Health Net of California - Woodland Hills, CA

Experience with utilization or appeals review preferred. Review clinical data to determine claim payment based on company policies and National Committee for...

Estimated: $58,000 - $84,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Care1st Health Plan - Monterey Park, CA

Licensed as an active California registered nurse or vocational nurse. The CCS Case Manager is responsible for performing clinical nurse review activities for...

Estimated: $52,000 - $66,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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Charity Home Health - Carson, CA

Review documentation of own care team and audit medical records to ensure compliance with standards and quality of care....

Estimated: $71,000 - $93,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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9d

Care1st Health Plan - Monterey Park, CA

Licensed as an active California registered nurse or vocational nurse. Minimum of two years working in utilization or case management....

Estimated: $68,000 - $93,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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7d

Los Angeles County Human Resources - Los Angeles County, CA

Participating in conducting prospective, concurrent, and retrospective utilization reviews of patient services or hospitalization to maintain quality of care...

$77,000 - $110,000 a year

Alvarez & Marsal - Los Angeles, CA

Perform utilization management, utilization review or concurrent review and Retrospective reviews leveraging Interqual guidelines and benefit determination....

Estimated: $56,000 - $80,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Medpoint Management - Woodland Hills, CA

Two years of prior experience with utilization management preferable. Ability to review cases using applicable criteria per line of business....

Estimated: $43,000 - $60,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Childrens Hospital Los Angeles - Glendale, CA

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

Estimated: $73,000 - $100,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Genex Services - Westlake Village, CA

Prior triage or utilization review experience preferred. At least one year experience in the workers compensation arena including utilization review....

Estimated: $63,000 - $86,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Los Angeles County Department of Human Resources - Los Angeles, CA

Participating in conducting prospective, concurrent, and retrospective utilization reviews of patient services or hospitalization to maintain quality of care...

$77,000 - $110,000 a year

Los Angeles County Department of Human Resources - Los Angeles, CA

Participating in conducting prospective, concurrent, and retrospective utilization reviews of patient services or hospitalization to maintain quality of care...

$77,000 - $110,000 a year

Zenith Insurance Company - Woodland Hills, CA

Educates nursing staff in case management, utilization review, triage and return to work strategies as needed. Maintain current unrestricted registered nurse (R...

Estimated: $70,000 - $96,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Dignity Health - Glendale, CA

Current Registered Nurse (R.N.). The RN Care Coordinator consistently conducts the utilization review process and the discharge planning process as required by...

Kaiser Permanente - Pasadena, CA

Profiling of non-plan providers, utilization patterns, direct interaction with providers to discuss, review and query services provided, charges and/or expenses...

Estimated: $68,000 - $94,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Kaiser Permanente - Los Angeles, CA

Will provide support for the Physicians, ICD nurses and EP Lab nurses in coordinating care and resolving problems....

Estimated: $49,000 - $68,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

L.A. Care Health Plan - Los Angeles, CA

Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent post-service and retrospective claims medical review....

Estimated: $74,000 - $100,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

6d

Providence Health & Services - Tarzana, CA

Minimum of 3 years experience in case management, discharge planning, and/or utilization review. Current California Registered Nurse license....

Estimated: $91,000 - $120,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Health Net of California - Woodland Hills, CA

Performs prospective, concurrent and retrospective reviews and first level determination approvals for assigned members, as appropriate, or refers reviews to...

Estimated: $65,000 - $84,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Providence Health & Services - Santa Monica, CA

Providence is calling a Utilization Review Registered Nurse Case Manager ( Full Time / Evening Shift ) to our St....

Estimated: $81,000 - $100,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Assisted Healthcare - Northridge, CA

Participate in orientation, in-service education, utilization review, and performance improvement activities....

Estimated: $54,000 - $73,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

AIDS Healthcare Foundation - Los Angeles, CA

Organizational determinations, reconsiderations, expedited reviews, Independent Review Entity (IRE) reconsiderations, QIO review of coverage terminations,...

Estimated: $91,000 - $120,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Regal Medical Group - Northridge, CA

5.Knowledge of NCQA, CMS, HSAG, and health plan requirements related to utilization management. The PACM will review for appropriate care and setting, and...

1d

Regal Medical Group - Northridge, CA

2-3 years of utilization or HMO experience preferred. Communicates appropriately and clearly with physicians, in patient case managers and Prior-Authorization...

Care1st Health Plan - Monterey Park, CA

Registered Nurse (RN).  Licensed as an active California registered nurse.  Polypharmacy utilization consisting of >30 prescriptions per quarter....

Estimated: $76,000 - $100,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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1d

Excel Managed Care & Disability Services, Inc. - California

Nurse Case Manager RN Registered Nurse. Registered Nurse (RN). Prior Workers’ Compensation case management experience and/or experience in rehabilitation,...

Estimated: $63,000 - $89,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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Charity Home Health Services, Inc - Carson, CA

Review documentation of own care team and audit medical records to ensure compliance with standards and quality of care....

Estimated: $68,000 - $90,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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