- 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 ... related correspondence to the respective EMR/ tracking tool. Utilization review tech will follow up on all denials while...not limited to, paid time off, a 401K retirement plan , medical, dental, and vision coverage, tuition reimbursement, and… more
- 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...to change and may be subject to specific elections, plan , or program terms. If eligible, the benefits available… more
- TEKsystems (Westlake Village, CA)
- Description The Loan review specialist in pre-purchase review is responsible for the pre-purchase review of Conventional, Non-Conforming, FHA, and VA loan ... documentation. * Be an integral part of the pre-purchase review of Conventional, Non-Conforming, FHA, and VA loans files...to change and may be subject to specific elections, plan , or program terms. If eligible, the benefits available… more
- TEKsystems (Westlake Village, CA)
- Description The Loan review specialist in pre-purchase review is responsible for the pre-purchase review of Conventional, Non-Conforming, FHA, and VA loan ... documentation. + Be an integral part of the pre-purchase review of Conventional, Non-Conforming, FHA, and VA loans files...to change and may be subject to specific elections, plan , or program terms. If eligible, the benefits available… more
- CVS Health (Sacramento, CA)
- …in a collaborative process to implement, coordinate, monitor and evaluate medical review cases. + Applies the appropriate clinical criteria/guideline and plan ... thinking, evidenced based clinical criteria and clinical practice guidelines. Med Review nurses use specific criteria to authorize procedures/services or initiate a… more
- Molina Healthcare (San Diego, CA)
- California residents preferred.** **EMERGENCY ROOM ADMISSIONS REVIEW NURSE** **_3-12 DAY SHIFT 7:30AM - 08:30PM PACIFIC HOURS NON EXEMPT, 3 days a week will ... hours are mandatory._** **_This position supports our California Health Plan . Candidates can live anywhere in the USA if...Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of InterQual /… more
- Providence (Napa, CA)
- **Description** Care Manager RN - Utilization Review unit at Providence Queen of the Valley Medical Center in Napa, CA. This position is Full-Time and will work ... These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and… more
- UMB Bank (Sacramento, CA)
- …under normal and stressed scenarios. Within Credit Administration, the **Appraisal Review ** team supports Commercial, Small Business and Consumer Lending. As a ... Senior Commercial Review Appraiser, you will ensure compliance with the valuation...incentive pay; paid holidays; a comprehensive company sponsored benefit plan including medical, dental, vision, and other insurance coverage;… more
- Harris & Associates (Irvine, CA)
- …Senior Project Manager to help lead, market and expand our Cost Reimbursement Review team. The ideal candidate will have strong project management skills, experience ... project schedules, and monitoring project budgets. + Leads cost reimbursement review projects including change order reviews, preparation of cost estimates, and… more