Utilization Review Nurse jobs in Norwalk, CA

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DENIAL REVIEW NURSE - UTILIZATION MANAGEMENT - HYBRID

Responsible for managing all deferrals and or denials by conducting a comprehensive review of clinical documentation, clinical criteria/guideline, policy, and or EOC/benefit policy Apply clinical knowledge when processing all defe...

CompanyAstrana Health
AddressMonterey Park, CA
CategoryInformation Technology
Salary$30 - $45 an hour
Job typeFull-time
Date Posted 2 months ago See detail

Denial Review Nurse - Utilization Management - Hybrid

Astrana Health

Monterey Park, CA

$30 - $45 an hour

Responsible for managing all deferrals and or denials by conducting a comprehensive review of clinical documentation, clinical criteria/guideline, policy, and or EOC/benefit policy Apply clinical knowledge when processing all defe...

Utilization Management Denial Review Nurse - LVN

Ucla Health

Los Angeles, CA

$61,400 - $121,400 a year

DescriptionQualificationsWere seeking an exceptionally gifted, self-motivated leader with: * Current CA LVN licensure required * Two or more years of utilization review/Utilization Management experience in an HMO, MSO, IPA, or he...

Registred Nurse Utilization Review $54.75-$61.25/Hr

Atc Healthcare

Los Angeles, CA

$54.75 - $61.25 an hour

Los Angeles, CA: Relocate before starting work (Required)....

Utilization Management Nurse Specialist, FT Days

Pih Health

Whittier, CA

Current knowledge of Managed Care and Health Plan Division of Financial Responsibilities (DOFR). Ability to apply appropriate UM criteria. Excellent communication skills. Strong organizational capabilities. Attention to detail is...

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...

Utilization Review (UR) Specialist - Addiction Treatment Program

Renewal Health Group

Los Angeles, CA

Medical, dental, vision, short-term disability, and life insurance. Reimbursement for licensing fees. Education assistance. Employee referral bonus. Healthcare Flexible spending account with $250 company contribution for Full time...

Registered Nurse - Utilization Management - 8 Hour Days

Cedars-Sinai

Los Angeles, CA

$52.47 - $83.95 an hour

The UR Case Manager uses medical necessity screening tools, such as InterQual or MCG criteria, to complete initial and continued stay reviews in determining appropriate level of patient care, appropriateness of tests/procedures an...