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Document review Jobs in Berkeley, CA

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Document review • berkeley ca

Last updated: 5 hours ago

Utilization Review Nurse {167271}

A-Line Staffing Solutions LLCAlameda, CA, US
Full-time

Clinical Review Nurse - REMOTE Location: 100% Remote in California Schedule: Monday-Friday, 8:00 AM-5:00 PM Pay: $66/hr We are hiring a Clinical Review Nurse for a remote California-based opportuni... Show more

 • Promoted

Remote Personal Legal / Admin Expert - AI Trainer ($70-$90 per hour)

MercorRichmond, California, US
Remote
Part-time

What you'll do** Mercor is partnering with leading AI labs to advance frontier agent evaluations in personal legal and admin.As a Personal Legal & Admin Expert, you'll build long-horizon tasks that... Show more

Remote Cantonese Audio Generalist Evaluator Expert - AI Trainer ($50-$50 per hour)

MercorBerkeley, California, US
Remote
Full-time

Mercor is seeking a **Cantonese Audio Generalist Evaluator Expert** to contribute to a high-impact audio AI research project with a leading research lab.In this role, you will work on transcription... Show more

Document Management Sales Partner

EmplyfyChute
Part-time

We are looking for a sales partner to help businesses optimize their document and printing environments.This opportunity offers high commission rates and the flexibility to work at your own pace.Fl... Show more

Asphalt Striping

TradeJobsWorkForce94119 San Francisco, CA, US
Full-time

Asphalt Striping Laborer Job Duties: Set up, layout, stencils and measuring parking lots in compliance wit... Show more

 • Promoted

Remote Computer Science Assessment Specialist - AI Trainer ($35-$75 per hour)

MercorBerkeley, California, US
Remote
Full-time

Role Overview** We are seeking expert computer scientists to author and review high-quality academic assessment content for an AI research initiative.You will write and verify rigorous multiple-cho... Show more

Remote Galician Audio Generalist Evaluator - AI Trainer ($50-$50 per hour)

MercorOakland, California, US
Remote
Full-time

Mercor is seeking a Galician Audio Generalist Evaluator Expert to contribute to a high-impact audio AI research project with a leading research lab.In this role, you will work on transcription, ann... Show more

Associate Attorney in Oakland Lake Merritt / Grand Area

Rankin, Shuey, Ranucci, Mintz, Lampasona & ReynoldsOakland, CA, US
Full-time +1

The firm is seeking to hire an associate attorney with 2-10 years of experience preferably.The firm has a broad-based civil defense practice representing individual and entity clients in profession... Show more

Remote Galician Audio Generalist Evaluator - AI Trainer ($50-$50 per hour)

MercorBerkeley, California, US
Remote
Full-time

Mercor is seeking a Galician Audio Generalist Evaluator Expert to contribute to a high-impact audio AI research project with a leading research lab.In this role, you will work on transcription, ann... Show more

Litigation Paralegal

Law Tyme, Inc.Oakland, CA, US
Full-time

A very established California Litigation Law Firm with several offices across the State is seeking a Litigation Paralegal to work with our Litigation Practice Group.This Practice Group supports ver... Show more

LVN

Satellite Healthcare, Inc.Oakland, US
Full-time

Essential Duties and Responsibilities include the following.Other duties and tasks may be assigned.Demonstrate effective use of supplies and staff labor hours.May assist with billing log preparatio... Show more

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Compliance Consultant

KaavOakland, CA, United States
Full-time

Prepare for documents submission to regulators.Track document status and report out on status to PM. Show more

Remote Computer Science Assessment Specialist - AI Trainer ($35-$75 per hour)

MercorAlameda, California, US
Remote
Full-time

Role Overview** We are seeking expert computer scientists to author and review high-quality academic assessment content for an AI research initiative.You will write and verify rigorous multiple-cho... Show more

Senior IT Business Analyst - CC&B

Pacific Gas and Electric CompanyOakland, CA, US
Full-time

Analyzes and proposes system solutions for the Line of Business and IT organizations.Acts as a strategic partner and business liaison who understands business content, procedures, processes and sys... Show more

Remote Engineering Assessment Specialist - AI Trainer ($35-$75 per hour)

MercorBerkeley, California, US
Remote
Full-time

Role Overview** We are seeking expert engineers to author and review high-quality academic assessment content for an AI research initiative.You will write and verify rigorous multiple-choice questi... Show more

Remote Bilingual Traditional Chinese STEM Expert - AI Trainer ($38-$43 per hour)

MercorRichmond, California, US
Remote
Full-time

Mercor is seeking a **Bilingual Traditional Chinese STEM Expert who is native to Hong Kong or Taiwan**, with experience in biology / physics / chemistry theory and problem-solving, to develop and r... Show more

Remote Bilingual Traditional Chinese STEM Expert - AI Trainer ($38-$43 per hour)

MercorAlameda, California, US
Remote
Full-time

Mercor is seeking a **Bilingual Traditional Chinese STEM Expert who is native to Hong Kong or Taiwan**, with experience in biology / physics / chemistry theory and problem-solving, to develop and r... Show more

Travel Nurse RN - Utilization Review - $2,557 to $2,652 per week in Oakland, CA

TravelNurseSourceOakland, CA, US
Full-time

Registered Nurse (RN) | Utilization Review.TravelNurseSource is working with GQR Healthcare to find a qualified Utilization Review RN in Oakland, California, 94609!.Contract - W2 Case Management/Ut... Show more

 • Promoted

Quality Assurance Supervisor

Urban RemedyRichmond, CA, United States
Full-time

QUALITY ASSURANCE SUPERVISOR   Department:      Food Safety and Quality Assurance Reports To:        Manager, Food Safety and Quality Assurance Classification:    Non-exempt Direct Reports: Qu... Show more

 • Promoted
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Utilization Review Nurse {167271}

Utilization Review Nurse {167271}

A-Line Staffing Solutions LLCAlameda, CA, US
11 days ago
Job type
  • Full-time
Job description
Clinical Review Nurse - REMOTE Location: 100% Remote in California Schedule: Monday-Friday, 8:00 AM-5:00 PM Pay: $66/hr We are hiring a Clinical Review Nurse for a remote California-based opportunity focused on appeals, grievances, medical necessity review, and utilization management . This Clinical Review Nurse role is ideal for an RN with strong experience reviewing complex medical records, applying clinical guidelines, supporting accurate reimbursement decisions, and ensuring regulatory compliance in a managed care or health plan environment. If you have a background in utilization review, payment integrity, case management, InterQual, MCG, DRG validation, retrospective review, and appeals/grievances , this Clinical Review Nurse opportunity offers a strong match. Responsibilities Conduct clinical review of appeals, grievances, and disputed cases involving medical necessity and level of care Review prospective, concurrent, inpatient, and retrospective medical records Apply clinical guidelines, policy, procedures, and Evidence of Coverage benefit criteria Evaluate denied services and prepare recommendations to uphold or overturn determinations Summarize complex medical information for Medical Director and external reviewer consideration Document clinical findings, bill audit results, and case activity in tracking systems and databases Identify potential quality-of-care concerns , process gaps, and service issues Generate written correspondence for providers, members, and regulatory entities Support timely case resolution in compliance with state, federal, CMS, NCQA, and managed care requirements Collaborate with interdisciplinary teams to improve outcomes, accuracy, and operational efficiency Qualifications Active, unrestricted California RN license Minimum 3 years of acute care clinical experience Minimum 2 years of appeals and grievances casework Strong experience in utilization review, utilization management, quality management, or payment integrity Experience with medical necessity review, retrospective claims review, prior authorization, denial review, or provider disputes Working knowledge of InterQual, MCG, Medicare, Medi-Cal, managed care, NCQA, DRG validation, and regulatory compliance Strong chart review, clinical auditing, documentation, and written communication skills Comfortable working independently in a remote, high-volume clinical review environment If you are a Clinical Review Nurse with experience in appeals, grievances, utilization review, medical necessity, InterQual, MCG, case management, and managed care , apply today. *