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Medical Director Utilization Review

Los Angeles,CA

2213 Medical Director Utilization Review jobs in Los Angeles,CA

Recommended
Utilization Review RN - $2,000 per week

RADHealth+

Torrance, CA 90504

$2,000/wk
Urgently Hiring
Travel Nurse RN - Case Manager, Utilization Review - $2,893 per week

American Traveler Staffing Professionals

Glendale, CA 91222

$2,893/wk
Urgently Hiring
Travel Nurse RN - Utilization Review - $1,915 per week

Slate Healthcare

Torrance, CA 90504

$1,915/wk
Urgently Hiring
New, Posted 10 hours ago
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Site Director at Westmont Elementary School

KinderCare Education

Anaheim, CA 92801

$24.30-$34.05/hr
~ 34 min OnsiteUrgently HiringChildcare AssistanceHealth InsurancePaid Time Off

  • At least one year of teaching experience with the ability to develop, engage, and inspire a team
  • A love for children and a strong desire to make a difference every day
  • Ability to build relationships with families and staff and create a dynamic environment where play and discovery go hand-in-hand
  • Outstanding customer service skills, strong organizational skills, multi-task and manage multiple situations effectively
  • Meet state specific guidelines for the role
  • Be physically able to use a computer with basic proficiency, lift a minimum of 40 pounds, and work indoors or outdoors. Be able to assume postures in low levels to allow physical and visual contact with children, see and hear well enough to keep children safe, and engage in physical activity
  • Read, write, understand, and speak English to communicate with children and their parents in English
SmartExplore AI is experimental.
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New, Posted 10 hours ago
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Site Director at Madison Elementary School

KinderCare Education

Anaheim, CA 92804

$24.30-$34.05/hr
~ 34 min OnsiteUrgently HiringChildcare AssistanceHealth InsurancePaid Time Off

  • At least one year of teaching experience
  • The ability to develop, engage, and inspire a team
  • Meet state specific guidelines for the role
  • Be physically able to use a computer with basic proficiency
  • Lift a minimum of 40 pounds
  • Work indoors or outdoors
  • Be able to assume postures in low levels to allow physical and visual contact with children
  • See and hear well enough to keep children safe
  • Engage in physical activity
  • Read, write, understand, and speak English to communicate with children and their parents in English
SmartExplore AI is experimental.
View now
New, Posted 13 hours ago
Recommended
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Care Review Processor

Molina Healthcare

Long Beach, CA 90802

$20.34-$30.39/hr
~ 29 min OnsiteUrgently Hiring

  • At least 1 year of experience in an administrative support role, preferably within a health care environment supporting correspondence or clinical communications, or equivalent combination of relevant education and experience.
  • Strong attention to detail, and ability to work within regulatory and internal requirements for letter generation.
  • Strong organizational and time-management skills, and ability to manage multiple letter queues and deadlines.
  • Excellent verbal and written communication skills, and ability to ensure clarity and precision in all correspondence.
  • Willingness to learn and adapt to new programs, software systems, and lines of business.
  • Ability to research, obtain feedback, and integrate necessary adjustments into letters to meet quality standards.
  • Ability to manage multiple tasks simultaneously, and ensure quality and compliance in all produced correspondence.
  • Ability to maintain confidentiality and ensure compliance with all relevant guidelines, regulations, and policies in processing of clinical correspondence.
  • Ability to work effectively in a fast-paced, high-volume environment, maintain accuracy and meet deadlines.
  • Ability to collaborate effectively with team members and internal departments.
  • Basic Microsoft Office suite/applicable software program(s) proficiency.
SmartExplore AI is experimental.
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Recommended
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Case Manager Utilization RN

Kaiser Permanente

Los Angeles, CA 90027

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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New, Posted 15 hours ago
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RN- Care Review Clinician- UM/Discharge Planning (Remote- CA License Req)

Molina Healthcare

Los Angeles, CA 90071

$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.
View now
Travel RN Case Manager - $2,150 per week

AMN Healthcare Revenue Cycle

Paramount, CA 90723

$2,150/wk
Urgently Hiring
Local Contract Nurse RN - Case Management - $76 per hour

GQR Healthcare

Los Angeles, CA 90079

$76/hr
Urgently Hiring
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