- 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
- 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
- STG International (Corona, CA)
- …patient safety. *Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health ... Quality Performance Improvement Team (QPIT) strategic initiatives. *Participate in review and improvement of clinical success in of areas...Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse Corps -… more
- Stantec (San Bernardino, CA)
- …training recommendations, coaching, and mentoring. - You will plan, prepare, and review technical reports or portions of larger environmental assessments. - You will ... - The role has a target 75-80% direct project utilization goal. - Occasional overnight travel may be required...Credentials You are a biologist or natural resources management specialist and have a minimum 10 years of related… more
- Citigroup (Tustin, CA)
- …the appropriate partners as necessary (eg leverage video conference for FA, mortgage specialist , etc.) + Take full ownership of clients' problems to resolve client ... digital first approach, focus on client problem resolution and effective utilization digital technologies + Resolving complex client issues or needs; connect… more