Utilization Review Jobs in Irvine, CA

Job Description SummaryThe Computational Data and Sciences graduate Program Coordinator provides a broad range of administrative services to support and manage the daily operations of the computational and data science graduate programs in the Schmid College of Science & Technolog More...

The Clinical Appeals Specialist is responsible for managing client medical necessity denials for multiple service lines (Eating Disorder Treatment Substance Abuse Treatment and Mental Health Treatment) by conducting acomprehensive analytic review of clinical documentation to determine More...

The Appeals Support Representative role directly supports the Clinical Appeals Specialist in the administrative functions of Denials and Appeals within the Utilization Review Team.This is a fulltime remote position that will work Monday through Friday 8:00am4:30pm EST or 8:305:00 More...

The Clinical Appeals Specialist is responsible for managing client medical necessity denials for multiple service lines (Eating Disorder Treatment Substance Abuse Treatment and Mental Health Treatment) by conducting acomprehensive analytic review of clinical documentation to determine More...

At Amazon we believe that every day is still day one. We are working to be the most customercentric company on earth. To get there we need exceptionally talented bright and driven people. If youd like to help the Disability Leave Services (DLS) team build a bestinclass professional s More...

The Utilization Review Case Manager requires effective communication and coordination with the Director of Utilization Review insurance companies and treatment team to obtain the maximum benefits for our clients.  The Utilization Review Case Manager will submit accurate utilizati More...

The Appeals Support Representative role directly supports the Clinical Appeals Specialist in the administrative functions of Denials and Appeals within the Utilization Review Team.This is a fulltime remote position that will work Monday through Friday 8:00am4:30pm EST or 8:305:00 More...

The Clinical Appeals Specialist is responsible for managing client medical necessity denials for multiple service lines (Eating Disorder Treatment Substance Abuse Treatment and Mental Health Treatment) by conducting acomprehensive analytic review of clinical documentation to determine More...

Job SummaryAbout the RoleAlto Pharmacists work crossfunctionally across operations engineering and design teams to build a better more intuitive community pharmacy from the ground up. We focus on challenges that patients providers and payers face and find solutions that optimize exper More...

OverviewAmTrust Financial Services a fast growing commercial insurance company has a need for a Medical Case Manager RN.PRIMARY PURPOSE:To provide comprehensive quality telephonic case management to proactively drive a medically appropriate return to work through engagement with the i More...

Job SummaryAbout the RoleAlto Pharmacists work crossfunctionally across operations engineering and design teams to build a better more intuitive community pharmacy from the ground up. We focus on challenges that patients providers and payers face and find solutions that optimize exper More...

Remote: you can be based anywhere in the USAThis role will report to the Microsoft Enablement Manager AmericasHitachi Solutions is seeking a motivated detailoriented and relationshipdriven Microsoft Program Coordinator to help scale and accelerate the impact of our sales organization More...

Job DescriptionJoin the Department of Health!Were thrilled to welcome you!Weve made our application process more accessible than ever. Please take a look at our job announcement below.If you can see yourself in this role apply nowyour next opportunity awaits!This position is open to A More...

Working with UsChallenging. Meaningful. Lifechanging. Those arent words that are usually associated with a job. But working at Bristol Myers Squibb is anything but usual. Here uniquely interesting work happens every day in every department. From optimizing a production line to the lat More...

Job DescriptionJoin the Department of Health!Were thrilled to welcome you!Weve made our application process more accessible than ever. Please take a look at our job announcement below.If you can see yourself in this role apply nowyour next opportunity awaits!This position is open to A More...

Job Description SummaryThe Program Coordinator for Fraternity & Sorority Life FSL is responsible for supporting developing and managing recognized social Greeklettered fraternities and sororities and their governing councils. Reporting to the Associate Director of Student Involv More...

Partner with us in making a positive change!Join a team where your work truly matters. Were proud to have been certified as a Great Place to Work for 8 years by our own employees. We invite you to partner with us in our mission to improve mental healthcare.Job Title:AdministratorDivis More...

Engagement Type Contract Short Description Program Coordinator Division of Vital Records Complete Description As the Program Coordinator you will be responsible for assisting with the daytoday program needs of the Vital Records Data Quality team. The purpose of this position requir More...

Job Description Partnership with Children provides critical counseling schoolwide services and family and community outreach in New York City public schools most impacted by the effects of poverty and trauma so students can reach their full potential. The ideal Program Operations More...