• Sr VP Medical Director (Hourly)

    Sedgwick (Sacramento, CA)
    …service delivery between the company, partners, and vendors. + Member of a client Disability Pension Board + Review of identified appeal cases for quality ... the nurse is seeking treatment plan clarification, claim denial, disability certification or duration management for return to work...time frame. + The oversight of the appeal and review process including making a recommendation of specialty for… more
    Sedgwick (08/22/25)
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  • Utilization Review Nurse Supervisor I

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply  UTILIZATION REVIEW NURSE SUPERVISOR I ... information regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to join our team. Whether you're working in… more
    The County of Los Angeles (08/18/25)
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  • Utilization Review Nurse Supervisor II

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply  UTILIZATION REVIEW NURSE SUPERVISOR ... administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one of the largest… more
    The County of Los Angeles (06/28/25)
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  • Clinical Content Specialist - Nursing NCLEX…

    Wolters Kluwer (Torrance, CA)
    …Content Specialist - Nursing, you will work closely with the PreView & ReView Manager/Senior Clinical Content Specialists to plan and deliver high quality NCLEX ... Review services by identifying and assessing client needs and...employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability , or protected veteran… more
    Wolters Kluwer (08/22/25)
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  • Senior Lead Analyst, Accounts Review…

    LinkedIn (Sunnyvale, CA)
    …changing the way the world works. We are looking for a Senior Lead Analyst, Account Review for Trust Review Operations (TRO) to be a critical part of keeping ... output as well as to maintain expertise in account review . . Provide coaching to the Account Review...to race, color, religion, creed, gender, national origin, age, disability , veteran status, marital status, pregnancy, sex, gender expression… more
    LinkedIn (08/08/25)
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  • Lens Review Specialist

    Snap Inc. (Los Angeles, CA)
    …and other services; and its AR glasses, Spectacles (https://www.spectacles.com/) . The Review Operations team - a group within Snap's Platform Integrity and ... with content on Snapchat. We're looking for a Lens Review Specialist to join Team Snapchat! Working closely with...for Snapchat and online safety If you have a disability or special need that requires accommodation, please don't… more
    Snap Inc. (08/01/25)
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  • Utilization Review Tech II

    Prime Healthcare (Ontario, CA)
    …actively seeking new members to join our corporate team! Responsibilities The Utilization review tech essentially works to coordinate the utilization review and ... appeals process as part of the denial management initiatives. Utilization review tech is responsible for coordinating phone calls, data entry, mailing/faxing appeals… more
    Prime Healthcare (08/23/25)
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  • Utilization Review Technician III

    Prime Healthcare (Ontario, CA)
    …actively seeking new members to join our corporate team! Responsibilities The Utilization review tech essentially works to coordinate the utilization review and ... plans and scan all related correspondence to the respective EMR/ tracking tool. Utilization review tech will follow up on all denials while working closely with the… more
    Prime Healthcare (08/23/25)
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  • System Utilization Management SUM Utilization…

    Alameda Health System (Oakland, CA)
    System Utilization Management SUM Utilization Review RN + Oakland, CA + Highland General Hospital + SYS Utilization Management + Services As Needed / Per Diem - Day ... 21, 2025 **Summary** **SUMMARY:** The System Utilization Management [SUM] Utilization Review RN is responsible for ensuring the appropriate use of healthcare… more
    Alameda Health System (08/22/25)
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  • Loan Review Specialist

    TEKsystems (Westlake Village, CA)
    Now Hiring: Loan Review Specialist - Pre-Purchase Review (Residential Mortgage) Hybrid | Remote Fridays | Full-Time | Competitive Pay + Growth Opportunity Are ... elevate your career into underwriting? We're seeking a Loan Review Specialist to join a high-performing team focused on...for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits… more
    TEKsystems (08/23/25)
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