- ThermoFisher Scientific (Foster City, CA)
- …Standard (Mon-Fri) **Environmental Conditions** Office **Job Description** Sr QC Reviewer : Job Description At Thermo Fisher Scientific, you'll discover meaningful ... with Change Controls for raw materials + Performs complex analytical data review , evaluating laboratory data for compliance with analytical methods, SOPs, directives… more
- Elevance Health (Cerritos, CA)
- The **Therapy Services Reviewer ** is responsible for the review of medical records to determine if requests for therapy services (physical therapy, occupational ... vision, short and long term disability benefits, 401(k) +match, stock purchase plan , life insurance, wellness programs and financial education resources, to name a… more
- Robert Half Management Resources (San Francisco, CA)
- Description We are looking for an experienced Sr. Compliance Analyst to review marketing materials for a leading Fintech organization. This is a contract position ... impact on marketing strategies. * Work with compliance software to streamline review processes and ensure accuracy. * Assist in developing and refining compliance… more
- Sharp HealthCare (San Diego, CA)
- …updated EHB's are updated and implemented into policies. + Participates in the retrospective review and analysis of Plan performance from summary data of paid ... **Facility:** Health Plan **City** San Diego **Department** **Job Status** Regular...selected utilization/cost and quality outcomes. + Participates in policy review , performs analysis and makes recommendations for updating current… more
- Ventura County (Ventura, CA)
- …to the QA/UR Nurses based upon guidelines approved by the medical director and Plan Committee. + Provides or arranges timely review and response to requests ... Medical Director, Ventura County Health Care Plan Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4924113) Apply Medical Director, Ventura… more
- Sharp HealthCare (San Diego, CA)
- … review , performs analysis and makes recommendations. + Participates in the retrospective review and analysis of Plan performance from summary data of paid ... **Facility:** Health Plan **City** San Diego **Department** **Job Status** Regular...to accrediting and regulatory agency feedback. + Supports pre-admission review , utilization management, and concurrent and retrospective rev1ew process.… 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 ... will inform the synthesis and inclusion of new evidence-based material. **RESPONSIBILITIES** ** ReView & PreView** + Use evidence-based research and best practices in… 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
- CVS Health (Sacramento, CA)
- …guiding the team in determining correct coding and appropriate documentation during the review of medical records. This role requires a strong focus on meeting ... projects. + Ensure staff provide detailed written summaries of medical record review findings and ensure the team articulates findings effectively to investigators,… more