Utilization Review Nurse jobs in Los Angeles, CA

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Utilization Review (UR) Nurse
PremierOne Plus MSO - Cerritos, CA
Review requests for prior authorization of medical services. Review provider requests through fax or telephone to ensure medical necessity for services...
Easily apply
Sponsored by PremierOne Plus MSO - 7 days ago
Registered Nurse - RN - Case Manager - Office position - UR
Maxim Healthcare Services 762 reviews - Los Angeles, CA
Registered Nurse to fill a full time, temp-to-perm contract for Utilization Review. Participate in Quality Assurance and Utilization review activities, as...
Sponsored by Maxim Healthcare Services - 26 days ago
Registered Nurse - RN - Case Manager and Utilization Managem...
Maxim Healthcare Services 762 reviews - Los Angeles, CA
Participate in Quality Assurance and Utilization review activities, as directed. Registered Nurses (RN) graduate;...
Sponsored by Maxim Healthcare Services - 14 hours ago

Sleep Medicine Senior Case Reviewer AIM

Anthem, Inc. 560 reviews - Glendale, CA
Perform physician-level case review, following initial nurse review, of sleep studies and high-tech diagnostic imaging....

Case Manager Utilization Review

Silver Lake Medical Center 9 reviews - Los Angeles, CA
Prefer prior experience in case management or utilization review. Responsible for concurrent review of all medical inpatient admissions to determine proper...

Medical Case Manager (Work from Home with some local travel)

Broadspire 24 reviews - Los Angeles, CA
Nurse, insurance, employee health, office nurse, return to work, injured. Nurse, field case manager, occupational health....

Utilization Review (UR) Nurse

PremierOne Plus MSO - Cerritos, CA
Review requests for prior authorization of medical services. Review provider requests through fax or telephone to ensure medical necessity for services...
Easily apply

On Site RN Case Manager - Los Angeles, CA

UnitedHealth Group 1,927 reviews - Los Angeles, CA
Experience in utilization review, concurrent review or risk management. Part-Time, Nurse, RN, on site, field based, hospital, case management, CCM, utilization...

Prior Authorization Nurse

Cap Management - Encino, CA
Prior Authorization Nurse. Identification of referrals to the medical director for review. The purpose of the Prior Authorization Nurse is to provide patients,...

Case Manager

Silver Lake Medical Center 9 reviews - Los Angeles, CA
Prefer prior experience in case management or utilization review. Responsible for concurrent review of all medical inpatient admissions to determine proper...

RN, Care Coordinator- Days

Glendale Memorial Hospital and Health Center 504 reviews - Glendale, CA 91204
Utilization review process and the discharge planning process as required by. Current Registered Nurse (R.N.). About this Opportunity:....

Nurse Medical Case Manager - Workers Compensation - Los Ange...

The Travelers Companies, Inc. - Los Angeles, CA - +1 location
For nurses handling Workers Compensation Claims, perform Utilization Review according to established guidelines....

Registered Nurse (RN) Utilization Management (UM) Nurse Cons...

Aetna 461 reviews - Woodland Hills, CA 91367
Healthcare Management/Certified Utilization Review (CPUR) is desired. Minimum 3+ years of experience with utilization review in the hospital setting is required...
Registered Nurse - RN - Case Manager
Maxim Healthcare Services 762 reviews - Los Angeles, CA
Participate in Quality Assurance and Utilization review activities, as directed. Now hiring Registered Nurses for Case Management/Utilization Review openings at...
Sponsored by Maxim Healthcare Services - 26 days ago
Registered Nurse - RN - Health Plan Company
Maxim Healthcare Services 762 reviews - Los Angeles, CA
We are in need of utilization review and appeals nurses for these open positions. Participate in Quality Assurance and Utilization review activities, as...
Sponsored by Maxim Healthcare Services - 30+ days ago

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