Utilization Review Specialist jobs in Santa Ana, CA

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UTILIZATION REVIEW SPECIALIST

Clinical Record Review: Thoroughly review mental health and substance abuse clinical records. Utilization Determination: Evaluate treatment plans and services for compliance and necessity. Collaboration: Work closely with clinical...

CompanyAffinity Recovery
AddressNewport Beach, CA
CategoryHuman Resources
Salary$65,000 - $75,000 a year
Job typeFull-time
Date Posted a month ago See detail

Utilization Review Specialist

Affinity Recovery

Newport Beach, CA

$65,000 - $75,000 a year

Clinical Record Review: Thoroughly review mental health and substance abuse clinical records. Utilization Determination: Evaluate treatment plans and services for compliance and necessity. Collaboration: Work closely with clinical...

Utilization Review RN - Utilization Management Dept OCGMC

Kpc Global Medical Centers Inc.

Santa Ana, CA

$50 - $85 an hour

Coordinates and reviews all medical records, as assigned to caseload. Actively participates in Case Management and Treatment Team meetings Serves as on-going educator to all departments. Responsible for reviewing patient charts in...

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...