Medical Review Nurse $80,000 jobs in Cerritos, CA

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I-SNP Program Manager, RN
Brand New Day, HMO - Westminster, CA
Work with Registered Nurse Complex Case Managers (RN/CCMs) for most difficult cases; In collaboration with the Chief Medical Director, ensure effective...
Easily apply
Placentia-Linda Hospital - Placentia, CA
Utilization Management supporting medical necessity and denial prevention. Required qualifications include an active Registered Nurse license with at least two...
Sponsored by Tenet Healthcare
Travel Nurse - RN - Emergency Room Registered Nurse
Fastaff - United States
$52 an hour
ER Level I Nurse, ER Level II RN, ER Level III, ER Level 1 Travel RN, ER Level 2 Registered Nurse, ER Level 3 Jobs, Emergency Room Nurse Jobs, Emergency...

Utilization Review Nurse

Medix - El Segundo, CA
The Utilization Review Nurse completes inpatient admission and concurrent reviews for members, considering Interqual/Milliman criteria and other national...

Utilization Review Nurse

Oscar - Los Angeles, CA
Utilization Review Nurse. As a Utilization Review Nurse, you will determine the medical appropriateness of inpatient and outpatient services by reviewing...

UR Nurse

TargetCW - Brea, CA
$85,000 a year
Case receipt and entry, Chemotherapy/Cardiology Treatment Regiment authorization requests, referrals, approvals and case preparation for medical review, claims...
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Quality Review/Performance Improvement - Registered Nurse

Integrated Healthcare Holdings, Inc. - Santa Ana, CA
Retrieval, organization, analysis, display, and documentation of QAI data into the medical staff and organization - wide QAI programs....

RN Coding Analyst | Registered Nurse | Full-Time

AMI Network - Los Angeles, CA
$85,000 a year
Reviews medical record information to identify all appropriate coding based on CMS categories. In addition to review and abstraction responsibilities, the role...
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Registered Nurse: Utilization Management/ Case Management

Medical Professionals - Irvine, CA 92602
$92,000 a year
Nurses will also be conducting utilization management and review. Current CA Registered Nurse (RN) License (no restrictions)....
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RN Nurse Case Manager | Outpatient

AMI Network - West Covina, CA
$91,000 a year
Receives and reviews physician’s orders; Ability to enter documentation into electronic medical documentation system....
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Regional Medical Officer- Los Angeles (CareMore) #106075

Anthem, Inc. - Los Angeles, CA
Regional Medical OfficerSummaryThe Regional Medical Officer is responsible for the clinical operations and all medical personnel within a designated region....

Oncology/Hematology Senior Physician Case Reviewer - AIM 104...

Anthem, Inc. - Glendale, CA
Perform physician-level case review, following initial nurse review, of oncology and high-tech diagnostic imaging requests....


Coast Healthcare - Lakewood, CA
The Utilization Review Nurse oversees the authorization process to ensure that the member receives benefits in accordance with their coverage in a quality and...
Acute Care RN Research Manager
CMC - Los Angeles, CA
$121,057 - $131,672 a year
Qualitative Research Manager, RN Nurse Manager, Clinical Trial Nurse Manager, Research Supervisor, Acute Care Research Nurse, CA, California....
Sponsored by Clinical Nurse Specialist
Director of Nursing - Hospice
Premium Hospice - Norwalk, CA
Must also maintain regulatory compliance and ensure high quality medical care for all patients. Registered nurse in the State with current licensure to practice...
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