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

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Nurse Reviewer - AIM Glendale (124413)
Anthem, Inc. - 1,828 reviews - Glendale, CA 91205
Determines if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review....
Sponsored
RN (Registered Nurse) - Surgery Services - Per-Diem, Varies
Saddleback Memorial Medical Center has consistently been named one of Healthgrades’ America’s 50 Best Hospitals, an achievement gained by just 1% of the nation...
Sponsored by MemorialCare
Utilization Review Nurse
Kedren Community Health Center Inc - Los Angeles, CA 90002
Minimum of one year experience performing the duties of a Utilization Review Nurse or Medical Service Coordinator. Registered Nurse (RN)....
Easily apply
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Nurse Navigator - Clinic - Surgery ENT - F/T - Days

UC Irvine Health - 10 reviews - Orange, CA 92868
$94,104 - $112,464 a year
Nurse NavigatorCost Center:. Clin Nurse 3 Supv NEXWorking Title:. Performs the appropriate utilization review functions on the managed population utilizing...

Inpatient Case Manager

Prospect Medical Systems - Orange, CA 92868
May be responsible for timely development of denial letter language and member/provider notification regarding Medical Director’s review determination....
Easily apply

Critical Care Transport RN- $5,000 Sign-On Bonus!

PRN Ambulance - 14 reviews - Carson, CA  +2 locations
$40 an hour
Medical, Dental, Vision, HAS, Legal Shield and more! [IW1] Changed from “CCT Medical Director” to “CCT Manager”....

Registered Nurse Navigator - Spine program

All's Well Health Care - 6 reviews - Los Angeles, CA
$140,000 a year
BSN required, Certified Nurse Practitioner preferred. The Nurse Navigator participates in program development; He/she supervises the care of patients throughout...
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Perinatal Safety Specialist (Full Time/Day)

California Hospital Med Center - 610 reviews - Los Angeles, CA 90015
Reviews charts and processes to evaluate compliance with each of the Perinatal Safety Initiatives. Our outstanding benefits package includes 100% employer paid...

Healthcare Services Manager (RN)

Molina Healthcare - 305 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 Reviewer - AIM Glendale

Anthem, Inc. - 1,828 reviews - Glendale, CA 91205
Determines if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review....

Network Compliance Auditor-Clinical

SCAN Health Plan - 46 reviews - Long Beach, CA 90806
IPA, Medical Group experience preferred. LVN or Registered Nurse required (current and active California license in good standing)....

Registered Nurse (RN)

Watts Healthcare Corporation - Los Angeles, CA 90002
$83,000 a year
Registered Nurse (RN). Must be able to assist in the medical record review and in Quality Assurance activity....
Easily apply

REGISTERED NURSE I, SHERIFF

Los Angeles County Department of Human Resources - 3 reviews - Los Angeles, CA
$73,636 - $107,274 a year
Reviews all available information, including medical records, patient history, and other documentation....
Quality & Patient Safety Specialist - Full Time - 8am-5pm
Loma Linda University Medical Center - Murrieta - Corona, CA
Thorough understanding of Joint Commission quality improvement process, understanding of medical staff committee structure and peer review process;...
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REGISTERED NURSE (RN) INVASIVE SERVICES, RADIOLOGY (DOWNEY);...
PIH HEALTH - 47 reviews - Downey, CA
We’re a nonprofit, regional healthcare network with two hospitals, numerous outpatient medical offices, a multispecialty medical (physician) group, home...
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