
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Hospice Clinical Liaison
Health Essentials LLC. - Santa Ana, CA
4.Interfaces with referring physicians, nurses, ancillary providers and discharge planner to facilitate a well-coordinated transition into hospice for patients...
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Health Services Nurse 2 (Business Performance Services)

Mckesson 1,239 reviews - Cerritos, CA
Accountability for processing referral/authorization requests, reviewing medical documentation, determining medical necessity and/or benefit determination,...

Bill Review Nurse ( remote base candidates welcome)

Xerox 4,356 reviews - Irvine, CA 92604
Ability to comprehend and distinguish between facility review and medical review. Bill Review Nurse ( Remote base candidates welcome)....

Case Management Nurse

Mckesson 1,239 reviews - Cerritos, CA
Accountability for processing referral/authorization requests, reviewing medical documentation, determining medical necessity and/or benefit determination,...

QI Compliance Specialist RN

Molina Healthcare 188 reviews - Long Beach, CA 90844
Surfaces to Manager and Director and Chief Medical Officer any gaps in processes and review of potential quality of care issues or other activities related to...

Registered Nurse Care Manager / Case Manager

St. Joseph Heritage Healthcare - Anaheim, CA
Clinical experience in an HMO, medical group, affiliated model, hospital or medical office/clinic:. Active California Registered Nurse license....
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Utilization Review Nurse

GENEX 85 reviews - Anaheim, CA
Responsible for the performance of Utilization Review services, including pre-admission certification, second surgical opinion, concurrent utilization review,...

Case Manager / Registered Nurse

Tri-City Regional Medical Center - Hawaiian Gardens, CA 90716
CASE MANAGER / REGISTERED NURSE. Computer and Electronic Medical Record experience required. Gardens Regional Hospital & Medical Center, Department of Human...
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Cerritos CONTRACT Quality Improvement Nurse (LVN) – Managed...

CareNational Healthcare Services, LLC - Cerritos, CA
Must have strong skills in medical assessment / medical record review; The Quality Improvement Nurse will analyze medical charts, trend lines and applicable...

Medical Review Manager

NCI Information Systems, Inc. - Los Angeles, CA
General knowledge of medical terminology, procedures and information in order to make effective and efficient medical review responses on medical review...

Utilization Review Nurse - RN or LVN

MediQuest Staffing 4 reviews - Fullerton, CA
$85,000 a year
This Utilization Review Nurse Position Features:. Apply for this great position as a utilization review nurse today! 100% Paid Medical....
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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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Clinical Informatics Specialist (3 Openings)
City Of Hope 94 reviews - Duarte, CA
Stay abreast of latest development in Medical Informatics, and communicate key innovations to the appropriate individuals or groups....
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