- 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
- 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 (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
- 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
- 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
- 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
- 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 (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
- 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
- Vylla Title (Anaheim, CA)
- …amazing team and work from home!** The Commercial Order Entry & Title Review Specialist will be responsible for receiving, reviewing and opening all commercial ... verify property details before placement with partner. + Conduct a thorough review of commercial property details to provide third-party underwriting partner with… more