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Showing
1-10 of 166

utilization review nurse jobs near Sherman Oaks, CA

Monte Nido Inc - Agoura Hills, CA

Depending on qualifications and experience, additional responsibilities may include insurance utilization reviews or other tasks as assigned....

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...

Motion Picture & Television Fund - Woodland Hills, CA

Utilization Review Nurse:. Position requires 5+ years of RN experience and 1 year of experience as a Utilization Review Nurse....

Regal Medical Group - Northridge, CA

The role of the Manager, Prior Authorization is to manage the prior authorization nurse case managers, professional claims review nurses and UM compliance staff...

Managed Care Resources, Inc - Glendale, CA

Utilization Review (UR) Case Manager. A local Hospital in the Glendale area is seeking a Utilization Review Nurse....

Cedars-Sinai - Beverly Hills, CA

Current, valid California Registered Nurse license; Previous utilization management experience and knowledge of NCQA guidelines....

Children's Hospital Los Angeles - Los Angeles, CA

Full-time Days The Nurse Auditor is responsible for the management and review of all clinically based appeals to payers and Managed Care defense audits....

Cedars-Sinai - Century City, CA

Makes recommendations for effective staff and space utilization. Participates in the evaluation and review of all human resources and communicates issues...

Mission Community Hospital - Los Angeles, CA

Training in Case Management, Utilization Management, or Discharge Planning. Previous experience in Case Management, Utilization Management or Discharge Planning...

Offisol - Los Angeles, CA

Review case to determine if review by Clinician is required. Coordinates the interdisciplinary approach to providing continuity of care, including utilization...