Tennessee Licensed Senior Medical Reviewer
VirtualVocationsWhittier, California, United Statesjob_description.job_card.1_day_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Registered Nurse Senior Medical Reviewer (Medicare Part B).
Key Responsibilities
Lead and provide guidance to staff in specialty programs, medical review, and utilization management
Monitor workflow and assist in managing workloads and quality reviews
Ensure compliance with quality plans and participate in special projects as needed
Required Qualifications, Training, and Education
Active, unrestricted RN licensure in the United States or a compact multistate license
Associate Degree in Nursing or graduation from an accredited school of nursing
Four years of clinical experience or a combination of clinical and medical review experience totaling four years
Working knowledge of managed care and healthcare delivery systems
Proficiency in Microsoft Office software
serp_jobs.job_alerts.create_a_job
Medical Reviewer • Whittier, California, United States
Job_description.internal_linking.related_jobs
Play a key role within a world-class health system.Help ensure the delivery of safe, award-winning care and positive patient outcomes.
Make the most of your background and abilities.You can do all t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Facility in Harbor City, California.Fusion Medical Staffing is seeking a Med Surg / Tele RN for a 13-week travel assignment in Harbor City, California.
As a member of our team, you'll have the opportu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Play a key role within a world-class health system.Help ensure the delivery of safe, award-winning care and positive patient outcomes.
Make the most of your background and abilities.You can do all t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Join a mission-aligned healthcare team to improve adult and senior pt.Following the PACE model, lead a team to provide seamless primary care and customized services in Los Angeles.Lead a team of 5 ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Reimbursement Specialist is responsible for complete, timely, and accurate follow-up and collections on submitted claims to clients,.
Responsible for researching denials and rejections, settling pay...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Position Summary The Medical Records Director oversees the organization, maintenance, and protection of all resident health records in compliance with federal and state regulations, HIPAA requireme...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Stability Healthcare is seeking a local contract nurse RN Telemetry for a local contract nursing job in Upland, California.
Job Description & Requirements Specialty : Telemetry Discipline : RN Duratio...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Stability Healthcare is seeking a local contract nurse RN Telemetry for a local contract nursing job in Upland, California.
Job Description & Requirements.Stability Healthcare is looking for a T...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
In this role, you will be responsible for oversight and continuous improvement of the direct patient care provided by clinicians within the Southern California region.
Under the direction of the Chi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
We create communities where employees thrive in their work, helping our residents thrive in their homes.Atria Senior Living's family of brands has openings for individuals looking for a career with...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all.
You'll lead with purpose, breaking down barriers to innovati...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
American Traveler is seeking a travel nurse RN Med Surg for a travel nursing job in Los Angeles, California.Job Description & Requirements Specialty : Med Surg Discipline : RN Start Date : 11 / 17 / 2025 ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care.
The work you do here impacts the lives of millions of people ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
RN Clinical Director, Medical / Surgical - Telemetry, Full Time, Days.This RN Clinical Director is responsible and accountable for 24-hour operations within the assigned nursing unit(s) to include : p...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care.
The work you do here impacts the lives of millions of people ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
GLC On-The-Go is seeking a travel nurse RN Float Med Surg for a travel nursing job in Los Angeles, California.Job Description & Requirements.
RN Med Surg, Telemetry - Los Angeles, CA - 13-week contr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Medical Director physician employment in California : TBD .ElementsByTagName("script")[0]; first.Before(script, first);}.
reb2b.Board Certified or Board Eligible Medical Doctor with or w / o ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care.
The work you do here impacts the lives of millions of people ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
These are some of Skilled Wound Care's core values; we are seeking the absolute best people in healthcare to help us change the way that care is delivered.
Skilled Wound Care is looking for a.RN / L...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Prime Staffing is seeking a travel nurse RN Med Surg for a travel nursing job in Los Angeles, California.Job Description & Requirements.
Med / Surg or Telemetry required.Active State or Compact RN Lic...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
- serp_jobs.job_card.promoted
Clinical Review Specialist II (On-Site)
University of California - Los Angeles HealthSanta Monica, CA, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Med Surg / Telemetry RN
Fusion Medical StaffingHarbor City, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Clinical Review Specialist II (On-Site)
University of CaliforniaSanta Monica, CA, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medical Director- Los Angeles, California- PACE program M-F 8-5
Jackson Physician SearchLos Angeles, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Sr. Reimbursement Specialist
MDxHealthIrvine, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medical Records Director - CA
VensureLos Angeles, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Local Contract Telemetry RN - $53 per hour
Stability HealthcareUpland, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Local Contract Telemetry RN
Stability HealthcareUpland, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Senior Regional Medical Director (Orange County)
ConfidentialOrange County, CA, USserp_jobs.job_card.part_time
- serp_jobs.job_card.promoted
Med Tech
Atria Senior LivingIrvine, CA, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Regional Clinical Service Manager, CAS (Los Angeles)
Medtronic PlcLos Angeles, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Travel Med-Surg Telemetry Float RN - $2,113 per week
American TravelerTextile Finance, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Appeals Medical Director - Oncology Required - Remote
UnitedHealth GroupCypress, CA, United Statesserp_jobs.filters.remote
serp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
RN Clinical Director, Medical / Surgical - Telemetry, Full time, Days
PIH HealthWhittier, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Appeals and Grievances Medical Director - Radiology Specialty Required - Virtual
UnitedHealth GroupCypress, CA, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Med-Surg Telemetry Float RN - $2,254 per week
GLC On-The-GoLos Angeles, CA, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medical Director
KPG Provider ServicesPanorama City, California, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Appeals and Grievances Medical Director - PM&R Physician - Virtual - Remote
UnitedHealth GroupCypress, CA, United Statesserp_jobs.filters.remote
serp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
RN / LVN Regional Clinical Liaison - Los Angeles, CA
Skilled Wound CareLos Angeles, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Travel Med-Surg Telemetry Float RN - $2,117 per week
Prime StaffingLos Angeles, CA, United Statesserp_jobs.job_card.permanent