We interpreted Burbank, CA as Burbank, CA. Other options include: Burbank (Santa Clara County), CA
- 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
- University of Southern California (Arcadia, CA)
- …Minimum of three years' experience in clinical disciplines (RN, MD, FMG) or utilization review /case management in an acute care facility, with clinical ... and other clinical staff. + Meets established productivity targets for record review and appropriate query placement. + Demonstrates working knowledge of ICD-10 CM… 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
- 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
- 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
- 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
- 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
- TriMas Corporation (Commerce, CA)
- …of operations for tools & dies where final results have minimal or no review by others. Measures, marks and scribes metal stock for machining. Determines critical ... Impact on production is substantial either to productivity or machine/equipment utilization . Possible significant damage of tools, accessories, to machines, etc. may… more
- Cedars-Sinai (Beverly Hills, CA)
- …for medical necessity, appropriateness of care and level of care. Use evidence based review guidelines to conduct utilization review as is appropriate to ... their needs, coordinating care, communicating with health plans, including concurrent review to determine the appropriateness of services rendered and to ensure… more
- LA Care Health Plan (Los Angeles, CA)
- …and reimbursement policies within the claim adjudication process through medical record review for Payment Integrity and Utilization Management projects. The ... include inpatient, outpatient, and professional claims. Serves cross functionally with Utilization Management, Medical Directors, and other internal teams to assist… more
- Cedars-Sinai (Beverly Hills, CA)
- …for specific programs and services within it. + Manages the effective utilization of human resources and supplies within the department, including the development ... closely with the Office of Research Administration and designated Research Grant Specialist to ensure all grant awards are appropriately managed and maintained for… more
- The County of Los Angeles (Los Angeles, CA)
- …and implements the recreation therapy programs through effective and efficient utilization of subordinate staff, recreation facilities and equipment and supplies. + ... Certification -OR- Current certification to practice as a Therapeutic Recreation Specialist issued by the National Council for Therapeutic Recreation Certification.… more
- Stantec (Pasadena, 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
- University of Southern California (Los Angeles, CA)
- …and preventive maintenance procedures + Provide input to annual Performance Appraisal review for staff rotating in section. Assists in the process of commendations, ... and continuing education of staff. + Monitor space/resource requirements and utilization of outside resources. + Assures results are available within defined… more
- University of Southern California (Los Angeles, CA)
- …and preventive maintenance procedures + Provide input to annual Performance Appraisal review for staff rotating in section. Assists in the process of commendations, ... and continuing education of staff. + Monitor space/resource requirements and utilization of outside resources. + Assures results are available within defined… more
- Citigroup (Los Angeles, 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