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Part Time Insurance Utilization Review Jobs in California

Peer Review Nurse

Madera, CA

$18.50 - $23.75/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 · 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 ...

Pomona, CA Duration: 13 weeks Schedule: 08:00am - 04:30pm (Part time) Payrate : $45/hr - $55/hr on ... insurance payers or providers * Must have STRONG appeals experience

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Showing results 1-20

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:

Utilization Review Coordinator

Freemanhealth

Inglewood, CA • On-site

Part-time

Medical, Dental, Vision, Retirement, PTO

Posted 3 days ago


Job description

Our Mission

To improve the health of the communities we serve through contemporary, innovative, quality healthcare solutions.

Schedule - 30 hours/week

Remote/Hybrid

What You'll Do

Provide Utilization Review and Case Management to the Emergency Department population who present with social and or discharge needs which may prevent them from returning to their current environment. Will provide hospital wide Utilization Review and Case Management coverage as needed and time allows.

Requirements:

Current Missouri Registered Nurse, Respiratory Therapist or LPN.

If LPN, current Missouri Practical Nurse license or current Practical Nurse license from a compact state. If a compact license is held, it must be in the nurse's state of residence.
If RN, current Missouri Registered Nurse license or current Registered Nurse license from a compact state. If a compact license is held, it must be in the nurse's state of residence.

Preferred Requirements

3-5 years of total nursing experience preferred.

Freeman Perks and Programs

  • For eligible full-time and part-time employees Freeman offers a wide variety of career opportunities, a great work culture and generous benefits, most starting day one!

  • Health, vision, dental insurance

  • Retirement with employer match

  • Wellness program with discounts to Health Insurance or Cash Bonus with Participation

  • Milestone payments with longevity of employment

  • Paid time off(PTO)

  • Extended Sick pay

  • Disability pay

  • Learning Center designated only for Freeman Family members

  • Payroll deduction at different locations such as The Daily Grind, Freeman Gift Shop, Cafeteria, etc.

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