- Sedgwick (Sacramento, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Estimate Review Specialist **PRIMARY PURPOSE** **:** To review all estimates ... and supporting documentation submitted by contractors/adjusters, using various estimating applications; to ensure estimates follow client and regulatory requirements and meet Property guidelines; to serve as a subject matter expert on property restoration… more
- TEKsystems (Canoga Park, CA)
- Position: Utilization Review Nurse Work Enviroment: Hybrid work schedule Schedule: Full time position, Flexible start time of 7-8 am, 5 days x 8hrs , no weekends, ... RN or LVN with an active license to help address claims retro review . This role focuses on reviewing inpatient and outpatient claims for medical necessity… more
- TEKsystems (Canoga Park, CA)
- …RN or LVN with an active license to join our team as a Utilization Review Nurse. In this role, you will conduct retrospective reviews of inpatient and outpatient ... reviews for inpatient and outpatient claims. + Prepare medical records for review by medical directors and provide clinical recommendations. + Ensure compliance with… more
- Sutter Health (Berkeley, CA)
- …utilization of physician, nursing, and ancillary services. Responsible for concurrent review on specific patients. Develops, coordinates and monitors systems for the ... with hospital administration, medical staff, patient registration and representatives of review organizations and others to ensure effective utilization of services… more
- UCLA Health (Santa Monica, CA)
- …Play a key role within a world-class health system. Help ensure the delivery of safe, award-winning care and positive patient outcomes. Make the most of your ... background and abilities. You can do all this and more at UCLA Health. In this important position, you will be responsible for the identification, collection, and entry of quality data for the Clinical Registries, Patient Safety Indicators (PSIs), and Hospital… more
- Deloitte (Los Angeles, CA)
- …registered nurse, physician, physician assistant, case manager, clinical documentation specialist , utilization review , informatics RN, Quality, DRG Validation ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk...financial concerns and other business controversy. A Clinical Documentation Specialist (CDS) works to ensure accuracy and completeness of… more
- USIC (Sacramento, CA)
- …early! Applications received by December, 3rd 2025. will be part of the first review . Summary The Payroll Specialist will ensure the accurate execution of USIC ... payroll. This position will function as the primary processor of payroll data input for on-schedule and off-cycle payrolls. The role is involved in improving the operations and contributing to the overall teammate experience within the Payroll Department. This… more
- Actalent (Foster City, CA)
- …indicators and a commitment to 'right the first time' principles. The specialist will independently review , initiate, complete, and document critical, major, ... Job Title: Quality Systems Specialist Job Description The Quality Systems Specialist...Quality Management System (QMS) expectations. + Navigate complex change review discussions, facilitating decisions regarding approach and follow-up actions,… more
- J&J Family of Companies (Irvine, CA)
- …ensuring the delivery of key regulatory and medical documents. Specifically, the Sr. Specialist will lead the review of Clinical Evaluations (CERs), State of ... of Johnson & Johnson family of companies, is recruiting for a **Sr** . ** Specialist , Scientific Operations** to join the team in Irvine, CA or Raritan, NJ. The… more
- Carrington (Anaheim, CA)
- …the date the action occurs. + Issue corrections identified during the Quality Review Process, communicating findings to Loss Specialist for remediation. Ensure ... remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred losses...this position is $23.00/hr - $26.50/hr. **What you'll do:** Review reconciliation of all loan advances once the GSE… more