Utilization Review Nurse jobs in Los Angeles, CA

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RN - Utilization Review and Management
Advanced Medical Reviews - Los Angeles, CA
in utilization review, utilization management, or... experimental/investigational, utilization review, quality of care/peer review, disability, level or care...
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Sponsored by Advanced Medical Reviews - 14 days ago
RN Nurse Case Manager
GSG Associates, Inc. - Pasadena, CA
is a unique Utilization Management Model which includes: Utilization Review, Telephonic Case Management... in relation to utilization review process and...
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Sponsored by GSG Associates, Inc. - 17 days ago

Nurse Reviewer I or Nurse Reviewer Associate - Glendale, CA...

WellPoint 370 reviews - Glendale, CA 91203
Conducts initial medical necessity clinical screening. Notifies ordering physician or rendering service provider office of the preauthorization determination...
10 days ago - save job - block - email - more...

Medical Group - Concurrent Review Nurse - RN - UM

Managed Care Resources - Torrance, CA
Concurrent Review Nurse (Inpatient) - Medical Office (Desk job) - 40 hours per week. Managed Care Resources, Making Careers is a Health Care Staffing Agency in...
CareerBuilder - 3 days ago - save job - block - email - more...

Medical Case Manager

Travelers 25 reviews - Diamond Bar, CA
Very strong oral and written communication skills. Work with medical providers and suggest cost effective treatment alternatives, when appropriate....
56 minutes ago - save job - block - email - more...

Nurse Reviewer

Genex - Anaheim, CA
Diploma, A.S. degree or B.S. degree in nursing required. 3-5 years clinical nursing experience required....
1 day ago - save job - block - email - more...

Case Manager Ext Care Coord RN ( Job Number: 243506 )

Kaiser Permanente 1,383 reviews - Los Angeles, CA
Case Management Certification preferred. Intervenes when there are quality issues surrounding the transfers....
6 days ago - save job - block - email - more...

RN, Care Manager

HealthCare Partners 54 reviews - Los Angeles, CA - +2 locations
Performs care management functions on-site or telephonically as the need arises. Reports finding to the Care Management department Supervisor / Manager /...
5 days ago - save job - block - email - more...

Remote Case Manager

Simi Valley Hospital 11 reviews - Glendale, CA
Bilingual ability a plus. Current CPR certification. Graduate of an accredited school of nursing, BSN preferred and master’s degree highly desirable....
1 day ago - save job - block - email - more...

Prior Authorization Nurse

Cap Management - Encino, CA
Job. Responsible to continue to improve customer service and telephone communications with all callers....
Tenet Healthcare - 8 days ago - save job - block - email - more...

Utilization Review Oncology Nurse

New Century Health 6 reviews - Brea, CA 92821
Requests additional documentation per New Century Health (NCH) policy.3. At no time can a URN recommend an adverse determination.4....
Oncology Nursing Society - 1 day ago - save job - block - email - more...

RN Nurse Case Manager

GSG Associates, Inc. - Pasadena, CA
Proficient in Microsoft Office Suite and type 45 wpm. The standardized work schedule is Monday through Friday;. 8:30am to 5:00pm, with a half hour lunch....
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17 days ago - save job - block - email - more...
Preservice Review Nurse - Cypress, CA
UnitedHealth Group 1,161 reviews - Cypress, CA
Utilization Management or Utilization Review for a... Keywords : RN, Nurse, Preservice, UM, Utilization Management, UR, Utilization Review, CM, Case Management...
Sponsored by UnitedHealth Group - 17 days ago
Inpatient Review Nurse, LVN or RN - AppleCare Medical Group!...
UnitedHealth Group 1,161 reviews - Buena Park, CA
are searching for a new Inpatient Review Nurse to join our team... The Inpatient Review Nurse is responsible for the facilitation of the inpatient Utilization...
Sponsored by UnitedHealth Group - 14 days ago
Prior Authorization Case Manager
Regal Medical Group - Northridge, CA
the Prior Authorization Nurse Case Manager (PACM) is... specialty referral requests. The PACM will review for appropriate care and setting, and following...
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Sponsored by Regal Medical Group - 30+ days ago
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1,161 reviews
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