• Utilization Review Specialist

    TEKsystems (Canoga Park, CA)
    …for a Licensed Vocational Nurse (LVN) or Registered Nurse ( RN ) with hands-on experience in Utilization Management (UM) and a strong understanding of ... Location: West Hills/Canoga Park 91305 Compensation: LVN $38-$40 hourly RN $45-$50 hourly Overview: The Retro Claims Reviewer is...provider and member claims for accuracy and compliance + Review and process claims in accordance with UM guidelines… more
    TEKsystems (12/30/25)
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  • Nurse Reviewer I (US)

    Elevance Health (Costa Mesa, CA)
    **Work location - Virtual:** This role enables associates to work virtually full -time, with the exception of required in-person training sessions, providing maximum ... CST, with a comp day during the week) The ** Nurse Reviewer I** is responsible for conducting preauthorization, out...that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or… more
    Elevance Health (01/05/26)
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  • Behavioral Health Care Manager II, UM

    Elevance Health (Cerritos, CA)
    …**Location:** California **Virtual:** This role enables associates to work virtually full -time, with the exception of required in-person training sessions (when ... outpatient professional treatment health benefits through telephonic or written review . This role is a part of the team...equivalent background. + Current active unrestricted license such as RN LCSW LMHC LPC LMFT or Clinical Psychologist to… more
    Elevance Health (01/07/26)
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  • Behavioral Health - Care Manager II

    Elevance Health (Costa Mesa, CA)
    …II** **Location:** _Virtual:_ This role enables associate to work virtually full -time, with the exception of required in-person training sessions, providing maximum ... outpatient professional treatment health benefits through telephonic or written review . **How you will make an impact:** + Uses...LPC LBA (as allowed by applicable state laws) LMFT RN or Clinical Psychologist to practice as a health… more
    Elevance Health (12/22/25)
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