Nurse Reviewer Jobs in California
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Search Results - Nurse Reviewer Jobs in California
Bakersfield
for the denial of service and is specific to member’s condition and request.
• Provides relevant clinical information to the request and the criteria used for decision-making.
• Ensures that there is evidence that the UM nurse reviewer documented communications...
icims.com -
Kinetic Personnel Group-Ontario
Participates in medical record abstraction and accuracy validations (overreads) for HEDIS hybrid pursuit, maintaining subject matter expert status to assist other nurse reviewers.
• Maintains tracking system for regulatory changes to ensure QS management...
Kinetic Personnel Group-Orange
Current, unrestricted Licensed Vocational Nurse (LVN) license to practice in the State of California required.
• 3 years of Nursing experience required.
• 1 year as a Clinical Nurse Reviewer required.
• 1 years of Utilization Management/ Prior...
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