- KPMG (Los Angeles, CA)
- **Business Title:** Tax Return Reviewer , Global Mobility Services **Requisition Number:** 116898 - 8 **Function:** Tax Services **Area of Interest:** **State:** CA ... for as a firm. KPMG is currently seeking a Tax Return Reviewer , Global Mobility Services to join our Global Mobility Services (GMS)… more
- UCLA Health (Santa Monica, CA)
- …community clinics throughout Southern California. We're also home to the world-class medical research and clinical education capabilities of the David Geffen School ... of Medicine. Through the efforts of our outstanding people, we have become Los Angeles' trusted provider of exceptional, compassionate patient care. If you're looking to experience greater challenge and fulfillment in your career, you can at UCLA Health. UCLA… more
- LA Care Health Plan (Los Angeles, CA)
- …Site Review (FSR) Nurse Specialist RN II conducts Full Scope Reviews, Site Review Surveys, Medical Record Review Surveys, Specialty Site Review ... Facility Site Review Nurse Specialist RN II Job Category: Clinical...and maintain successful completion of a DHCS Certified Site Reviewer certification in order to conduct DHCS accepted audits… more
- MUFG (Los Angeles, CA)
- …3) as a participant in syndication deals. Therefore, there will be times when the reviewer will be required to review , and possibly correct, an appraisal not ... either the original appraiser or are corrected by the review appraiser. MUFG Bank may act, 1) as sole...ordered by MUFG Bank. The reviewer may not be able to discuss the appraisal… more
- The County of Los Angeles (Los Angeles, CA)
- …direction, administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one of ... of procedures for and the effective conduct of the system to review patients' medical charts to ascertain the medical necessity for services and… more
- NBC Universal (Universal City, CA)
- …tickets for more than 31,000 US movie screens; world-renowned entertainment review site, Rotten Tomatoes (https://www.rottentomatoes.com/) ; and Fandango at Home ... 250,000 new release and catalogue movies and next day TV shows. Rotten Tomatoes' Review Curators are key contributors to maintaining the Tomatometer - the score that… more
- Sedgwick (Los Angeles, CA)
- …on behalf of the Lien Resolution Unit + Handle all aspects of research, file review , and negotiation of outstanding medical lien + Prepare lien settlements + ... Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Bill Review Trainer - Hearing Specialist **PRIMARY PURPOSE** : To develop and conduct… more
- Molina Healthcare (Los Angeles, CA)
- **EMERGENCY ROOM ADMISSIONS REVIEW NURSE** **_PERMANENT SHIFT WILL BE :_** **_12 hour NIGHT SHIFT: 7:30PM (in the evening) - 08:30AM (in the morning) PACIFIC HOURS ... then on._** **_Previous experience with Emergency Room Utilization Management / Utilization Review is preferred for this role. Experience with Case Management is a… more
- Molina Healthcare (Los Angeles, CA)
- …(RN) Registered Nurse with previous experience in Hospital Acute Care, Concurrent Review / Utilization Review / Utilization Management and knowledge of Interqual ... within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional information from members or providers in… more
- UCLA Health (Los Angeles, CA)
- …UCLA Health. You will play a key part in promoting high-quality, cost-effective medical care by applying clinical acumen and applicable policies and guidelines in ... the issuance of adverse organization determinations. You will review for appropriate care and setting while working closely with denial coordinators and other staff… more
- Providence (Mission Hills, CA)
- …and concurrent utilization reviews for our LA ministries. Conduct clinical reviews and review medical records daily during admission for all payers, as required ... combined with well-developed knowledge and skills in Utilization Management, medical necessity, and patient status determination. The Utilization Management RN… more
- UCLA Health (Los Angeles, CA)
- …clear, timely communication is provided to all stakeholders. + Working closely with medical director, utilization management and quality review team to ensure ... Description As the Utilization Management & Quality Review Specialist, you will be responsible for: + Managing service requests and potential quality issue cases,… more
- Molina Healthcare (Los Angeles, CA)
- …+ Provides telephone, clerical, and data entry support for the Care Review team. + Provides computer entries of authorization request/provider inquiries, such as ... authorization requests or for additional information as requested by the Medical Director. **Job Qualifications** **Required Education** HS Diploma or GED **Required… more
- Prime Healthcare (Inglewood, CA)
- Overview At Centinela Hospital Medical Center, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a ... Prime Healthcare, a Top-15 hospital system in the United States, Centinela Hospital Medical Center is actively seeking new members to join its award-winning team!… more
- Prime Healthcare (Inglewood, CA)
- Overview At Centinela Hospital Medical Center, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a ... Prime Healthcare, a Top-15 hospital system in the United States, Centinela Hospital Medical Center is actively seeking new members to join its award-winning team!… more
- Stantec (Los Angeles, CA)
- …required for electrical engineering projects. + May periodically act as QC reviewer on projects. + Effectively delegates work to production support staff. + ... as they specifically apply to Hospitals, ambulatory surgical centers, and medical office buildings. + Familiarity with, and ability to produce, project-related… more
- Prime Healthcare (Inglewood, CA)
- …maintain and coordinate Medicaid state submission forms for presentation to on-site reviewer and files them accordingly or as per facility's procedure. Assists with ... but is not limited to, paid time off, a 401K retirement plan, medical , dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options.… more
- Stantec (Los Angeles, CA)
- …and calculations required for engineering projects. + Act as a QC reviewer on Electrical Engineering projects. Technical Leadership - approximately 10% of time ... **Benefits Summary:** Regular full-time and part-time employees have access to medical , dental, and vision plans, a wellness program, health saving accounts,… more
- AECOM (Los Angeles, CA)
- …activities. + Mentor and coach team members as required + Serve as a reviewer + Local and national travel (up to 20% of the time). **Qualifications** **Required ... of our employees. Depending on your employment status, AECOM benefits may include medical , dental, vision, life, AD&D, disability benefits, paid time off, leaves of… more
- Fresenius Medical Center (Long Beach, CA)
- **POSITION FEATURES:** This position is for a full time Medical Assistant role in our vascular surgery center. The role is full time and will work 5 days per week ... this full time role. Quarterly bonus opportunities available. Excellent benefits: Medical , dental, vision, prescription, paid maternity & paternity leave, 401K w/… more