- TEKsystems (Canoga Park, CA)
- …experienced RN or LVN with an active license to join our team as a Utilization Review Nurse. In this role, you will conduct retrospective reviews of inpatient ... highly desirable). + Strong written communication and analytical skills. Position: Utilization Review Nurse Work Environment: Hybrid (onsite & remote)… more
- TEKsystems (Canoga Park, CA)
- Position: Utilization Review Nurse Work Enviroment: Hybrid work schedule Schedule: Full time position, Flexible start time of 7-8 am, 5 days x 8hrs , no ... RN or LVN with an active license to help address claims retro review . This role focuses on reviewing inpatient and outpatient claims for medical necessity… more
- TEKsystems (Canoga Park, CA)
- …Vocational Nurse (LVN) or Registered Nurse (RN) with hands-on experience in Utilization Management (UM) and a strong understanding of HMO/Medicare claims processes. ... provider and member claims for accuracy and compliance + Review and process claims in accordance with UM guidelines...RN license (California) + 2+ years of experience in Utilization Management (UM) + Hands-on experience with HMO/Medicare claims,… more
- Deloitte (Los Angeles, CA)
- …clinical registered nurse, physician, physician assistant, case manager, clinical documentation specialist , utilization review , informatics RN, Quality, DRG ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk...financial concerns and other business controversy. A Clinical Documentation Specialist (CDS) works to ensure accuracy and completeness of… more
- Battelle Memorial Institute (San Diego, CA)
- …business line is seeking a highly motivated, full-time **Senior Strength and Conditioning Specialist ** to join our team in support of our government customer, US ... support for those who serve. As a Senior Strength and Conditioning Specialist , you will contribute to impactful research and analytics that drive evidence-based… more
- Battelle Memorial Institute (San Diego, CA)
- …(HRA) business line is seeking a highly motivated, full-time **Strength and Conditioning Specialist ** to join our team in support of our government customer, US ... comprehensive support for those who serve. As a Strength and Conditioning Specialist , you will contribute to impactful research and analytics that drive… more
- Pfizer (Sacramento, CA)
- …patients. **What You Will Achieve** The Rare Cardiac, Amyloidosis Multi-disciplinary Specialist (AMS), will target health care providers (HCPs), spanning primary ... will report into the Area Business Manager (ABM). Amyloidosis Multi-disciplinary Specialist (AMS) will demonstrate strong business acumen, and an expert… more
- Battelle Memorial Institute (Oceanside, CA)
- …(HRA) business line is seeking a highly motivated, full-time **Cognitive Performance Specialist ** to join our team in support of our government customer, US ... ensuring comprehensive support for those who serve. As a Cognitive Performance Specialist , you will contribute to impactful research and analytics that drive… more
- Pfizer (Modesto, CA)
- **Internal Medicine Health & Science System Specialist - San Francisco S, CA** **ROLE SUMMARY** All over the world, Pfizer colleagues work together to positively ... and patients in this dynamic ecosystem. The Health and Science System Specialist (HSSS) is responsible for launching new products, deciding on optimal strategies… more
- J&J Family of Companies (Los Angeles, CA)
- …We are searching for the best talent for **Sr. Ultrasound Clinical Account Specialist ** to be in **Los Angeles, CA** . **About Cardiovascular** Fueled by innovation ... wellness. Learn more at https://www.jnj.com/medtech The Senior Ultrasound Clinical Account Specialist (ULS CAS) is accountable to provide technical and clinical… more
- HCA Healthcare (Campbell, CA)
- …find this opportunity compelling, we encourage you to apply for our Contract Specialist opening. We promptly review all applications. Highly qualified candidates ... worth of each individual is recognized. Submit your application for our Contract Specialist opening with HCA Healthcare today and find out what it truly means… more
- Kuehne+Nagel (Torrance, CA)
- …counts in more ways than we imagine. **** The Operational Care Specialist is responsible for managing the coordination of shipments accurately and timely, ... meeting customer transit time requirements. The Operational Care Specialist is part of a team (Operational Care Centers)...KN systems, including financial data, such as costs + Review and clarify CCL instructions if there are conflicts… more
- J&J Family of Companies (San Jose, CA)
- …**Job Description:** We are searching for the best talent for Neuroscience Sales Specialist to be in San Jose, CA. **About Neuroscience** Our expertise in Innovative ... the way. Learn more at https://www.jnj.com/innovative-medicine **The Neuroscience** **Sales Specialist ** **will:** + Drive demand generation of Spravato through… more
- Datavant (Sacramento, CA)
- …The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of admissions for medical necessity ... author appeal letter Identification of referrals to the medical director for review + Select appropriate preferred and contracted providers + Provide proper… more
- LA Care Health Plan (Los Angeles, CA)
- …by health risk assessment (HRA), risk stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health ... Care Management Specialist II, D-SNP Team (12 month Assignment) Job...to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills and training to perform… more
- Stanford University (Stanford, CA)
- Facilities Operations Specialist **University Libraries, Stanford, California, United States** Facilities Post Date Oct 14, 2025 Requisition # 107520 Stanford ... Libraries is seeking a full-time Facilities Specialist 3 to join the Facilities & Planning department. TheLibraries valuesare rooted in a commitment of mutual… more
- Cedars-Sinai (Los Angeles, CA)
- …Experience: A minimum of 5 years of experience in Acute Clinical Care, Utilization Review , Coding, or Case Management required Working knowledge of Joint ... of America's Best Hospitals. As our next Clinical Documentation Specialist , you will work under the general direction of...10457 **Working Title** : Registered Nurse - Clinical Documentation Specialist - 8 Hour Days **Department** : CSRC CDI… more
- CVS Health (Sacramento, CA)
- …We have an exciting opportunity available for highly motivated individuals as Medicare Sales Specialist . The position will be a part of a specialized team who will ... all sales presentations. + Servicing of existing members and inquiries related to utilization of their product, benefits, etc. + Cross selling applicable products to… more
- Medtronic (Northridge, CA)
- …on patient care. Medtronic is seeking a **Sr.** **Strategic Sourcing & Procurement Specialist for the Contingent Labor** category to join our Indirect Sourcing team. ... managers; staffing strategy, day-to-day supplier management / issue resolution + Review and qualify new requisitions prior to release/posting to staffing suppliers.… more
- Sedgwick (Sacramento, CA)
- …Fortune Best Workplaces in Financial Services & Insurance (Remote) EDI Support Specialist - Casualty **PRIMARY PURPOSE** **:** To identify, research, resolve, and ... Support Representatives on a variety of complex issues including expert review of International Association of Industrial Accident Boards and Commissions (IAIABC)… more