Utilization Review Jobs in Los Angeles
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Search Results - Utilization Review Jobs in Los Angeles
TheraEX Staffing Services-Los Angeles
California RN License (pending accepted, must be active at start)
Travel experience required (1st time travelers may be considered)
Experience with HMOs, IPAs, and utilization review preferred
Strong knowledge of community resources, behavioral health...
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eviCore healthcare-Los Angeles
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related...
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GQR Healthcare-Los Angeles
Certifications: BLS, LA Fire Card
• Experience:
• Minimum 2 years RN experience
• At least 1 year of unit experience
• Preferred: Travel nursing experience (not required)
Facility & Role Details
• Unit: Case Management/Utilization Review
• Facility Size: 265...
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eviCore healthcare-Los Angeles
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related...
Read more
GQR Healthcare-Los Angeles
Certifications: BLS, LA Fire Card
• Experience:
• Minimum 2 years RN experience
• At least 1 year of unit experience
• Preferred: Travel nursing experience (not required)
Facility & Role Details
• Unit: Case Management/Utilization Review
• Facility Size: 265...
Read more
eviCore healthcare-Los Angeles
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related...
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Los Angeles
with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations
Responsibilities:
MAJOR DUTIES AND RESPONSIBILITIES: Reviews medical files and provides recommendations for utilization review, chart...
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icims.com -
eviCore healthcare-Los Angeles
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related...
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Los Angeles
containment background, such as utilization review or managed care also useful.
• One to two plus years of recent clinical experience and/or one to two years of recent managed care experience.
• Achieves recognized certification in case management within...
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icims.com -
eviCore healthcare-Los Angeles
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related...
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Los Angeles
knowledge of nursing principles and practices, hospital operations, medical supplies, and their clinical applications.
• Proficiency with Microsoft Office applications, including Word, Excel, Outlook, and PowerPoint.
• Utilization Review experience is a plus...
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tiptopjob.com -
Los Angeles
obligations.
• Skilled in conducting utilization reviews and patient chart reviews with accuracy and timeliness.
• Strong clinical assessment, analytical, and critical-thinking skills with the ability to apply evidence-based criteria.
• Excellent written...
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acentra.com -
eviCore healthcare-Los Angeles
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related...
Read more
eviCore healthcare-Los Angeles
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related...
Read more
eviCore healthcare-Los Angeles
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related...
Read more
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