- 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
- 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
- CBRE (Sacramento, CA)
- VAS - First Vice President, Appraisal Review Job ID 248636 Posted 19-Nov-2025 Service line Advisory Segment Role type Full-time Areas of Interest ... Role:** As a CBRE VAS First Vice President (Appraisal Review ), you will work directly with the leadership team...appraisers to manage risk and participate in the valuation review process. **What You'll Do:** + Follow the set… more
- Terracon (Concord, CA)
- …of plans and specifications, observation and inspection, and the writing, preparation, and review of related reports for the services provided. Review drawings ... and recommend changes. Research and resolve design and construction problems. Assign, review , and evaluate laboratory or field data for inclusion in reports. Apply… more
- CalSTRS (Sacramento, CA)
- Job Posting: Senior Executive Review and Legislation Analyst State Teachers' Retirement System JC-498541 - Senior Executive Review and Legislation Analyst ... to work as an Associate Governmental Program Analyst on the Executive Review , Legal & Legislation Team. The Disability and Survivor Benefits (DaSB) Division… more
- Evolent (Sacramento, CA)
- …Stay for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer , Interventional Pain Management, you will be a key member of the utilization ... Reviewers. **What You Will Be Doing:** + Serve as the Physician Clinical Reviewer for Interventional Pain Management, reviewing cases that do not initially meet the… more
- Evolent (Sacramento, CA)
- …for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to make a meaningful impact ... reviews for cardiovascular cases, serving as a specialty-matched expert reviewer for invasive/interventional cardiology cases (eg, cardiac catheterizations, coronary… more
- Colliers Engineering & Design (Irvine, CA)
- …representatives. This may include scheduling and leading pre-submittal or design review meetings. + Contribute to project reporting throughout design and ... including consultant deliverables. This includes functioning as the primary plans reviewer and engaging directly with the project teams to discuss comments… more
- Centene Corporation (San Diego, CA)
- …(CST)** **Remote - CA or Remote - TX** **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and ... appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall health of… more
- Dignity Health (Rancho Cordova, CA)
- …within the Greater Sacramento, CA region.** **Position Summary:** The Utilization Review (UR) LVN uses clinical judgement in providing utilization management (UM ... position may be assigned cases in pre-authorization areas, in skilled nursing facility review or in concurrent review . Responsibilities may include: - Manages… more