Utilization review in Anaheim, CA

Utilization Review Specialist
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We're looking for experienced Utilization Review Specialist that has worked in substance abuse industry/mental health for years. Almost 90% of our authorizations are for in network policies so we prefer someone that has experience in this field...

Utilization Review Specialist
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Description + Competitive Salary + Medical, Dental, And Vision Insurance + Acadia 401K Plan + Professional Growth + 8 Paid Holiday, Personal Time, Sick time + Opportunity for...

Healthcare - Care Review Processor I
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Position Title: Care Review Processor Location: REMOTE (Must be in EST) Pay Rate: $20.93/hr (+benefits) Assignment Length: 6-month W2 Contract Schedule:...

Director of Utilization Management
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This Jobot Job is hosted by: Kat Lawrence Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $175,000 - $190,000 per year A bit about us: We offer...

Utilization Review RN
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Overview Founded in 1926 Glendale Memorial Hospital and Health Center is a 334-bed acute care nonprofit community hospital located in Glendale California. The hospital offers a full complement of services including its award winning heart...

East Coast Utilization Review Specialist
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Newport Healthcare is a nationwide behavioral healthcare organization dedicated to transforming young lives through evidence-based care. To...

Utilization Review Case Manager - Per Diem Days
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Under general supervision, performs review of patient charts as required by the Hospitals Utilization Management Review Plan. The Utilization Review Case Manager (UR CM) validates the patient's placement to be at the most appropriate level of care...

Remote Benefits Representative
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Remote Benefits Representative American Income Life (part of Globe Life, a NASDAQ traded company) is looking for Benefit Representatives to help manage growing client needs and help provide both new and existing clients with the best...

Data Entry Clerk Work From Home - Part-Time Focus Group Participants ($750/Week)
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Seeking motivated individuals to participate in National Focus Groups and Clinical Trial studies. Earn up to $750/week in your spare time. Must register and apply to see if you qualify.

Utilization Management Rep II (US)
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WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies. Elevance Health requires a completed online application for consideration of employment for any...

TRICARE Outpatient Utilization Review Nurse
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Position: Outpatient Utilization Review Nurse 100% Remote Duration: 6 month rolling contract Hours: 9-530 (In time zone you reside in) Our client is looking for a Utilization Review Nurse to provide first level...

Appointment Specialist
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Cold call 50-100 calls per day. Contacting C level...

Utilization Review Intake Specialist
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The UR Intake Specialist provides staff support services including typing reports and correspondence, file handling and forms completion in addition to answering incoming telephone calls, supporting the goals of the Utilization Review / Case...

Call Center Rep Work From Home
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Call Center Rep Work From Home American Income Life (part of Globe Life, a NASDAQ traded company) is looking for Benefit Representatives to help manage growing client needs and help provide both new and existing clients with the best...

Utilization Review RN
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Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits...

Utilization Review Nurse (RN)
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Victor Valley Global Medical Center Victorville, CA Coordinates and reviews all medical records, as assigned to caseload Actively participates in Case Management and Treatment Team meetings...

CA Utilization Review Case Manager I
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The Utilization Review Case Manager gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and out-patient treatment, certifies the medical necessity and assigns an appropriate length of stay;...

Care Review Processor II
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Position Title: Care Review Processor Location: REMOTE Pay Rate: $23.50/hr (+benefits) Assignment Length: Schedule: Mon-Fri (830am-530pm PST) Industry:...

Care Review Processor- (Remote)
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Description Home Search Jobs Job Description Care Review Processor- (Remote) Contract: Long Beach, California, US Salary: $22.00 Per Hour Job Code: 344353 End...

Utilization Clinical Reviewer (LCSW/LMFT/LPCC/LCPC) - Remote - Must Reside in CA
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Following a 2022 merger of CNSI and Kepro, Acentra Health combines clinical services, technology solutions, and data analytics to accelerate better health outcomes. This is a great time to join our team of passionate individuals working together to...

Healthcare - Care Review Processor I
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Position Title: Care Review Processor Location: REMOTE (Must be in EST) Pay Rate: $20.93/hr (+benefits) Assignment Length: 6-month W2 Contract Schedule:...

Utilization Review Coordinator
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Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits annually. It is one...

Customer Care Advocate (Remote)
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(High Paying) Remote Sales American Income Life (part of Globe Life, a NASDAQ traded company) is looking for Benefit Representatives to help manage growing client needs and help provide both new and existing clients with the best products...

Utilization Review LPN LVN - Utilization Management
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Care Management is a collaborative practice model including the patients, nurses, social workers, physicians, other practitioners, caregivers and the community. The care management process encompasses excellent communication, both verbal and...

DIRECTOR - UTILIZATION REVIEW / MGMT
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Responsibilities River Oaks Hospital, located in metropolitan New Orleans, Louisiana, is a private psychiatric facility for adults, adolescents and children. Since 1970, River Oaks has established a tradition of excellence in the treatment...

Workers' Compensation Claim Adjuster (Remote) (California Claims)
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Overview: At CCMSI, ...

RN Case Manager/Utilization Review
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Immediate need for a talented RN Case Manager/Utilization Review. This is a 03+ Months contract opportunity with long-term potential and is located in Los Angeles, CA (Onsite) . Please review the job description below and contact me ASAP if you are...

Manager Utilization Management
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Description: Job Summary: Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center. Ensures cost effective and quality patient care by appropriate utilization of...

Customer Success Utilization Manager - San Diego, CA
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I. Job Purpose and Core Tasks The Customer Success Utilization Manager plays a critical role in managing overall success, effectiveness, and adoption of the technologies installed (hardware and software of Operation Room/Video...

Customer Success Utilization Manager - Northern California
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I. Job Purpose and Core Tasks The Customer Success Utilization Manager plays a critical role in managing overall success, effectiveness, and adoption of the technologies installed (hardware and software of Operation Room/Video...