Utilization review nurse Jobs in Huntington Beach, CA
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Utilization review nurse • huntington beach ca
Last updated: 1 day ago
Medical Authorization Assistant (Con).Our client, a leading healthcare provider based in Orange, CA, is seeking a dedicated Medical Authorization Assistant, with a background in Concurrent Review.W...Show moreLast updated: 8 days ago
Job title : Document Review Specialist.Document Review Specialist Pay : $18.Document Review Specialist Schedule : 7am-3 : 30pm Monday-Friday.
Document Review Specialist Start date : ASAP.We are seeking an...Show moreLast updated: 6 days ago
Day - 08hrs (United States of America).At CHOC, we strive to be the leading destination of children's health by providing exceptional and innovative care.
We are responsible for the overall health o...Show moreLast updated: 1 day ago
Medical Director over Utilization Management is intended to oversee the operational efficiency of the prior authorization process across the entire organization, as well as provide strategic oversi...Show moreLast updated: 30+ days ago
Humana”) offers competitive benefits that support whole-person well-being.Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while...Show moreLast updated: 30+ days ago
Medical Authorization Assistant (Con).Our client, a leading healthcare provider based in Orange, CA, is seeking a dedicated Medical Authorization Assistant, with a background in Concurrent Review.W...Show moreLast updated: 8 days ago
Job Number6888Workplace Type : Fully RemoteOrange,California.By leveraging our world-class technology platform, innovative care delivery models, deep physician partnerships and our serving heart cult...Show moreLast updated: 30+ days ago
Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Garden Grove Hospital Medical Center, a member of Prime Healthcare, offers i...Show moreLast updated: 8 days ago
Preeminent defense litigation firm with offices throughout the United States is looking for a Complex Litigation Attorney to join their team.
The position offers a flexible, hybrid working arrangeme...Show moreLast updated: 30+ days ago
Actual compensation may vary based on geographic location, work experience, skill level, and.Do you have strong customer service expertise and are you passionate about working with patients and cli...Show moreLast updated: 30+ days ago
Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
Assists the team in carrying out department re...Show moreLast updated: 30+ days ago
Nurse First is seeking a travel nurse RN Quality Assurance for a travel nursing job in Orange, California.Job Description & Requirements.
Pay package is based on 8 hour shifts and 40 hours per week ...Show moreLast updated: 8 days ago
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: 1 day ago
A facility in Santa Ana, CA is seeking its next amazing RN (Registered Nurse) to work in Case Management (Utilization Review).
Read on if this sounds like your perfect fit!.Nurses and allied healthc...Show moreLast updated: 1 day ago
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most : the chronically ill and frail.
It takes an entire team of passionate and c...Show moreLast updated: 2 days ago
Shape the drug benefit landscape-analyze and optimize medication use.Review prescribing trends and propose cost-saving alternatives.
Maintain evidence-based formularies across multiple payers.Conduc...Show moreLast updated: 1 day ago
Our client is currently seeking a.Ongoing Contract (W2, Weekly Pay, Benefits / 401K Available).Competitive and based on experience.
This job will have the following responsibilities : .The Medical Case ...Show moreLast updated: 30+ days ago
Nurse Residency - Registered Nurse at ScionHealth summary : .As a Nurse Resident, you will deliver high-quality patient care in a specialized subacute unit, focusing on chronic and critically ill pat...Show moreLast updated: 30+ days ago
The Utilization Review RN reviews client health records to ensure proper utilization of treatment resources.Coordinates and reviews all medical records, as assigned to caseload.Actively participate...Show moreLast updated: 22 days ago
Product Review Engineer - Service Engineer (Experienced or Senior).Boeing Commercial Airplanes (BCA) is looking for.Product Review Engineers - Service Engineer (Experienced or Senior).Airframe Cust...Show moreLast updated: 9 days ago
Medical Authorization Assistant (Concurrent Review)
MediabistroOrange, CA, United StatesFull-time
- Promoted
1st shift Entry Level Document Review Specialist| $18.00 hourly!| Urgently Hiring| 807695
HelpmatesSanta Ana, CA, USFull-time
- Promoted
LVN, Inpatient Utilization Review (Per Diem, Weekends)
CHOC - Children's Health Orange CountyOrange, CA, United StatesFull-time
- Promoted
Senior Medical Director, Utilization Management
Regal Medical Group, Inc.Orange, CA, USFull-time
Utilization Behavioral Health Professional
HumanaRemote, CaliforniaRemote
Full-time
Medical Authorization Assistant (Concurrent Review)
Sunshine Enterprise IncOrange, CA, United StatesFull-time
VP, Utilization Management
Alignment HealthcareOrange, California USFull-time
Medical Review Coordinator
Prime HealthcareGarden Grove, CA, USFull-time
- Promoted
Complex Litigation Associate LA / San Diego / Orange County (296 / o)
Denovo ReviewCosta Mesa, CA, USFull-time
CARE MANAGER I (RN) - PD - CARE MANAGEMENT (UTILIZATION REVIEW)
Hoag Memorial Hospital PresbyterianNewport Beach, CA, United StatesFull-time
LVN Medical Case Manager – Concurrent Review
Beacon HillOrange, CaliforniaFull-time
Travel Pediatric Risk Management Nurse - $2,555 per week
Nurse FirstOrange, USFull-time
- Promoted
Utilization Review Nurse
VirtualVocationsSanta Ana, California, United StatesPart-time
Travel Case Management (Utilization Review) RN (Registered Nurse) in Santa Ana, CA - 931504
Medical SolutionsSanta Ana, CA, USFull-time
Quick Apply
Utilization Management Coordinator, Lead (Inpatient)
Alignment Healthcare USA, LLCOrange, USFull-time
- Promoted
Utilization Review Pharmacist
Pharmacy CareersHuntington Beach, CA, USFull-time
- Promoted
Case Manager LVN (Concurrent Review)
The Judge Group Inc.Orange, CA, USFull-time
Nurse Residency - Registered Nurse
ScionHealthGarden Grove, CA, United StatesFull-time
- Promoted
Utilization Review RN - Santa Ana, CA
KPC GLOBAL MEDICAL CENTERS INC.Santa Ana, CA, USFull-time
Product Review Engineer - Service Engineer (Experienced or Senior)
BoeingCA,Seal Beach,USAPermanent +1
The average salary range is between $ 78,361 and $ 93,600 year , with the average salary hovering around $ 81,900 year .
- pediatric dentist (from $ 49,375 to $ 325,000 year)
- neurologist (from $ 150,000 to $ 250,000 year)
- electrical engineering (from $ 117,300 to $ 245,000 year)
- psychiatrist (from $ 141,917 to $ 245,000 year)
- associate dentist (from $ 173,500 to $ 237,500 year)
- care taker (from $ 27,788 to $ 224,938 year)
- records manager (from $ 52,000 to $ 222,400 year)
- proposal manager (from $ 100,000 to $ 213,700 year)
- dentist (from $ 96,486 to $ 212,500 year)
- Torrance, CA (from $ 113,516 to $ 161,500 year)
- Aurora, IL (from $ 112,609 to $ 160,160 year)
- Escondido, CA (from $ 138,528 to $ 155,636 year)
- Pasadena, CA (from $ 145,132 to $ 152,308 year)
- Pasadena, TX (from $ 145,132 to $ 152,308 year)
- Oakland, CA (from $ 127,192 to $ 150,119 year)
- Costa Mesa, CA (from $ 124,800 to $ 149,822 year)
- Grand Prairie, TX (from $ 129,467 to $ 149,630 year)
- Irvine, CA (from $ 88,618 to $ 148,096 year)
- Boston, MA (from $ 93,600 to $ 147,316 year)
The average salary range is between $ 74,831 and $ 130,383 year , with the average salary hovering around $ 89,537 year .
Medical Authorization Assistant (Concurrent Review)
MediabistroOrange, CA, United States8 days ago
Job type
- Full-time
Job descriptionHigh School diploma or equivalent 2 years of experience in a health care or managed care setting Previous medical billing and coding experience. Certified Medical Assistant (CMA) Certification Concurrent review and utilization management experience strongly preferred. Bilingual in English and in one of the following languages : Arabic, Farsi, Chinese, Korean, Spanish, or Vietnamese. Develop rapport and establish and maintain effective working relationships with leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees / coalitions. Utilize computer and appropriate software (e.g., Microsoft Office : Excel, Outlook, PowerPoint, Word) and job-specific applications / systems to produce correspondence, charts, spreadsheets and / or other information applicable to the position assignment.
Job Description
Medical Authorization Assistant (Con)
Company Overview : Our client, a leading healthcare provider based in Orange, CA, is seeking a dedicated Medical Authorization Assistant, with a background in Concurrent Review.
Position Summary : We are looking for a qualified candidate with at least 2 years of health care experience with some degree of billing and coding, and concurrent review experience.
Work Duration : Up to 6 months
Job type : On-site
Position Responsibilities
- Receives inpatient requests via fax, phone or electronically and enters data of new case information into the medical management system.
- Creates inpatient events based on facility face sheets and / or clinical received.
- Verifies member eligibility.
- Collects additional information from members and / or providers / facilities to complete prospective, concurrent or retrospective inpatient service reviews.
- Authorizes requested services according to Concurrent Review team guidelines.
- Contacts the health networks and / or CalOptima Health Customer Service department regarding health network enrollments.
- Assists the inpatient Medical Case Manager in gathering medical records, obtaining appropriate coding for diagnosis and procedures, discharge dates, dispositions and conducts follow-up phone calls per concurrent review team standards.
- Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals / priorities for the department.
- Documents all contacts and case information in the system using the standard charting format.
- Enters data into the appropriate databases for monitoring and tracking, trending of inpatient events and other relevant databases as needed.
- Completes other projects and duties as assigned.
Required Experience and Education
Preferred Qualifications
Possesses the Ability To :
Sunshine Enterprise USA is an "Equal Opportunity Employer-Minorities, Females, Veterans and Disabled Persons"
Sunshine Enterprise USA is an "Equal Opportunity Employer-Minorities, Females, Veterans and Disabled Persons"