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Part Time Insurance Utilization Review Jobs in California

Peer Review Nurse

Madera, CA ยท On-site

$46 - $61.91/hr

Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...

Peer Review Nurse

Madera, CA ยท On-site

$46 - $61.91/hr

Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...

Peer Review Nurse

Madera, CA ยท On-site

$46 - $61.91/hr

Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...

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Part Time Insurance Utilization Review information

What is the difference between Part Time Insurance Utilization Review vs Part Time Claims Reviewer?

AspectPart Time Insurance Utilization ReviewPart Time Claims Reviewer
CredentialsTypically requires insurance or healthcare-related certificationsOften requires insurance or claims processing certifications
Work EnvironmentHealthcare settings, insurance companies, or third-party administratorsInsurance companies, claims processing centers, or third-party administrators
Job FocusEvaluating medical necessity and appropriateness of servicesReviewing and processing insurance claims for accuracy and coverage

Part Time Insurance Utilization Review and Part Time Claims Reviewer roles both involve insurance industry work, but focus on different aspects. Utilization review centers on assessing medical necessity, while claims reviewers handle processing and verifying claims. Understanding these differences helps job seekers find the right fit based on their skills and interests.

What are the most commonly searched types of Insurance Utilization Review jobs in California?

The most popular types of Insurance Utilization Review jobs in California are:

What cities in California are hiring for Part Time Insurance Utilization Review jobs?

Cities in California with the most Part Time Insurance Utilization Review job openings:

PART-TIME Utilization Review Coordinator

Ventura, CA โ€ข On-site

Vista del Mar Hospital
Offices of Mental Health Practitionersย โ€ขย 201 - 500 employees

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 9 days ago


Job description

Assists the utilization review process taking on various tasks including data collection of demographic, claim and medical information; non-medical analysis; and outcomes reporting. Performs routine record keeping tasks. Provide clerical support to the department.

Requirements

High School or equivalent combination of training, education and experience.

One (1) year utilization review, chart review and/or previous experience in healthcare preferred. Computer skills, data entry and filing skills.

Benefits

At Vista del Mar Hospital, you will find yourself in a position with great growth potential. We make it a priority to provide advancement opportunities and ongoing education for our entire team, in both clinical and non-clinical roles. This helps us ensure ongoing patient safety and quality care across our facility.

Each of our professionals is compassionate and committed to the goal of excellence in the mental health care industry. Because we bring on the most reputable and experienced healthcare professionals to fill our open behavioral health jobs, our goal is to keep them long-term. This is better for patients and our own staff, as it allows everyone to feel more comfortable in their environment.

Although a mental health career with Vista del Mar can be extremely rewarding in its own right, we understand the importance of employee benefits. Vista del Mar offers the following:

  • Health Insurance
  • Vision Insurance
  • Dental Insurance
  • 401K Retirement Plan
  • Healthcare Spending Account
  • Dependent Care Spending Account
  • PTO Plan
  • Discounted Cafeteria Meal Plan
  • Life Insurance (Supplemental Life, Term and Universal plans are also available.)
  • Short and Long-Term Disability (with additional buy-in opportunities)