Utilization Review Assistant

Job SummaryThe Clinical Utilization Review Specialist will be responsible for providing support services to ensure efficient authorization coordination, including registering patients, eligibility verification, scheduling patient visits, obtaining authorizations, and preparing billing data through data entry in EMR and 3rd party billing systems. The ideal...

About SCANSCAN Group is a not-for-profit organization dedicated to addressing the most pressing issues affecting older adults in the United States. As a leading expert in senior healthcare, SCAN has been a mission-driven organization for over 45 years, committed to keeping seniors healthy and independent. Our team of talented professionals is passionate...

Your RoleThe Utilization Management team at Blue Shield of CA reviews inpatient stays for our members under nationally recognized levels of care guidelines.The Senior Utilization Management Nurse will report to the Utilization Management Nurse Manager.In this role, you will be assigned a list of inpatient facilities and review clinical information provided...

Job SummaryWe are seeking a highly skilled Senior Utilization Management Nurse to join our team at Blue Shield of California. In this role, you will be responsible for reviewing medical documents and applying clinical criteria to establish the most appropriate level of care. You will also be reviewing hospital itemized bills for a comprehensive line-by-line...

Job SummaryThe Senior Utilization Management Nurse will be responsible for performing first-level determination approvals for members using BSC evidenced-based guidelines, policies, and nationally recognized clinical criteria across lines of business or for a specific line of business such as Medicare. This role requires a strong clinical judgment and...

Job SummaryMolina Healthcare seeks a skilled Medical Record Review Lead to join our team. As a key member of our Quality Improvement department, you will be responsible for conducting data collection and abstraction of medical records for HEDIS projects and other quality initiatives.Key ResponsibilitiesLead the coordination and preparation of HEDIS medical...

Job SummaryMolina Healthcare seeks a skilled Medical Record Review Lead to join our team. As a key member of our Quality Improvement department, you will be responsible for conducting data collection and abstraction of medical records for HEDIS projects, HEDIS-like projects, and supplemental data collection.The ideal candidate will have a strong background...

About the RoleCurtin Maritime Corp is seeking a highly skilled and experienced individual to join our team as a Maritime Operations Assistant. This is an exciting opportunity to work in a dynamic and growing company that values efficiency, innovation, and integrity.Key ResponsibilitiesAssist the Port Engineer in managing vessel engineers and engineering...

Job Title: RTM AdminJob Summary:Real Property Management is seeking a highly skilled and bilingual administrative assistant to join our remote team. As a key member of our team, you will be responsible for providing exceptional customer service, managing administrative tasks, and ensuring the smooth operation of our business.Key Responsibilities:Provide...

Job Summary:We are seeking a skilled Registered Nurse to join our team as a Case Manager. The ideal candidate will have experience in clinical pathways, navigation, and utilization review.Responsibilities:Manage patient care and coordinate with healthcare teamsDevelop and implement clinical pathways to improve patient outcomesConduct utilization reviews to...

Job Description:In accordance with state and federal regulations, assists the pharmacist in the practice of pharmacy. Performs various Pharmacy Department duties in accordance with Company policies and procedures.Responsibilities:Uses pharmacy systems to obtain patient and drug information and process prescriptions.Assists with and coaches pharmacy...

Job SummaryMolina Healthcare Services (HCS) works with members, providers, and multidisciplinary team members to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential.HCS staff work to ensure that patients progress toward desired...

Job Title: Legal Assistant IWe are seeking a highly skilled and experienced Legal Assistant I to join our team at the City of Long Beach. As a Legal Assistant I, you will provide administrative support to our attorneys and assist with various tasks related to legal proceedings.Key Responsibilities:Prepare and edit legal documents, including contracts,...

Job SummaryMolina Healthcare seeks a highly skilled Lead Abstractor, HEDIS/Quality Improvement to join our team. As a key member of our Quality Improvement department, you will be responsible for conducting data collection and abstraction of medical records for HEDIS projects, HEDIS-like projects, and supplemental data collection.Key...

Work with a Purpose: ABA Therapy AssistantWe are seeking a dedicated ABA Therapy Assistant to join our team at Maxim Healthcare Services in Long Beach. As a valued member of our team, you will have the opportunity to make a meaningful impact in the lives of our clients and their families.About the RoleThis is a unique opportunity to work in a rapidly growing...

Job OverviewWe are seeking a highly skilled Paralegal to join our dynamic team at Peknic, Peknic & Schaefer, LLC. The ideal candidate will have a strong background in Personal Injury and/or Insurance Defense and reside on the South Shore of Long Island or Queens. The salary will be commensurate with experience.Key Responsibilities:Conduct thorough research...

Job OverviewWe are seeking a highly skilled Medical Education Assistant Instructor to join our team at 911 Enterprises Inc.The ideal candidate will have previous experience as an EMT and be familiar with basic first responder information.Responsibilities:Manage the sign-in process for incoming studentsDeliver educational content through prerecorded...

Job Title: Assistant Operations ManagerWe are seeking an experienced Assistant Operations Manager to join our team at MV Transportation. The successful candidate will provide support, leadership, and direction to assigned operating locations to ensure delivery of annual business plans.Key Responsibilities:Manage on-time performance and driver...

Job SummaryUnder general direction, provide a variety of specialized health services to students at assigned school sites; administer first aid and CPR and screen ill or injured students in accordance with State laws and District regulations; prepare and maintain related records, files and reports; perform related duties as assigned.Key...

Career Opportunity: Executive Assistant to CEO of Retail Gas Operating CompanyWe are seeking a highly organized and experienced Executive Assistant to support the CEO of a fast-growing retail gas company in Long Beach, CA. As an Executive Assistant, you will play a crucial role in supporting the CEO in day-to-day operations.Key Responsibilities:Oversee all...