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

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Utilization Review RN Case Manager - Los Angeles
Providence is calling a Utilization Review Nurse Case Manager (Full Time/Day Shift) to our Providence Medical Institute Axminster Managed Care location in Los...
Case Manager - Registered Nurse ( Full Time - Variable Shift...
Current California Registered Nurse ( RN ) license. Providence Saint Joseph Medical Center has an exceptional orthopedic program recognized for its excellent...
Registered Nurse Specialty Coordinator - Spine ( Full Time -...
Providence Health & Services - 768 reviews - Santa Monica, CA 90407
Providence is calling a Registered Nurse Specialty Coordinator- Spine (Full time, Day 8 hour shift) to Providence Saint John's Health Center Santa Monica, CA....

Staff Nurse (UM Reviewer)

Veterans Affairs, Veterans Health Administration - 2,590 reviews - Long Beach, CA
$71,969 - $123,100 a year
The UM RN will be available to provide guidance for providers to complete documents in the electronic medical record using appropriate templates, protocols,...

Facility Site Review RN

Care1st Health Plan - 26 reviews - Monterey Park, CA
$75,000 - $93,000 a year
Assist in coordination of CareCare1st’s Facility Site Review and Medical Record Review program. Conduct Medical Record Reviews on designated providers in...
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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...
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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....
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Medical Review Nurse

SCAN Health Plan - 47 reviews - Long Beach, CA 90806
Medical Review Nurse. As a Medical Review Nurse you will. Provide clinical review of medical claims and post service appeals....

Nurse Auditor Lead - Cerritos or Home-based Phoenix

Quality Health Strategies - 9 reviews - Cerritos, CA
Health Integrity has an exciting opportunity for an experienced Medical Review Nurse Auditor to join our Cerritos, CA based Unified Program Integrity...
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Occupational Health Nurse Administrator

United States Postal Service - 9,494 reviews - Santa Ana, CA
$83,631 a year
OCCUP HEALTH NURSE ADMINISTRATOR. Develops and reviews local crisis management plans; Secures, evaluates, monitors, and administers contracts for medical...
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Health Services Nurse

McKesson - 2,307 reviews - Cerritos, CA
Accountability for processing referral/authorization requests, reviewing medical documentation, determining medical necessity and/or benefit determination,...

Manager, Healthcare Services (Remote)

Molina Healthcare - 374 reviews - Long Beach, CA
Registered Nurse or equivalent combination of Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of RN license....

Nurse Manager (CLC X-Pod)

Veterans Affairs, Veterans Health Administration - 2,590 reviews - Long Beach, CA
$100,399 - $149,547 a year
Professional nursing experience should be documented on the Application for Employment - Nurse and Nurse Anesthetists (VA Form 10-2850a)....
Case Manager - Registered Nurse ( Per Diem - Variable Shift...
Current California Registered Nurse (RN) license. Providence is calling a per diem, varied shift Registered Nurse Case Manager to Providence Little Company of...
Performance Improvement Specialist (RN) ( Full Time - Days )
Current California State Registered Nurse (RN) license. Work with physicians and facility personnel to develop projects for review and analysis of aggregated...

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