- Evolent (Sacramento, CA)
- …Doing:** As a Field Medical Director, MSK Surgery you will be a specialty match reviewer for Spine Surgery cases. you will be a key member of the utilization ... Will Be Doing:** + Serve as the specialty match reviewer in Spine Surgery cases, that do not initially...rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the… 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
- 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 ... ARE output as well as to maintain expertise in account review . . Provide coaching to the Account Review Experts to ensure precision and recall is within an… 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...to our Snapchatters. As a member of the Lens Review team, you will ensure a consistent and seamless… 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 ... the designated set of documentation. + Be an integral part of the pre-purchase review of Conventional, Non-Conforming, FHA, and VA loans files + Ensure each file… more
- Centene Corporation (Sacramento, CA)
- …California RN Licensing Highly Preferred **Position Purpose:** Performs a clinical retrospective review of services previously provided to determine if the level of ... quality, cost efficiency, and are within compliance. + Performs a clinical review of post-care services by reviewing medical records against guidelines and clinical… 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 ... the designated set of documentation. * Be an integral part of the pre-purchase review of Conventional, Non-Conforming, FHA, and VA loans files * Ensure each file… more
- Dignity Health (Woodland, CA)
- …with occasional onsite meetings in Woodland.** **Position Summary:** The Utilization Review LVN uses clinical judgement in providing utilization management services. ... assigned cases in pre-authorization areas, in skilled nursing facility review or in concurrent review . Responsibilties may...skilled nursing facility review or in concurrent review . Responsibilties may include: - Determines correct type of… more
- CalSTRS (Sacramento, CA)
- Job Posting: Payment Review Analyst State Teachers' Retirement System JC-487215 - Payment Review Analyst ASSOCIATE GOVERNMENTAL PROGRAM ANALYST $6,031.00 - ... Program Analyst, willing to consider Staff Services Analyst, in the Payment Review Unit. The Disability and Survivor Benefits (DaSB) Division is responsible for… more