Medical Review Nurse 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....
Referral Nurse
Responsible to review Treatment Authorization Requests (TAR's)/Cerecons requests for approval, modification and works with Medical Director daily on denials and...
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...

Appointment Clerk

Kaiser Permanente - 5,401 reviews - Anaheim, CA
Initiate change forms for corrected medical record numbers. Assist in resolving problems related to duplicate medical record numbers....

Clinical Documentation Improvement (CDI) II

Alta Hospitals System Corporate/CBO - 11 reviews - Norwalk, CA
Review inpatient medical records for identified payor populations (i.e., Medicare, Medicaid, Managed Care etc.). Medical, dental, vision insurance....

RN Clinical Documentation Improvement Specialist - $5K Sign...

UnitedHealth Group - 6,136 reviews - Long Beach, CA 90899
Provides expert level review of inpatient clinical records within 24-48 hours of admit; The Clinical Document Improvement Specialist - (CDS) is responsible for...

RN, Peer Review-Clinical Excellence, Full Time, Days, 8 Hour...

St. Jude Medical Center (SJH) - Fullerton, CA
Identify clinical cases meeting the criteria for case review, pre-screening of cases, facilitate inter-professional peer review meetings and records peer review...

PUBLIC HEALTH NURSE

City of Long Beach, CA - 4 reviews - Long Beach, CA
$2,244 - $3,377 a month
Identifies/evaluates medical, psychosocial, and socio-economic barriers; Obtains medical histories, conducts physical assessments, administers prescribed...

Quality Review Nurse

CITRUS VALLEY HEALTH PARTNERS - 47 reviews - West Covina, CA 91790
Quality Review Nurse Company Name:. Complete Description Provides expertise to the organization in the form of quality management review and performance...

Clinical Documentation Specialist

MemorialCare - 75 reviews - Fountain Valley, CA
Essential Job Outcomes Completes initial concurrent review process and subsequent reviews for all selected admissions to initiate the clinical documentation...

Quality Review Coord. I, LVN/RN

Integrated Healthcare Holdings, Inc. - Santa Ana, CA
Western Medical Center is seeking an Dynamic Quality Review Coordintor (RN or LVN). Retrieval, organization, analysis, display and documentation of quality data...

Sr. Retrospective review nurse (Remote)

Alvarez & Marsal - 27 reviews - Los Angeles, CA 90071
Perform retrospective review for medical necessity appeals against medical review criteria to make benefit of determinations....

Telephonic Field Case Manager - Registered Nurse

CorVel Corporation - 209 reviews - Orange, CA
Coordinate Independent Medical Evaluations. The Telephonic Case Manager will rely on their medical knowledge to evaluate the patient’s current treatment plan...
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Registered Nurse (RN) - Surgery - Full-time, Days
Adheres to the Nurse Practice Act, patient bill of rights, and the requirements of regulatory agencies. Saddleback Medical Center (Orange County, CA) has...
Registered Nurse - Surgery
O Reviews pertinent periodicals, scientific and medical and related literature. Current California Registered Nurse License....