- Molina Healthcare (CA)
- …JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically ... 2 years experience, including experience in hospital acute care, inpatient review , prior authorization, managed care, or equivalent combination of relevant education… more
- Emanate Health (Covina, CA)
- …the #19 ranked company in the country. **J** **ob Summary** The Utilization Review Nurse will evaluate medical records to determine medical necessity by applying ... using indicated protocol sets, or clinical guidelines and provide support and review of medical claims and utilization practices. Complete medical necessity and… more
- ASM Global (Sutter, CA)
- …and adhere contract agreements of pay terms, minimums, additional charges, etc. + Reviewer of late invoice payment report monthly - guide location. + Review ... - supporting location implementation, product returns, and/or external transfers. + Reviewer of inventory levels versus previous months/years with goal planning and… more
- Terracon (Sacramento, CA)
- …proposals to clients for both small and large projects including quality control review of proposals written by others. + Evaluates complex geophysical data and ... reports. + Work under the supervision of a Terracon Authorized Project Reviewer . + Begin documented mentoring and application process for Terracon Authorized Project… more
- GovCIO (Sacramento, CA)
- …The administrator will also manage Army Endpoint Security Solution (AESS) Site Reviewer activities, DISA Whitelist, and PKI Tokens. Additionally, the role involves ... analysis. + Proficiency in managing Army Endpoint Security Solution (AESS) Site Reviewer activities. + Experience with DISA Whitelist management. + Knowledge of PKI… more
- Stratolaunch, LLC (Mojave, CA)
- …and leadership to a team of engineers and specialists. Mentor junior engineers and review the work of team members to ensure technical accuracy and quality. + Lead ... and other stakeholders as aM&P subject matter expert (eg non-advocate technical reviewer , peer reviewer , proposal writing) + Collaborate with program technical… more
- Prime Healthcare (Lynwood, CA)
- …effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/236088/rn-case-manager utilization- review /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySt. Francis Medical… more
- Leprino Foods (Lemoore, CA)
- At Leprino Foods, starting compensation for this role is QE Product Review Clerk V Rate$23.78 - $27.35 (Break in rates and $0.75 cents differential pay from 6PM - ... 5:59AM applies). Summary Description: The QE Review Clerk V is responsible for shipping all Corporate and Customer samples and supporting sample pulling duties. QE… 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 (Los Angeles, CA)
- …Public Mental Health Partnership (PMHP) is seeking to hire an experienced Fidelity Review Support Analyst to play a key role in advancing statewide behavioral health ... California ACT/FACT Center of Excellence (COE). This position supports fidelity review activities, coordinates collaboration among counties and ACT/FACT teams, and… more