Medical Reviewer jobs in Burbank, CA

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Medical Director
Maintain quality assurance for all medical issues and assist in the solution of any medical problems. Conduct onsite medical care as needed....
Nurse Reviewer (Utilization Review) - AIM Glendale 132204
Anthem, Inc. - 2,308 reviews - Glendale, CA 91203
Nurse Reviewer I or Nurse Reviewer Associate. Nurse Reviewer I position:. Determines if initial clinical information presented meets medical necessity criteria...
Regulatory Affairs Specialist (Medical Device)
Cameron Craig Group - San Fernando, CA
$90,000 - $105,000 a year
Medical device industry. Personnel, including scientific reviewers, administrative staff, and management,. Responsibility for the content, assembly, pre-final...
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MSLA - Medical Report Reviewer, General Medicine

UnitedHealth Group - 5,970 reviews - Pasadena, CA
The Medical Report Reviewer is part of the Quality Assurance Department, and reviews medical reports based on established protocols and medical knowledge for...

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

Anthem, Inc. - 2,308 reviews - Glendale, CA 91205
Nurse Reviewer I position:. Nurse Reviewer I or Nurse Reviewer Associate, Experienced and Recent RN Grads Welcome to Apply!...

Nurse Medical Mgmt I/ll/Sr RN

Anthem, Inc. - 2,308 reviews - Woodland Hills, CA 91367
Consults with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management...

Utilization Review (UR) Specialist

Alta Hospitals System, LLC - 10 reviews - Culver City, CA
Medical, dental, vision insurance. Using clinical knowledge and experience, the Utilization Review Specialist reviews provider requests for medical necessity...

Utilization Review (UR) Specialist

Southern California Hospital at Culver City - 50 reviews - Culver City, CA
Medical, dental, vision insurance. Using clinical knowledge and experience, the Utilization Review Specialist reviews provider requests for medical necessity...

Tertiary Nurse Reviewer, RN or LVN

Regal Medical Group - 69 reviews - Northridge, CA 91325
Nurse Reviewer is to effectively support the in?patient management process by assuring the right. The Tertiary Nurse Reviewer is responsible for supporting the...
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HIM-Subject Matter Expert

Altegra Health - 234 reviews - Pasadena, CA
Directly oversees a staff of 8 reviewers who review hospital, professional, and hospice claims for coding and billing accuracy....

Nurse Reviewer (Utilization Review) - AIM Glendale

Anthem, Inc. - 2,308 reviews - Glendale, CA 91205
Nurse Reviewer I position:. Nurse Reviewer I or Nurse Reviewer Associate This position may be filled at either the Nurse Reviewer I or Nurse Reviewer Associate...

HIM-Subject Matter Expert - Manager Revenue Integrity

Health Care Consultants, Inc. - Pasadena, CA
Billing reviewers who review all aspects of billing including procedure and diagnoses accuracy. Hospital coding reviewers who review hospital procedure and...
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Referral Specialist II

AltaMed Health Services Corporation - 24 reviews - Commerce, CA
Medical Assistant Certificate or Medical Billing Certificate preferred. Prepares denial letters for review by Medical Director, Medical Management Nurse...
Utilization Review (UR) Specialist
Medical, dental, vision insurance. Using clinical knowledge and experience, the Utilization Review Specialist reviews provider requests for medical necessity...
Sr. Medical Director
Care1st Health Plan - 31 reviews - Monterey Park, CA
All denials must be individually reviewed and signed by the Medical Directors or physician reviewer. Medical oversight and physician liaison in the areas of:....
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