Utilization Review Nurse jobs in Los Angeles, CA

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Nurse Medical Management I or II - California - 96167SY
Anthem, Inc. 528 reviews - Los Angeles, CA
Knowledge of the Continued stay review process and prior authorization preferred. Prior managed care experience with a Utilization Management focus preferred,...
Sponsored by Anthem, Inc. - 5 days ago
Telephonic Case Manager - RN (Registered Nurse)
Aetna 437 reviews - Glendale, CA
Provides embedded utilization review for selected files. Previous workers compensation, case management, utilization review or managed care experience preferred...
Sponsored by Aetna - 22 hours ago
Registered Nurse - RN - Case Manager and Utilization Managem...
Maxim Healthcare Services 696 reviews - Los Angeles, CA
Participate in Quality Assurance and Utilization review activities, as directed. Registered Nurses (RN) graduate;...
Sponsored by Maxim Healthcare Services - 14 days ago

Telephonic Case Manager - RN (Registered Nurse)

Aetna 437 reviews - Glendale, CA 91203
Provides embedded utilization review for selected files. Previous workers compensation, case management, utilization review or managed care experience preferred...
22 hours ago - save job - email - more...

Utilization Review - Managed Care Nurse - (UL RN)

NursesRx 11 reviews - Pasadena, CA - +1 location
Utilization Review - Managed Care Nurse - (UL RN). As a critical member of the hospital staff, the utilization review nurse is also responsible for:....
1 day ago - save job - email - more...

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

Anthem, Inc. 528 reviews - Glendale, CA
Experienced Nurses join AIM as Nurse Reviewers. Nurse Reviewer I or Nurse Reviewer Associate. AIM is certified by the National Committee for Quality Assurance...
1 day ago - save job - email - more...

Oncology Nurse Reviewer - AIM - Glendale

Anthem, Inc. 528 reviews - Glendale, CA
Oncology Nurse Reviewer. This could be as an oncology certified nurse (OCN ® ), certified pediatric oncology nurse (CPON ® ), certified pediatric hematology...
1 day ago - save job - email - more...

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

Aetna 437 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...
4 days ago - save job - email - more...

Care Review Clinician I

Molina Healthcare 118 reviews - Long Beach, CA
Hospital utilization management. Managed Care Utilization Management. Active, unrestricted State Licensed Vocational Nurse or Licensed Practical Nurse in good...
23 hours ago - save job - email - more...

Utilization Management Rep I, II or Sr.SY

Anthem, Inc. 528 reviews - Glendale, CA
Refers cases requiring clinical review to a Nurse reviewer. Utilization Management Rep I:. Utilization Management Rep II:....
1 day ago - save job - email - more...

UTILIZATION REVIEW NURSE SUPERVISOR I

Los Angeles County Department of Human Resources - Los Angeles, CA
$6,705 a month
Two years’ experience as a registered nurse reviewing patients' medical charts to ascertain the medical necessity for services and the appropriateness of level...
12 days ago - save job - email - more...

RN - Utilization Review and Management

Advanced Medical Reviews - Los Angeles, CA 90025
Minimum 2 years experience in utilization review, utilization management, or quality improvement processes....
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2 days ago - save job - email - more...

Medical Claim Reviewer/LVN (Appeals)

Molina Healthcare 118 reviews - Long Beach, CA
Minimum one year Utilization Review and/or Medical. Licensed Vocational Nurse / Licensed Practical Nurse. Active, unrestricted State Licensed Vocational Nurse,...
16 days ago - save job - email - more...
Registered Nurse - RN -Utilization Management
Maxim Healthcare Services 696 reviews - Los Angeles, CA
Utilization Management Specialist. Registered Nurses (RN) graduate; Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent...
Sponsored by Maxim Healthcare Services - 30+ days ago
Manager, Utilization Review
L.A. Care Health Plan 10 reviews - Los Angeles, CA
Operations, reporting, and staff management of utilization review, case management, and coordination of linked and carved out service functions....
Sponsored by L.A. Care Health Plan - 30+ days ago

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