Nurse Reviewer jobs in San Diego, CA

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Clinical Consultant / Nurse Reviewer
The van Halem Group - United States
As a clinical nurse reviewer for the van Halem Group,. Employees must be a licensed nurse with experience in Medicare policies....
Sponsored by The VGM Group, Inc.
Utilization Review Case Manager - FT/PT
Healthcare - Del Mar, CA
Maintain effective relationships with insurance reviewers, managed care and EAP administrators. Possess sufficient clinical knowledge to effectively communicate...
Easily apply
Sponsored
Clinical Care Reviewer - RN
Superior Group - 33 reviews - United States
Current unrestricted IA Registered Nurse license. Registered Nurse graduated from an accredited program . We are looking for Clinical Care Reviewers to work...
Sponsored by America's Job Exchange

Clinical Reviewer III

Magellan Health - 14 reviews - San Diego, CA 92108
Provides training, interpretation and support for QI Clinical Reviewer staff. Nursing (Required)License and CertificationsLMSW - Licensed Master Social Worker -...

Corporate Quality Analyst (RN)

Community Health Group - 15 reviews - Chula Vista, CA 91914
Certification as a DHCS Site Reviewer and/or Profession of Healthcare Quality (CPHQ) is preferred. This unique position will allow the qualified person to...
Easily apply

Utilization Management Rep I

Mindlance Inc - San Diego, CA
Refers cases requiring clinical review to a Nurse reviewer. Primary duties may includes, but are not limited:....
Easily apply

Utilization Review Specialist

SDI Staffing - San Diego, CA
$20 - $22 an hour
Under clinical direction this position will assist the Nurse Case Manager’ s with more complex reviews. Escalate requests for medical treatment that falls...

Senior Nurse Reviewer, Utilization - Remote U.S. based

Mitchell International - 53 reviews - San Diego, CA 92122
Uses evidence-based, nationally recognized treatment protocols and accesses physician reviewers, as indicated, when certification/approval cannot be recommended...

Clinical Reviewer - UM (LVN)

Aerotek Scientific - 3,539 reviews - Rancho Bernardo, CA
Licensed Vocational Nurse with current unrestricted license in State of California. Applies clinical knowledge to make determinations for pre-authorizations of...
Clinical Reviewer - UM (LVN)
Aerotek - 3,539 reviews - Carlsbad, CA
Licensed Vocational Nurse with current unrestricted license in State of California. Applies clinical knowledge to make determinations for pre-authorizations of...
Sponsored by CareerBuilder
Contact Center Customer Service Inbound San Diego, CA
Refers cases requiring clinical review to a Nurse reviewer. Kelly Services has an exciting opportunity as a Utilization Management Rep in San Diego, California...
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