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

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Medical Director
Provide utilization review of medical charts, especially those corresponding to patients seen by part-time staff....
REGISTERED NURSE (RN) INVASIVE SERVICES (DOWNEY); FULL TIME,...
PIH HEALTH - 56 reviews - Downey, CA
We’re a nonprofit, regional healthcare network with two hospitals, numerous outpatient medical offices, a multispecialty medical (physician) group, home...
RN Nurse Practitioner (12Hr) Peds Heart Institute (FT/Days)
Miller’s Children’s and Women’s Hospital - Long Beach, CA 90745
Long Beach Memorial Medical Center is a major regional provider of medical and surgical services. Participates a requested in peer review activities....

Network Compliance Auditor-Clinical

SCAN Health Plan - 63 reviews - Long Beach, CA 90806
IPA, Medical Group experience preferred. LVN or Registered Nurse required (current and active California license in good standing)....

Nurse Navigator - Interventional GI Lab - F/T - Days

UC Irvine Health - 15 reviews - Orange, CA 92868
$95,985 - $114,715 a year
Nurse NavigatorCost Center:. Administrative Nurse IVWorking Title:. Performs the appropriate utilization review functions on the managed population utilizing...

Wellness Nurse (RN)

ABHOW - 11 reviews - Los Angeles, CA
$44 an hour
The Wellness Nurse (WN) is a three-year, grant-funded position under the U.S. Proficient computer skills necessary to complete documentation, review electronic...

HEALTH FACILITIES EVALUATOR, NURSING

Los Angeles County Department of Human Resources - 4 reviews - Los Angeles, CA
$77,362 - $112,702 a year
Reviews the completeness and appropriateness of medical record documentation. Reviews adequacy of diet administration....

Case Manager Outside Utilization RN

Kaiser Permanente - 5,399 reviews - Downey, CA   +1 location
Coordinates the administration and delivery of assigned outside services at one medical center. Coordinates continuing care/outside services for continuing care...

Quality Improvement - Director

WellCare - 739 reviews - Cypress, CA 90630
Preferred Licensed Registered Nurse (RN). Analyzes, updates, and modifies standard operating procedures and processes to continually improve QI Department...

UR Nurse

New Century Health - 20 reviews - Brea, CA
Minimum 4 years’ Utilization Review Nurse experience (required). The Utilization Review Nurse-LN’s primary responsibility is to perform the medical necessity...

Occupational Health Nurse-Global Health Services Site Lead

Johnson & Johnson Family of Companies - 2,326 reviews - Santa Ana, CA
Certified Occupational Health Nurse (COHN) or COHN-S certification preferred. Engages business leaders to review Global Health performance and compliance....

Wellness Nurse (RN)

be.group - 3 reviews - Los Angeles, CA
$44 an hour
Wellness Nurse (RN) - 170T4. The Wellness Nurse (WN) is a three-year, grant-funded position under the U.S....

Nurse Reviewer Specialty, Recent RN Grads and Experienced Nu...

Anthem, Inc. - 2,355 reviews - Glendale, CA 91205
Determines if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review....
Associate Medical Director
Valid, current unencumbered Medical License from the State Medical Board of California (MD or DO). Supervise medical providers including providing timely...
REGISTERED NURSE (RN); DOWNEY, RADIOLOGY, FULL TIME, DAY SHI...
PIH HEALTH - 56 reviews - Downey, CA
We’re a nonprofit, regional healthcare network with two hospitals, numerous outpatient medical offices, a multispecialty medical (physician) group, home...