Talent.com
serp_jobs.error_messages.no_longer_accepting
Utilization Review Specialist

Utilization Review Specialist

VirtualVocationsLong Beach, California, United States
job_description.job_card.30_days_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 Utilization Review Specialist.

Key Responsibilities

Review and process Independent Review (IR) requests for potential conflicts of interest

Request and organize additional medical documentation for Physician Advisors

Ensure all work meets Client, State, Federal, and URAC compliance standards

Qualifications

High school diploma or equivalent required

Minimum of 1 year in a healthcare-related setting required

Knowledge of HIPAA rules and regulations required

Prior experience in utilization review, medical management, or insurance preferred

serp_jobs.job_alerts.create_a_job

Utilization Review Specialist • Long Beach, California, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Utilization Management Nurse, Senior (Transplant)

Utilization Management Nurse, Senior (Transplant)

Blue Shield Of CaliforniaWoodland Hills, CA, United States
serp_jobs.job_card.full_time
The Utilization Management team reviews the inpatient stays for our members and correctly applies the guidelines for nationally recognized levels of care. The Utilization Management Nurse will repor...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
UM Coordinator

UM Coordinator

Advanced Medical ManagementLong Beach, CA, US
serp_jobs.job_card.full_time
Reports to Clinical Operations Manager.The Utilization Management Coordinator is responsible for processing and assisting with 80-100 authorizations per day, reviewing authorizations for accuracy s...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Restaurant Delivery

Restaurant Delivery

DoorDashAvalon, CA, US
serp_jobs.job_card.full_time +1
Why Deliver with DoorDash? DoorDash is the 1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.As a Dasher, you’ll ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Hiring Now - Work from Home - No Experience

Hiring Now - Work from Home - No Experience

OCPAAvalon, California, us
serp_jobs.filters.remote
serp_jobs.job_card.part_time +1
Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. We guarantee 15-25 hours per week with an hourly pay of bet...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
PACE UTILIZATION REVIEW SPECIALIST - RN

PACE UTILIZATION REVIEW SPECIALIST - RN

Chinatown Service CenterAlhambra, CA, US
serp_jobs.job_card.full_time
The PACE Utilization Review Specialist – RN oversees clinical utilization management for participants enrolled in the Program for All-Inclusive Care for the Elderly.The position ensures that ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Loan Review Specialist

Loan Review Specialist

Western Alliance BancorporationWestlake Village, CA, US
serp_jobs.job_card.full_time
Location : CA - Westlake Village.As a Loan Review Specialist, you'll be responsible for the pre-purchase review of Conventional, Non-Conforming, FHA, USDA, and VA loan files to ensure file contains ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Operations Specialist

Operations Specialist

AdaptHealthSanta Fe Springs, CA, US
serp_jobs.job_card.full_time
The Operations Specialist is responsible for supporting the Operations Team through multiple tasks required for the successful support of each region's individual needs. Essential Functions and Job ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Restaurant Delivery - Sign Up and Start Earning

Restaurant Delivery - Sign Up and Start Earning

DoorDashAvalon, CA, US
serp_jobs.job_card.full_time +1
Why Deliver with DoorDash? DoorDash is the 1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.As a Dasher, you’ll ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
RN Manager - Care Management

RN Manager - Care Management

Providence Health and ServicesTarzana, CA, United States
serp_jobs.job_card.full_time
RN Manager of our Care Management team at Providence Cedars-Sinai Tarzana Medical Center in Tarzana, CA.This management position is Full-Time and will work Day shifts. Providence Cedars-Sinai Tarzan...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Work From Home Product Tester – $25-$45 / hr – No Experience Needed

Work From Home Product Tester – $25-$45 / hr – No Experience Needed

OCPAAvalon, California, us
serp_jobs.filters.remote
serp_jobs.job_card.part_time +1
Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. We guarantee 15-25 hours per week with an hourly pay of bet...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Utilization Management Director

Utilization Management Director

Ami NetworkPasadena, CA, United States
serp_jobs.job_card.full_time
AMI Network is partnered with a large healthplan organization to find their next Utilization Management Director in Pasadena. Our client is a leading Health Plan + IPA that offers full-service Medic...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Delivery Driver - Sign Up and Start Earning

Delivery Driver - Sign Up and Start Earning

DoorDashAvalon, CA, US
serp_jobs.job_card.full_time +1
Why Deliver with DoorDash? DoorDash is the 1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.As a Dasher, you’ll ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Training, Quality, and Audit Specialist - Access Center - Full Time 8 Hour Days (Exempt) (Non-Union)

Training, Quality, and Audit Specialist - Access Center - Full Time 8 Hour Days (Exempt) (Non-Union)

University of Southern California (USC)Alhambra, CA, US
serp_jobs.job_card.full_time
Training And Quality Audit Specialist.The Training and Quality Audit Specialist is responsible for developing, coordinating and conducting continued education, quality assurance, and staff developm...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Mail Carrier - City - No Experience Required

Mail Carrier - City - No Experience Required

Postal Jobs ResourceAvalon, CA, United States
serp_jobs.job_card.full_time
USPS is accepting applications for City Carrier Assistants nationwide.This role ensures smooth postal operations by delivering mail efficiently. No prior experience is required, as USPS offers compr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
RN - Quality Improvement Specialist

RN - Quality Improvement Specialist

Providence Health and ServicesLong Beach, CA, US
serp_jobs.job_card.full_time
Quality Improvement Specialist at Providence Little Company of Mary Medical Center San Pedro in San Pedro, CA.This position is Full-time and will work 8-hour, Day shifts. Providence Little Company o...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Intake Specialist

Intake Specialist

AdaptHealthSanta Fe Springs, CA, US
serp_jobs.job_card.full_time
At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives out of the hospital and in their homes. We are actively recruiting in ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Patient Access Operations Strategist (Fixed Hybrid)

Patient Access Operations Strategist (Fixed Hybrid)

UCLA HealthIrwindale, CA, US
serp_jobs.job_card.full_time
UCLA Health operates over 280 outpatient clinics across Southern California, managing over 3,000,000 outpatient encounters annually and handling more than 4 million call interactions through the Pa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Curative Review Specialist

Curative Review Specialist

JobotAnaheim, CA, US
serp_jobs.job_card.full_time
Wanted : Curative Review Specialist for Global Title Company.This Jobot Job is hosted by : Stephen Niedringhaus.Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your re...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Mail Processor - No Experience Required

Mail Processor - No Experience Required

Postal Jobs ResourceAvalon, CA, United States
serp_jobs.job_card.full_time
USPS is accepting applications for PSE Mail Processing Clerks nationwide.This role is vital to ensuring the timely and accurate processing of mail. USPS provides comprehensive training to help you s...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Mail Carrier - Rural - No Experience Required

Mail Carrier - Rural - No Experience Required

Postal Jobs ResourceAvalon, CA, United States
serp_jobs.job_card.full_time
Explore a World of Career Opportunities as a Mail Carrier with USPS.USPS is accepting applications for Rural Carrier Associates nationwide. This role involves delivering and collecting mail while in...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours