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Medical Director Utilization Review

Los Angeles,CA

3301 Medical Director Utilization Review jobs in Los Angeles,CA

New, Posted 6 hours ago
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RN- Care Review Clinician- UM/Discharge Planning (Remote- CA License Req)

Molina Healthcare

Los Angeles, CA

$30.37-$59.21/hr
RemoteUrgently Hiring

  • RN
  • License must be active and unrestricted in state of practice
  • At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience
  • Ability to prioritize and manage multiple deadlines
  • Excellent organizational, problem-solving and critical-thinking skills
  • Strong written and verbal communication skills
  • Microsoft Office suite/applicable software program(s) proficiency
SmartExplore AI is experimental.
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RN Patient Care Manager, Home Health

Accentcare

Culver City, CA

$135,000/yr
~ 16 min OnsiteEducation AssistanceHealth InsurancePaid Time OffRetirement Benefit

  • Registered nurse with current licensure to practice nursing in the practicing state.
  • Knowledge of accepted professional standards and practice, Medicare Conditions of Participation, and federal, state, and local regulatory requirements
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Medical Assistant II

Harbor Community Clinic

San Pedro, CA

~ 27 min OnsiteBilingual Preferred

  • High school diploma or equivalent
  • Graduation from an accredited medical assisting program (CAAHEP or ABHES) or equivalent training and experience
  • Minimum 3 years of progressively responsible medical assistant experience, preferably in primary care, community health, or FQHC settings
  • Current BLS certification
  • Must be legally authorized to work in the United States
  • Must successfully complete post-offer background screening and verification requirements
  • The employee is regularly required to sit; use hands to manipulate objects, tools, or controls; reach with hands and arms; and talk and hear.
  • The employee must regularly lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds.
  • The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds.
  • This is a non-exempt position, and any overtime must be approved by your supervisor in advance.
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New, Posted 1 day ago
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Advice RN - Nurse Advice Call Center

Providence Health and Services

Brea, CA

Appeals and Grievances Medical Director Reconsiderations - Remote2349628 | Cypress, California | Remote

Reliant Medical Group

Cypress, CA

Remote
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Case Manager Utilization RN

Kaiser Permanente

Los Angeles, CA

Onsite

  • Two (2) years combined RN experience in an acute care setting or case management required.
  • Completion of an accredited RN training program that allows graduates to take RN license exam.
  • Registered Nurse License (California)
  • Basic Life Support
  • Demonstrated ability to utilize/apply the general and specialized principles, practices, techniques and methods of Utilization review/management, discharge planning or case management.
  • Working knowledge of regulatory requirements and accreditation standards (TJC, Medicare, Medi-Cal, etc.).
  • Demonstrated ability to utilize written and verbal communication, interpersonal, critical thinking and problem-solving skills.
  • Demonstrated ability in planning, organizing, conflict resolution and negotiating skills.
  • Computer literacy skills required.
  • Must be able to work collaboratively with the Multidisciplinary team, multitask and in a fast pace environment.
SmartExplore AI is experimental.
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Appeals and Grievances Medical Director Reconsiderations - Remote2349628 | Cypress, California | Remote

Genoa Telepsychiatry

Cypress, CA

Remote

Appeals and Grievances Medical Director Reconsiderations - Remote2349628 | Cypress, California | Remote

UnitedHealthcare At Home

Cypress, CA

Remote
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Health Services Director - RN or LPN

Clearwater at South Bay

Torrance, CA

$95,000-$100,000/yr
~ 24 min OnsiteHealth InsurancePaid Time OffRetirement Benefit

  • RN or LPN
  • Minimum five to seven years of experience in senior living, healthcare, or related industry
  • Completion of required specialized Nursing coursework for certification or certification as an RN, LPN or LVN
  • Minimum two to three years of supervisory experience to include training and supervising staff and developing and managing a budget
  • First Aid/CPR/BLS Certification required
  • Background clearances as required by government regulations
  • Must meet health requirements, including TB
SmartExplore AI is experimental.
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New, Posted 1 day ago

Licensed Psychiatric Nurse Practitioner (Remote)

Headway

Los Angeles, CA

$196.58/hr
RemoteFlexible Schedule
  1. Los Angeles,CA Jobs
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  3. Medical Director Utilization Review Jobs

What companies are hiring Medical Director Utilization Review jobs in Los Angeles,CA?

  1. Molina Healthcare
  2. Accentcare
  3. Harbor Community Clinic
  4. Providence Health and Services
  5. Reliant Medical Group
  6. Kaiser Permanente
  7. Genoa Telepsychiatry
  8. UnitedHealthcare At Home
  9. Clearwater at South Bay
  10. Headway

What is the hourly salary range for Medical Director Utilization Review jobs in Los Angeles,CA?

The hourly salary range is $30.37 - $196.58.

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