Review Nurse jobs in Los Angeles, CA

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Utilization Management Specialist (1849)
L.A. Care Health Plan 8 reviews - Los Angeles, CA
on case reviews for pre-service, concurrent post-service and retrospective claims medical review. Monitors... Required Registered Nurses (RN) graduate; Associate...
Sponsored by L.A. Care Health Plan - 30+ days ago
CORE MEASURES RN COORDINATOR
Good Samaritan Hospital of Los Angeles - Los Angeles, CA
important reviews, including mortality, tissue and blood review, CHART review, Leapfrog review, and first level peer review. License/Education Certification...
Sponsored by Good Samaritan Hospital - 30+ days ago

Field-Based Chart Reviewer/Collector (RN/LPN)

Inovalon 70 reviews - Los Angeles, CA - +9 locations
Inovalon is the nation’s largest medical record reviewer. To accomplish this, Inovalon utilizes RNs and LPNs, to go to physician offices, clinics, hospitals,...
5 days ago - save job - block - email - more...

RN, Care Manager

HealthCare Partners 62 reviews - Los Angeles, CA - +3 locations
We are currently seeking a Registered Nurse, Care Manager:. Responsible for ensuring the continuity of care in both the inpatient and outpatient setting...
6 days ago - save job - block - email - more...

Preservice Review Nurse - Cypress, CA! Multiple Openings!

UnitedHealth Group 1,430 reviews - Cypress, CA
Due to continued growth, we are looking for two Preservice Review Nurses to work out of our Cypress, CA office....
3 days ago - save job - block - email - more...

Case Manager - Pre Access

Valley Presbyterian Hospital 49 reviews - Van Nuys, CA
Makes daily rounds to all floors to assure bed and nurse availability for a new admission;. Keeps accurate "availability" list - census;. Oversees the S.S.S....
Valley Presbyterian - 17 hours ago - save job - block - email - more...

Clinical HEDIS Practice Advisor, RN (Registered Nurse) Cypre...

WellCare 77 reviews - Long Beach, CA
*Clinical HEDIS Practice Advisor, RN (Registered Nurse) Cypress, CA. Care Health Plans, Inc. provides managed care services targeted to government-sponsored...
2 days ago - save job - block - email - more...

Utilization Review (UR) Nurse

Managed Care Resources - Long Beach, CA
This is a position that focuses on utilization review including assessment of medical records for appropriateness, level of care provided....
CareerBuilder - 5 days ago - save job - block - email - more...

LVN Nurse

AltaMed Health Services Corporation 2 reviews - Los Angeles, CA 90002 - +1 location
Interviews patients and/or family, reviews patients charts and progress notes to determine prior visits to the clinic, history, status of follow-up on...
16 hours ago - save job - block - email - more...

Clinical Appeals Specialist

Valley Presbyterian Hospital 49 reviews - Van Nuys, CA
The Clinical Appeals Specialist is responsible for managing medical denials by conducting a comprehensive analytic review of clinical docuementation to...
Valley Presbyterian - 17 hours ago - save job - block - email - more...

LVN, Care Manager

HealthCare Partners 62 reviews - Los Angeles, CA - +1 location
We are currently seeking a Licensed Vocational Nurse, Care Manager:. Responsible for ensuring the continuity of care in both the inpatient and outpatient...
1 day ago - save job - block - email - more...

Registered Nurse - Inpatient Case Management Job

Jserver - Torrance, CA
Inpatient Registered Nurse Case Manager needed for a Contract opportunity with Yoh's client located in Torrance, CA....
Go Job Search - 2 hours ago - save job - block - email - more...
Clinical Document Specialist
UCLA Health System 13 reviews - Los Angeles, CA
through a concurrent review and evaluation of the... claims. Job Qualifications California Registered Nurse, preferred. Minimum of three years of clinical...
Sponsored by UCLA Health System - 18 days ago
Utilization Review - Managed Care Nurse - (UL RN)
NursesRx 8 reviews - Pasadena, CA
KP Payor unit. Details: we are looking for a nurse to review medical records to support claim processing... pass. Utilization review nurses assist in reviewing...
Sponsored by NursesRx - 13 days ago
RN Emergency Department - NEW HOSPITAL unique opportunity to...
Martin Luther King, Jr. Community Hospital - Los Angeles, CA
The nurse develops and maintains a therapeutic nurse... forms and reports findings to the Charge Nurse and Nurse Manager. Minimum Requirements POSITION...
Sponsored by Martin Luther King, Jr. Community Hospital - 17 days ago

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Company with Review Nurse jobs
8 reviews
L.A. Care is a leader in developing new programs through innovative partnerships designed to provide health coverage.
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