Review Nurse jobs in Los Angeles, CA

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Clinical Documentation Specialist
UCLA Health System 15 reviews - Los Angeles, CA
California Registered Nurse. Completes review of medical record for identified patients in the required timeframes....
Sponsored by UCLA Health System - 2 days ago
Nurse Medical Management I/II (California -Telecommuting) -...
Anthem, Inc. 510 reviews - Woodland Hills, CA
Nurse Medical Management I/II. Conducts pre-certification, inpatient, retrospective, out of network and appropriateness of treatment setting reviews to ensure...
Sponsored by Anthem, Inc. - 4 days ago

UR Nurse Reviewer/ Remote

GENEX 66 reviews - Anaheim, CA
Registered nurse with current, valid state licensure required. We are currently seeking a UR Nurse Reviewer/Telephonic Case Manager....
22 hours ago - save job - email - more...

Medicare Review Nurse- Medicare

HP 3,267 reviews - Los Angeles, CA
Medicare Review Nurse- Medicare. Three to five years of experience in the medical field as a Registered Nurse or other clinician, and/or experience in review of...
8 hours ago - save job - email - more...

UM Nurse Reviewer

APS Healthcare 63 reviews - Glendale, CA
The UM Nurse Reviewer collects clinical data and enters information into certification database. We have an exciting opportunity for an UM Nurse Reviewer based...
4 days ago - save job - email - more...

Associate Analyst - Bill Review

Zenith Insurance Company 20 reviews - Woodland Hills, CA
Refers questionable billing to HTT Review. Bill Review experience in Workers' Compensation or Group Health preferred....
11 days ago - save job - email - more...

Telephonic Case Manager - RN (Registered Nurse)

Aetna 421 reviews - Glendale, CA 91201
Nursing/Registered Nurse is desired. Nursing/Certified Occupational Health Nurse is required. Provides embedded utilization review for selected files....
2 hours ago - save job - email - more...

Care Review Processor II

Molina Healthcare 116 reviews - Long Beach, CA
Meet department quality standards, including inter-rater reliability (IRR) testing and quality review audit scores....
22 hours ago - save job - email - more...

Clinical Adoption Analyst

Medical Center (Duarte, CA) - Duarte, CA
Experience as a Nurse Coordinator, Clinical Nurse III, nursing supervisor, or clinical supervision. Conduct quality and benefits realization reviews....
City Of Hope - 1 day ago - save job - email - more...

Appeals Review Nurse

WellCare 90 reviews - Cypress, CA
Appeals Review Nurse. Applies accepted criteria to review process, utilizes the parameters and inputs review data into systems....
22 hours ago - save job - email - more...

Nurse Medical Management I/II (California -Telecommuting) -...

Anthem, Inc. 510 reviews - Woodland Hills, CA 91302
Nurse Medical Management I/II. Conducts pre-certification, inpatient, retrospective, out of network and appropriateness of treatment setting reviews to ensure...
4 days ago - save job - email - more...

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

Inovalon 89 reviews - Altadena, CA - +4 locations
Registered Nurse or LPN; Inovalon does these reviews in all 50 states around the nation. Inovalon is currently recruiting RNs and LPNs, to perform medical...
7 days ago - save job - email - more...
Quality Management Specialist - RN
L.A. Care Health Plan 9 reviews - Los Angeles, CA
The QI Specialist also assists in researching and reporting clinical finding and data for preparation of documents for review by committees....
Sponsored by L.A. Care Health Plan - 30+ days ago
RN Medical Surgical (Night Shift)
Martin Luther King, Jr. Community Hospital - Los Angeles, CA
Participates in the implementation of the unit specific Quality and Performance Improvement Plan, completes monitoring forms and reports findings to the Charge...
Sponsored by Martin Luther King, Jr. Community Hospital - 3 days ago
RN Medical Surgical (Day Shift)
Martin Luther King, Jr. Community Hospital - Los Angeles, CA
Participates in the implementation of the unit specific Quality and Performance Improvement Plan, completes monitoring forms and reports findings to the Charge...
Sponsored by Martin Luther King, Jr. Community Hospital - 3 days ago

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Company with Review Nurse jobs
510 reviews
Anthem, Inc. is one of the nation's leading health benefits companies with nearly 69 million people served by its affiliated companies.