- Emanate Health (Covina, CA)
- …Education Requirement:** **Minimum Experience Requirement:** Minimum of three years of utilization management experience. Experience in quality - related job ... States, and the #19 ranked company in the country. **Job Summary** The Utilization Review Nurse will evaluate medical records to determine medical necessity by… more
- ICW Group (Woodland Hills, CA)
- …with providers through use of medical and disability duration guidelines, adhering to quality assurance standards. + Negotiates and coordinates a prompt return ... manages worker's compensation patient case plans with ongoing monitoring to ensure quality and appropriate service delivery of the case management process. +… more