- Experience as charge/supervisor to Case managers/Utilization Review Nurse.
- Need to work with insurance companies to get authorization and confirmations on the approvals.
- Experience with InterQual is preferred.
- CCM is preferred.
- RN license in CA required.
- Case management, utilization review, chart review and discharge planning experience is required with insurance approvals and authorizations.
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Utilization Reviewer
2 weeks ago
Acentra Health Los Angeles, United StatesJob Description · Job DescriptionCNSI and Kepro are now Acentra Health Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. · Lead the Way i ...
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Utilization Review
2 weeks ago
Renewal Health Group Los Angeles, United StatesJob Description · Job DescriptionRenewal Health Group is currently looking for a UR Specialist for its Treatment ProgramsThe UR Specialist is responsible for working with healthcare providers to help ensure appropriate and consistent administration of plan benefits through collec ...
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Utilization Reviewer
4 days ago
Acentra Health Los Angeles, United States Part timeJob Description · Job DescriptionCNSI and Kepro are now Acentra Health Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. · Lead the Way i ...
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Utilization Review Specialist
1 week ago
Willis Knighton Health Los Angeles, United States Full timeDescription: · UTILIZATION REVIEW POSITION · Centralized staff located at Innovation Center in Bossier. · Licensed (RN, LPN, MA) Positions Available · The primary responsibility of Utilization Review is to review medical records and prepare clinical appeals (when appropriate) o ...
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Utilization Clinical Reviewer
2 days ago
Acentra Health Los Angeles, United States Full timeCNSI and Kepro are now Acentra Health Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. · Lead the Way is our rallying cry at Acentra He ...
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Utilization Review
2 weeks ago
Renewal Health Group Los Angeles, United StatesRenewal Health Group is currently looking for a UR Specialist for its Treatment Programs · The UR Specialist is responsible for working with healthcare providers to help ensure appropriate and consistent administration of plan benefits through collecting clinical information to p ...
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Utilization Reviewer
2 weeks ago
Acentra Health Los Angeles, United States Full timeJob Description · Job DescriptionCNSI and Kepro are now Acentra Health Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. · Lead the Way i ...
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Utilization Reviewer
2 weeks ago
Acentra Health Los Angeles, United States Part timeJob Description · Job DescriptionCNSI and Kepro are now Acentra Health Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. · Lead the Way i ...
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Utilization Review
4 days ago
Gateways Hospital & Mental Health Center Los Angeles, United States**Title of Position**: UR Case Manager · **Location**: Gateways Hospital - Quality Assurance · **Exempt/Non-Exempt**: Exempt · **Union/ Non-Union**: Non-Union · **Supervisor**: Director of Quality Improvement · **Gateways Hospital and Mental Health Center, located in Los Angeles, ...
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Utilization Review
4 days ago
Codemax Medical Billing Los Angeles, United StatesJob Title: Utilization Review Follow Up Specialist · Reports to: Utilization Review Follow-Up Supervisor · Employment Status: Full-Time · FLSA Status: Non-Exempt · - Job Summary:_ · - Duties/Responsibilities:_ · - Monitors and manages pending utilization review and prior authoriz ...
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Utilization Review
4 days ago
Codemax Medical Billing Los Angeles, United StatesJob Title: Utilization Review Specialist · Reports to: Utilization Review Supervisor · Employment Status: Full-Time · FLSA Status: Non-Exempt · - Job Summary:_ · CodeMax Medical Billing is seeking to hire an experienced Utilization Review Specialists or Licensed Medical Clinician ...
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Utilization Clinical Reviewer
2 weeks ago
Acentra Health Los Angeles, United States Part timeCNSI and Kepro are now Acentra Health Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. · Lead the Way is our rallying cry at Acentra Hea ...
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Utilization Clinical Reviewer
2 weeks ago
Kepro Los Angeles, United StatesCNSI and Kepro are now Acentra Health Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. · Lead the Way is our rallying cry at Acentra Hea ...
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Utilization Clinical Reviewer
4 days ago
Acentra Health Los Angeles, United StatesJob Description · Job DescriptionCNSI and Kepro are now Acentra Health Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. · Lead the Way i ...
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Utilization Clinical Reviewer
2 weeks ago
Kepro Los Angeles, United States Part timeCNSI and Kepro are now Acentra Health Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. · Lead the Way is our rallying cry at Acentra Hea ...
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Utilization Clinical Reviewer
2 weeks ago
Acentra Health Los Angeles, United StatesFollowing a 2022 merger of CNSI and Kepro, Acentra Health combines clinical services, technology solutions, and data analytics to accelerate better health outcomes. This is a great time to join our team of passionate individuals working together to pursue the most effective solut ...
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utilization management denial review nurse
4 weeks ago
UCLA Health Los Angeles AFB, CA , USA, United StatesGeneral Information · Press space or enter keys to toggle section visibility · Work Location: Los Angeles, USA · Onsite or Remote · Flexible Hybrid · Work Schedule · Monday - Friday, 8:00am - 5:00pm PST · Posted Date · 03/26/2024 · Salary Range: $ Annually · Employment Type · 2 - ...
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Utilization Management Denial Review Nurse
4 days ago
UCLA Health Los Angeles, United States· Take on a high-impact role within a world-class health organization. Help drive the continued delivery of exceptional patient care. Take your career to the next level. You can do all this and more at UCLA Health. · You will play a key part in promoting high-quality, cost-effec ...
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Utilization Clinical Reviewer
2 weeks ago
Acentra Health Los Angeles, United StatesJob Description · Job DescriptionCNSI and Kepro are now Acentra Health Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. · Lead the Way i ...
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Utilization Management Review Nurse
2 days ago
Astrana Health Monterey Park, United States· Job Title: Utilization Management Review Nurse - HYBRID · Department: Health Services · About the Role: · Astrana Health is looking for an LVN Utilization Review Nurse to assist our Health Services Department. This position will typically work M-F from 8:30 a.m. to 5 p.m. W ...
Supervisor - Case Manager/Utilization Review - Los Angeles, United States - Pyramid Consulting, Inc
Description
Immediate need for a talented Supervisor - Case Manager/Utilization Review. This is a 03+ Months Contract opportunity with long-term potential and is located in Los Angeles, CA(Onsite). Please review the job description below and contact me ASAP if you are interested.
Job ID:
Pay Range: $90- $95/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Requirements and Technology Experience:
Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.