Peer Review Quality Coordinator

Position OverviewJob Title: Quality Assurance RN CoordinatorLocation: Long BeachDepartment: Quality AssuranceEmployment Type: Full-timeWork Schedule: Day ShiftCompensation: $53.97/hr - $78.24/hrAt Long Beach Memorial Medical Center, we are committed to delivering exceptional healthcare services. As a part of our nonprofit integrated health system, we value...

Job Title: Quality Review CoordinatorLocation: Long BeachDepartment: Quality AssuranceEmployment Type: Full-timeWork Schedule: Day ShiftCompensation: $53.97/hr - $78.24/hrAt Long Beach Memorial Medical Center, we are committed to delivering exceptional healthcare services and value the contributions of our team members in enhancing our innovative care...

Position Title: Trauma Services RN Coordinator Location: Long Beach, CA Department: Trauma Center Status: Full-time Shift: Days Pay Range*: $56.13/hr - $81.37/hr At MemorialCare Health System, we are committed to delivering exceptional healthcare to our communities while fostering a supportive environment for our staff. MemorialCare embodies excellence in...

Position Overview The California State University, Office of the Chancellor, is in search of a Fire Plans Examiner responsible for executing plan evaluations to guarantee adherence to fire and life safety regulations and standards as mandated by the Office of the State Fire Marshal (OSFM). This role will also ensure alignment with CSU internal...

Position Overview The California State University, Office of the Chancellor, is in search of a Fire Plans Examiner to perform comprehensive plan evaluations to ensure adherence to fire and life safety regulations and standards as mandated by the Office of the State Fire Marshal (OSFM). This role will also ensure alignment with CSU internal guidelines...

Job DescriptionTRIGO Global Quality Solutions is seeking a Quality Resident Liaison/Automotive Representative to join our team.This is a part-time position, approximately 4-5 hours per day, with a competitive hourly rate of $23-25.The successful candidate will be responsible for ensuring customer satisfaction through technical support, quality issue...

Job Summary:Saviance Technologies is seeking a highly skilled Care Review Clinician I to join our Utilization Management team. As a key member of our team, you will be responsible for conducting inpatient medical necessity and utilization reviews, ensuring our members receive appropriate care when they need it.Key Responsibilities:Conduct thorough reviews...

Job OverviewAs a key member of our clinical team, the Clinical Review Nurse Specialist is responsible for evaluating medical documentation to confirm medical necessity and the appropriate level of care. This role involves utilizing MCG/InterQual guidelines, state and federal regulations, billing, and coding standards, as well as Molina policies to ensure...

Job OverviewPosition SummaryUtilizing extensive clinical expertise, the incumbent will be responsible for evaluating documentation to confirm medical necessity and the appropriate level of care in accordance with MCG/InterQual standards, state and federal regulations, billing and coding guidelines, as well as Molina policies. This role involves validating...

Position OverviewThe Clinical Access Program's Facility Site Review team is dedicated to ensuring that all MediCal members receive access to safe and high-quality healthcare providers. The Clinical Nurse Auditor, Consultant will report directly to the Clinical Training and Auditing Manager. In this capacity, you will evaluate physical site locations to...

Position OverviewThe Clinical Access Program's Facility Site Review team is dedicated to ensuring that all MediCal members receive care from safe and high-quality providers. The Clinical Nurse Auditor, Consultant will report directly to the Clinical Training and Auditing Manager. In this capacity, you will evaluate physical site locations to confirm adequate...

Position OverviewThe Clinical Access Program's Facility Site Review team is dedicated to ensuring that all MediCal members receive care from safe and high-quality providers. The Clinical Nurse Auditor, Consultant will report directly to the Clinical Training and Auditing Manager. In this capacity, you will assess physical site locations to confirm adequate...

Position Overview:As a vital member of the Utilization Management team at Saviance Technologies, your primary responsibility will be to conduct thorough inpatient medical necessity and utilization assessments. This role is crucial in ensuring that our members receive the appropriate care they require at the right time. Key Responsibilities:Your daily...

Job OverviewAs a Clinical Review Nurse, you will leverage your clinical expertise to assess documentation for medical necessity and the appropriate level of care. Your role will involve utilizing MCG/InterQual guidelines, state and federal regulations, billing and coding standards, and Molina policies to validate medical records and claims submitted,...

TRB and Associates, Inc. is seeking a qualified and driven building plan review specialist with a valid registration as a civil, structural, mechanical, or architectural engineer (California registration preferred). The successful candidate should possess at least two years of experience in plan evaluation and/or design for commercial, industrial, and...

TRB and Associates, Inc. is seeking a qualified and driven Building Plans Review Specialist with a valid registration as a civil, structural, mechanical, or architectural engineer (California registration preferred). The successful candidate will possess at least two years of relevant experience in reviewing plans and/or design for commercial, industrial,...

TRB and Associates, Inc. is seeking a qualified and driven Plan Review Engineer with a valid registration in civil, structural, mechanical, or architectural engineering (California registration preferred). The successful candidate will possess at least two years of experience in plan evaluation and/or design for commercial, industrial, and residential...

Position OverviewThe Clinical Access Program's Facility Site Review team is dedicated to ensuring that all MediCal members receive access to safe and high-quality healthcare providers. The Clinical Nurse Auditor, Consultant will report directly to the Clinical Training and Auditing Manager. In this capacity, you will evaluate physical site locations to...

Position Overview:As a vital member of the Utilization Management team at Saviance Technologies, your primary focus will be on performing inpatient medical necessity and utilization assessments. This role is essential in ensuring that our members receive the necessary care at the right time. Key Responsibilities:Your daily responsibilities will include:...

About the RoleThe Facility Compliance Review team at Blue Shield of California reviews post-service prepayment facility claims for contract compliance, industry billing standards, medical necessity, and hospital-acquired conditions/never events. As a Utilization Management Nurse, Senior, you will report to the Senior Manager, Facility Compliance Review. In...