Care Review jobs in California

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CARE REVIEW PROCESSOR WITH UTILIZATION REVIEW/MANAGED CARE EXP. (REMOTE - CA)

Provide computer entries of authorization requests/provider inquiries by phone, mail, or fax. Including: Verify member eligibility and benefits. Determine provider contracting status and appropriateness. Determine diagnosis and tr...

CompanyOmg Technology
AddressLong Beach, CA
CategoryInformation Technology
Job typeContractor
Date Posted a month ago See detail

Care Review Processor with Utilization Review/Managed Care Exp. (REMOTE - CA)

Omg Technology

Long Beach, CA

Provide computer entries of authorization requests/provider inquiries by phone, mail, or fax. Including: Verify member eligibility and benefits. Determine provider contracting status and appropriateness. Determine diagnosis and tr...

Continuing Care Utilization Review Coordinator RN

Kaiser Permanente

Oakland, CA

Conducts Utilization Review for in-house patients and/or members who have been admitted to contracted facilities. Interviews patients/caregivers regarding care after hospitalization. Conducts clinical reviews based on established...