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Utilization review nurse Jobs in Downey, CA

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Utilization review nurse • downey ca

Last updated: 22 hours ago
  • Promoted
Utilization and Physician Review Sales

Utilization and Physician Review Sales

Ethos Risk ServicesLos Angeles, CA, US
Full-time
Ethos Risk Services is a leading insurance claims investigation and medical management company committed to providing better data that translates into better decision-making for our clients.We are ...Show moreLast updated: 30+ days ago
  • Promoted
RN Utilization Review - Lakewood - PT Days Exempt

RN Utilization Review - Lakewood - PT Days Exempt

University of California - Irvine HealthLakewood, CA, United States
Full-time
University of California, Irvine, and the only academic health system based in Orange County.UCI Health is comprised of its main campus,. UCI Health Community Network in Orange and Los Angeles count...Show moreLast updated: 13 days ago
Case Manager, RN - Utilization Review

Case Manager, RN - Utilization Review

Prime HealthcareLynwood, CA, US
Full-time +1
Francis Medical Center is one of the leading comprehensive healthcare institutions in Los Angeles.Francis provides vital healthcare services for the 700,000 adults and 300,000 children in our commu...Show moreLast updated: 30+ days ago
  • Promoted
Utilization Management Nurse

Utilization Management Nurse

Presidential Staffing Solutions, LLCLos Angeles, CA, US
Full-time
There are five new RN vacancies at the West Los Angeles VA Medical Center.HOSPITAL OPERATIONS | INPATIENT | RN | 0630-1500 | Vacant | Open. HOSPITAL OPERATIONS | INPATIENT | RN | 0630-1500 | Vacant ...Show moreLast updated: 30+ days ago
Utilization Management Nurse, Senior

Utilization Management Nurse, Senior

Blue Shield of CaliforniaHuntington Park, CA, United States
Full-time
Utilization Management Nurse, Senior at Blue Shield of California summary : .The Senior Utilization Management Nurse conducts retrospective clinical reviews of inpatient psychiatric claims to ensure ...Show moreLast updated: 11 days ago
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Manager, Utilization Review - Care Coordination Admin - Full Time 8 Hour Days (Exempt) (Non-Union)

Manager, Utilization Review - Care Coordination Admin - Full Time 8 Hour Days (Exempt) (Non-Union)

University of Southern CaliforniaLos Angeles, CA, US
Full-time
The Manager of Utilization Review provides administrative and operational support to the Director of Case Management.The Manager of Utilization Review provides direct supervision to the Utilization...Show moreLast updated: 30+ days ago
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  • New!
Utilization Review Nurse

Utilization Review Nurse

VirtualVocationsBell Gardens, California, United States
Part-time
A company is looking for a UR Nurse - contingent, remote.Key Responsibilities Conduct Behavioral Health Utilization Reviews on an as-needed basis Cover time off for full-time employees and assis...Show moreLast updated: 22 hours ago
  • Promoted
RN Utilization Review - Lakewood - PT Days Exempt

RN Utilization Review - Lakewood - PT Days Exempt

University of California, IrvineLakewood, CA, US
Full-time
University of California, Irvine, and the only academic health system based in Orange County.UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in in Ora...Show moreLast updated: 7 days ago
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Travel RN -Case Management Utilization Review

Travel RN -Case Management Utilization Review

ForhyreLos Angeles, CA, US
Full-time
Job Title : Travel RN Case Management Utilization Review.Salary Range : From $1,900 to $2,500 per week.Shift : 8-hour Day Shift (Monday to Friday). Duration : [Specify Number of Weeks] (Contract).Elitec...Show moreLast updated: 30+ days ago
Travel Nurse RN - Case Manager, Utilization Review - $2,358 per week

Travel Nurse RN - Case Manager, Utilization Review - $2,358 per week

Medical SolutionsLos Angeles, CA, USA
Full-time
Travel Nurse RN - Case Manager, Utilization Review - $2,358 per week at Medical Solutions summary : .A Travel Nurse RN specializing in Case Management and Utilization Review is sought for a 13-week a...Show moreLast updated: 30+ days ago
  • Promoted
Utilization Management Policy Initiatives Registered Nurse

Utilization Management Policy Initiatives Registered Nurse

Macpower Digital Assets EdgeLos Angeles, CA, US
Full-time
The Utilization Management Policy Initiatives Nurse RN II, under the purview the Utilization Management (UM) Department Leadership Team, is responsible for managing, reviewing, updating and creatin...Show moreLast updated: 30+ days ago
Constructability Review Specialist

Constructability Review Specialist

Enterris AssociatesLos Angeles, California, USA
Full-time +1
Title : Constructability Review Specialist.Enterris Associates is a trusted full-service consulting firm specializing in program and project management risk analysis and mitigation claims support c...Show moreLast updated: 6 days ago
Travel Utilization Review Registered Nurse - $1,868 per week

Travel Utilization Review Registered Nurse - $1,868 per week

Focus StaffLos Angeles, CA, United States
Part-time +1
Focus Staff is seeking a travel nurse RN Case Management for a travel nursing job in Torrance, California.Job Description & RequirementsSpecialty : Case ManagementDiscipline : RNStart Date : 06 / 09 / 202...Show moreLast updated: 30+ days ago
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Licensed Vocational Nurse-Utilization Managment

Licensed Vocational Nurse-Utilization Managment

Cross Country Workforce Solutions GroupMontebello, CA, US
Full-time
Full-Time Monday- Friday 8am-5pm.We’re looking for an experienced.LVN Utilization Management Nurse.Review and process authorization requests within established turnaround times.Evaluate treat...Show moreLast updated: 16 days ago
Utilization Review Specialist

Utilization Review Specialist

Willis Knighton HealthWK Medical Center
Full-time
Centralized staff located at Innovation Center in Bossier.Licensed (RN, LPN, MA) Positions Available.The primary responsibility of Utilization Review is to review medical records and prepare clinic...Show moreLast updated: 30+ days ago
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  • New!
Formulary Strategy & Utilization Review Pharmacist

Formulary Strategy & Utilization Review Pharmacist

Pharmacy CareersLos Angeles, CA, US
Full-time
Formulary Strategy & Utilization Review Pharmacist.Shape the drug benefit landscape-analyze and optimize medication use.Review prescribing trends and propose cost-saving alternatives.Maintain evide...Show moreLast updated: 22 hours ago
Licensed Vocational Nurse, Supervisor, Utilization Management

Licensed Vocational Nurse, Supervisor, Utilization Management

AltaMed Health Services CorporationMontebello, CA, United States
Full-time
If you are as passionate about helping those in need as you are about growing your career, consider AltaMed.At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrat...Show moreLast updated: 30+ days ago
Nurse, (LVN) Utilization Mngmt

Nurse, (LVN) Utilization Mngmt

AltaMedMontebello, California, CA, US
Full-time
Quick Apply
At AltaMed, we don’t just serve our communities, we are part of them.We have raised the expectations of what a community clinic can deliver because we think quality care is for everyone.And, we are...Show moreLast updated: 30+ days ago
  • Promoted
Constructability Review Specialist

Constructability Review Specialist

Avsar Construction Development, Inc.Los Angeles, CA, US
Temporary
At Avsar Construction, we are committed to delivering high-quality construction management and project execution services. We specialize in large-scale public, commercial, and educational facility p...Show moreLast updated: 1 day ago
Utilization and Physician Review Sales

Utilization and Physician Review Sales

Ethos Risk ServicesLos Angeles, CA, US
30+ days ago
Job type
  • Full-time
Job description

Job Description

Job Description

ABOUT US :

Ethos Risk Services is a leading insurance claims investigation and medical management company committed to providing better data that translates into better decision-making for our clients. We are at the forefront of innovation in our space, and our success is driven by a dynamic team passionate about delivering exceptional services to our customers.

JOB SUMMARY :

Our dynamic Ethos Medical Management division is seeking a full-time Utilization Review and Physician Review Sales Executive (REMOTE) to be pivotal in driving business growth and expanding our footprint in workers' compensation and liability medical management services. This role involves identifying new business opportunities, nurturing client relationships, and driving revenue growth. Our ideal candidate is an experienced sales professional in L1 Utilization Review and / or L2 Physical Review in workers' compensation .

KEY RESPONSIBILITIES :

  • Client Growth : Identify and pursue new business opportunities, driving growth and increasing revenue within workers' compensation.
  • Relationship Management : Serve as the primary point of contact for clients, ensuring long-term partnerships and customer satisfaction.
  • Onboarding & Implementation : Oversee the onboarding process for new clients, ensuring a smooth transition and proper setup.
  • Sales Strategy : Develop and execute action plans to target key markets and prospects.
  • Presentations & Proposals : Prepare compelling sales presentations, proposals, and contracts to secure new business.
  • Market Intelligence : Stay informed about industry trends, competitor activities, and emerging opportunities.
  • Networking & Events : Occasionally represent the company at conferences, trade shows, and networking events to increase brand awareness and business opportunities.
  • CRM Management : Maintain accurate and up-to-date records of sales activities, meetings, and progress in Salesforce.

QUALIFICATIONS :

  • Education : Bachelor's degree in a related field or equivalent work experience (preferred).
  • Experience : 2+ years of sales experience within medical management services, specifically L1 Utilization Review and L2 Physical Review (required).
  • WORKING CONDITIONS :

    This is a remote position (US hours) and requires occasional travel to meet with clients, as well as occasional overnight travel. The role involves prolonged periods of sitting, operating a computer, and communicating via phone and email. Attendance at industry events and networking functions is expected.

    Ethos Risk Services is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristic.

    Job Posted by ApplicantPro