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Claims Review Nurse jobs - Los Angeles, CA

Viewing 1 - 10 of 317 jobs

  • ###RN Case Manager / Utilization Review / Full Time - New Sub-Acute Unit

    Dignity Health-california Hospital Medical Center - Los Angeles, CA

    of Science in Nursing. California licensed Registered Nurse. Must demonstrate working knowledge of applicable ... of Medicare and MediCal benefits, eligibility, and claims processing. Knowledge of HMO authorization process.

    30+ days ago from MiracleWorkers.com

  • CLINICAL CLAIMS REVIEW NURSE - COAST HEALTHCARE MANAGEMENT

    Tenet - Lakewood, CA

    Title: CLINICAL CLAIMS REVIEW NURSE - COAST HEALTHCARE MANAGEMENT Location: CA-Lakewood Other Locations: Implements and ... experience * Three to five years experience in Utilization Review, Medical Coding or Health Experience preferred *...

    20 days ago from Tenet

  • CLINICAL CLAIMS REVIEW NURSE - COAST HEALTHCARE MANAGEMENT

    Tenet Health - Lakewood, CA

    Implements and manages the Clinical Claims Review process for Coast Healthcare Management (CHM), and insures that ... experience Three to five years experience in Utilization Review, Medical Coding or Health Experience preferred...

    30+ days ago from Tenet Health

  • CLINICAL CLAIMS REVIEW NURSE - COAST HEALTHCARE MANAGEMENT

    Coast Healthcare - Lakewood, CA

    Implements and manages the Clinical Claims Review process for Coast Healthcare Management (CHM), and insures that ... experience * Three to five years experience in Utilization Review, Medical Coding or Health Experience preferred *...

    7 days ago from HealthCallings

  • CLINICAL CLAIMS REVIEW NURSE COAST HEALTHCARE MANAGEMENT

    Tenet Health - Lakewood, CA

    Description : Implements and manages the Clinical Claims Review process for Coast Healthcare Management (CHM), and ... experience Three to five years experience in Utilization Review, Medical Coding or Health Experience preferred...

    20 hours ago from nurse.com

  • RN, Clinical Claims Review

    Healthcare Partners - Torrance, CA

    RN, Clinical Claims Review Req: 12654 Department: IMCS Claims Schedule: Full Time Shift: Days Hours: Monday 7:00 a.m. to ... seeking aRN, Clinical Claims Review: Responsiblefor review, research and complete retrospective clinical claims...

    9 days ago from Healthcare Partners

  • Physician - Orthopedic Surgeon Review- PRN (232410-005)

    Concentra - Los Angeles, CA

    SUMMARY: Relying on clinical background, reviews health claims providing medical interpretation and decisions about ... Management Leave Act, Group health and workers compensation claims. -Meets regularly with Concentra Physician Review...

    30+ days ago from Concentra

  • Utilization Review Nurse – Cardiology

    New Century Health - Brea, CA

    The Utilization Review Nurse is involved with every aspect of the utilization process to include: case receipt and ... referrals, approvals and case preparation for medical review, claims review, request and review medical records.

    30+ days ago from Jobing.com

  • Utilization Review - Managed Care Nurse - (UL RN)

    Nursesrx - Pasadena, CA

    with lessons/observations learned in an effort to have claims paid first pass. Utilization review nurses assist in ... member of the hospital staff, the utilization review nurse is also responsible for: Maintaining current patient...

    4 days ago from HospitalJobsOnline

  • Physician - Orthopedics - Anestesiologist Review- PRN

    Humana - Concentra - Los Angeles, CA

    Physician - Orthopedics - Anestesiologist Review- PRN Tracking Code 232840-005 Job Description Medical Review Stream by ... Management Leave Act, Group health and workers compensation claims. -Meets regularly with Concentra Physician Review...

    30+ days ago from Humana - Concentra

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