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Utilization Review Nurse jobs in Los Angeles, CA

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RN - Case Manager (Los Angeles)
Thomson Alliance, Inc - Los Angeles, CA
Utilization reviews using guidelines, institutional. Minimum two (2) years of experience in utilization review, case management, and/or discharge planning...
Easily apply
Managed Care (Registered Nurse) Case Manager
ENSTAR US Inc. - Orange, CA
Utilization review, pharmaceutical, discharge planning. Collaborating with Utilization Review team for seamless processes in maintaining jurisdictional...
Easily apply
Registered Nurse Clinical Supervisor
Spirit Home Health Care - Westchester, CA
Coordinates quarterly clinical reporting functions for Utilization Review and Quality Assurance meetings. Registered nurse supervisor to work closely with the...
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Registered Nurse-Utilization Management

RadNet Management, Inc. - Los Angeles, CA  +1 location
Come join our radiology utilization management team as an on-site Registered Nurse (RN)*. Utilization review experience and/or radiology experience is a plus...
Easily apply

Nurse Auditor

CHILDRENS HOSPITAL - LA - Los Angeles, CA 90025
The Nurse Auditor is responsible for the management and review of all clinically based appeals to payers and Managed Care defense audits....

Utilization Review Nurse

A New Start Treatment and Recovery Center - 17 reviews - Los Angeles, CA 90034
Utilization review but will train the right candidate:. Utilization review experience preferred but will train right candidate:. Registered Nurse (RN)....
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Utilization Review Coordinator (part-time)

Southern California Regional Office - Los Angeles, CA
Performs pre-assessment and pre- certification reviews, concurrent reviews and will perform appeal reviews as needed....

RN, Utilization Management Specialist - Antelope Valley

L.A. Care Health Plan - 26 reviews - Los Angeles, CA 90017
The RN, Utilization Management Specialist - Antelope Valley works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent post...

Clinical Nurse - Utilization Management (TO MG05)

Matrix Providers - 2 reviews - Los Angeles AFB, CA
Clinical Nurse Utilization Manager at Los Angeles Air Force Base! Refers all first-level review failures to the SGH or other POC for further review and...


Los Angeles County Fire Fighters Local 1014 H&W Pl... - El Monte, CA
$75,000 a year
Understanding of utilization review techniques including all aspects of the medical review function, including pre-authorization, concurrent review and...
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Utilization Review Nurse- PT/Eves and Wknd

Adreima - Los Angeles, CA
The Clinical Auditor 2 performs audits of medical records on behalf of hospital clients for denials review, defense audits, disallowed charges, and utilization...

Nurse Medical Management I / II / Sr.

Anthem, Inc. - 1,628 reviews - Glendale, CA 91205
RN Nurse Medical Management I / II / Sr. Knowledge of the Continued stay review process is required. Prior managed care experience with a Utilization Management...

Prior Authorization Nurse LVN/RN

Regal Medical Group - Covina, CA 91723
We currently have an opening for a Prior Authorization Nurse:. Knowledge of NCQA, CMS, HSAG, and health plan requirements related to utilization management....
Easily apply
Care Review Clinician - Remote
Molina Healthcare - 238 reviews - Long Beach, CA
Completion of an accredited Licensed Vocational Nurse (LVN), or Licensed Practical Nurse (LPN) Program, Associate's Degree in nursing, Bachelor's Degree in...
Monte Nido Inc - Agoura Hills, CA
Depending on qualifications and experience, additional responsibilities may include insurance utilization reviews or other tasks as assigned....

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Company with Utilization Review Nurse jobs
Enstar is a publicly traded company on the NASDAQ stock market established to acquire and manage insurance & reinsurance companies worldwide
Utilization Review Nurse salaries in Los Angeles, CA

$75,821 per year

Same as the national average


Estimated salary from 2 employees and 19 jobs