CA Utilization Review Nurse I
Rancho Cucamonga, CA · Remote
$30.64 - $45.80/hr
Knowledge of the workers' compensation claims process preferred * Knowledge of outpatient ... Remote
Quick apply
Rancho Cucamonga, CA · Remote
$30.64 - $45.80/hr
Knowledge of the workers' compensation claims process preferred * Knowledge of outpatient ... Remote
Quick apply
Rancho Cucamonga, CA · Remote
$30.64 - $45.80/hr
Knowledge of the workers' compensation claims process preferred * Knowledge of outpatient ... Remote
Brea, CA · On-site +1
$85K - $105K/yr
Analyzing and processing claims through well-developed action plans to an appropriate and timely ... Remote #LI-AM1 Qualified applicants with arrest or conviction records will be considered for ...
Brea, CA · On-site +1
$85K - $105K/yr
Analyzing and processing claims through well-developed action plans to an appropriate and timely ... Remote #LI-AM1 Qualified applicants with arrest or conviction records will be considered for ...
Brea, CA · On-site +1
$85K - $105K/yr
Analyzing and processing claims through well-developed action plans to an appropriate and timely ... Remote #LI-AM1 Qualified applicants with arrest or conviction records will be considered for ...
Brea, CA · On-site +1
$85K - $105K/yr
Analyzing and processing claims through well-developed action plans to an appropriate and timely ... Remote #LI-AM1 Qualified applicants with arrest or conviction records will be considered for ...
Brea, CA · Remote
$18 - $21/hr
Insurance Specialists are highly focused on the resolution of insurance processing errors and ... You will utilize your expertise in patient billing, claims submission, and payer guidelines ...
Brea, CA · Remote
$18 - $21/hr
Insurance Specialists are highly focused on the resolution of insurance processing errors and ... You will utilize your expertise in patient billing, claims submission, and payer guidelines ...
Brea, CA · Remote
$34 - $46/hr
We're Hiring: Senior Claims Examiner - Workers Compensation (California) This is an exciting ... and FSA Accounts - Paid Holidays, Vacation and Sick Leave - 401(k) Retirement Plan - Tuition ...
Brea, CA · Remote
$34 - $46/hr
We're Hiring: Senior Claims Examiner - Workers Compensation (California) This is an exciting ... and FSA Accounts - Paid Holidays, Vacation and Sick Leave - 401(k) Retirement Plan - Tuition ...
Brea, CA · Remote
$34 - $46/hr
We're Hiring: Senior Claims Examiner - Workers Compensation (California) This is an exciting ... and FSA Accounts - Paid Holidays, Vacation and Sick Leave - 401(k) Retirement Plan - Tuition ...
Brea, CA · Remote
$34 - $46/hr
We're Hiring: Senior Claims Examiner - Workers Compensation (California) This is an exciting ... and FSA Accounts - Paid Holidays, Vacation and Sick Leave - 401(k) Retirement Plan - Tuition ...
Brea, CA · Remote
$33.75 - $45.75/hr
We're Hiring: Senior Claims Examiner - Workers Compensation (California) This is an exciting ... and FSA Accounts - Paid Holidays, Vacation and Sick Leave - 401(k) Retirement Plan - Tuition ...
Brea, CA · Remote
$33.75 - $45.75/hr
We're Hiring: Senior Claims Examiner - Workers Compensation (California) This is an exciting ... and FSA Accounts - Paid Holidays, Vacation and Sick Leave - 401(k) Retirement Plan - Tuition ...
Brea, CA · Remote
$33.75 - $45.75/hr
We're Hiring: Senior Claims Examiner - Workers Compensation (California) This is an exciting ... and FSA Accounts - Paid Holidays, Vacation and Sick Leave - 401(k) Retirement Plan - Tuition ...
Brea, CA · Remote
$33.75 - $45.75/hr
We're Hiring: Senior Claims Examiner - Workers Compensation (California) This is an exciting ... and FSA Accounts - Paid Holidays, Vacation and Sick Leave - 401(k) Retirement Plan - Tuition ...
Brea, CA · Remote
$33.75 - $45.75/hr
We're Hiring: Senior Claims Examiner - Workers Compensation (California) This is an exciting ... and FSA Accounts - Paid Holidays, Vacation and Sick Leave - 401(k) Retirement Plan - Tuition ...
Brea, CA · Remote
$33.75 - $45.75/hr
We're Hiring: Senior Claims Examiner - Workers Compensation (California) This is an exciting ... and FSA Accounts - Paid Holidays, Vacation and Sick Leave - 401(k) Retirement Plan - Tuition ...
Brea, CA · Remote
$34 - $46/hr
We're Hiring: Senior Claims Examiner - Workers Compensation (California) This is an exciting ... and FSA Accounts - Paid Holidays, Vacation and Sick Leave - 401(k) Retirement Plan - Tuition ...
Brea, CA · Remote
$34 - $46/hr
We're Hiring: Senior Claims Examiner - Workers Compensation (California) This is an exciting ... and FSA Accounts - Paid Holidays, Vacation and Sick Leave - 401(k) Retirement Plan - Tuition ...
Pomona, CA · Remote
$250K - $350K/yr
We are seeking a Remote Medical Director for a non-clinical role focused on prior authorization and ... Participate in appeals, grievance reviews, retrospective claims reviews, and quality improvement ...
Pomona, CA · Remote
$250K - $350K/yr
We are seeking a Remote Medical Director for a non-clinical role focused on prior authorization and ... Participate in appeals, grievance reviews, retrospective claims reviews, and quality improvement ...
Pomona, CA · Remote
$250K - $350K/yr
We are seeking a Remote Medical Director for a non-clinical role focused on prior authorization and ... Participate in appeals, grievance reviews, retrospective claims reviews, and quality improvement ...
Pomona, CA · Remote
$250K - $350K/yr
We are seeking a Remote Medical Director for a non-clinical role focused on prior authorization and ... Participate in appeals, grievance reviews, retrospective claims reviews, and quality improvement ...
Pomona, CA · Remote
$250K - $350K/yr
We are seeking a Remote Medical Director for a non-clinical role focused on prior authorization and ... Participate in appeals, grievance reviews, retrospective claims reviews, and quality improvement ...
Pomona, CA · Remote
$250K - $350K/yr
We are seeking a Remote Medical Director for a non-clinical role focused on prior authorization and ... Participate in appeals, grievance reviews, retrospective claims reviews, and quality improvement ...
Pomona, CA · Remote
$250K - $350K/yr
We are seeking a Remote Medical Director for a non-clinical role focused on prior authorization and ... Participate in appeals, grievance reviews, retrospective claims reviews, and quality improvement ...
Pomona, CA · Remote
$250K - $350K/yr
We are seeking a Remote Medical Director for a non-clinical role focused on prior authorization and ... Participate in appeals, grievance reviews, retrospective claims reviews, and quality improvement ...
Victorville, CA · Remote
Comprehensive administrative support in scheduling, billing, and insurance claims processing ... remote work, we welcome you to apply. Our progressive approach to mental health care not only ...
Victorville, CA · Remote
Comprehensive administrative support in scheduling, billing, and insurance claims processing ... remote work, we welcome you to apply. Our progressive approach to mental health care not only ...
Victorville, CA · Remote
Comprehensive administrative support in scheduling, billing, and insurance claims processing ... remote work, we welcome you to apply. Our progressive approach to mental health care not only ...
Victorville, CA · Remote
Comprehensive administrative support in scheduling, billing, and insurance claims processing ... remote work, we welcome you to apply. Our progressive approach to mental health care not only ...
This full-time, remote position allows you to provide crucial support and therapy to clients facing ... Administrative support for scheduling, billing, and insurance claims processes. * Continuing ...
New
This full-time, remote position allows you to provide crucial support and therapy to clients facing ... Administrative support for scheduling, billing, and insurance claims processes. * Continuing ...
New
San Bernardino, CA · Remote
$43 - $48/hr
Utilizing the nursing process, the Case Manager will interact effectively with members, caregivers ... claims, or services from a remote setting.- Care Coordination Efficiency: Work closely with ...
Quick apply
San Bernardino, CA · Remote
$43 - $48/hr
Utilizing the nursing process, the Case Manager will interact effectively with members, caregivers ... claims, or services from a remote setting.- Care Coordination Efficiency: Work closely with ...
This full-time, remote position allows you to provide crucial support and therapy to clients facing ... Administrative support for scheduling, billing, and insurance claims processes. * Continuing ...
New
This full-time, remote position allows you to provide crucial support and therapy to clients facing ... Administrative support for scheduling, billing, and insurance claims processes. * Continuing ...
New
San Bernardino, CA · On-site +1
$43 - $48/hr
Utilizing the nursing process, the Case Manager will interact effectively with members, caregivers ... claims, or services from a remote setting. - Care Coordination Efficiency: Work closely with ...
San Bernardino, CA · On-site +1
$43 - $48/hr
Utilizing the nursing process, the Case Manager will interact effectively with members, caregivers ... claims, or services from a remote setting. - Care Coordination Efficiency: Work closely with ...
$12.28 - $13.62
2% of jobs
$13.62 - $14.96
6% of jobs
$14.96 - $16.30
9% of jobs
$17 is the 25th percentile. Wages below this are outliers.
$16.30 - $17.64
14% of jobs
$17.64 - $18.98
18% of jobs
The median wage is $19.02 / hr.
$18.98 - $20.32
17% of jobs
$21.06 is the 75th percentile. Wages above this are outliers.
$20.32 - $21.66
16% of jobs
$21.66 - $23
7% of jobs
$23 - $24.34
4% of jobs
$24.34 - $25.68
4% of jobs
$25.68 - $27.02
2% of jobs
$12
$19
$27
| Aspect | Remote Fsa Claims Processor | Remote Health Insurance Claims Processor |
|---|---|---|
| Certifications | Typically requires knowledge of FSA regulations, basic insurance processing certifications | Requires understanding of health insurance policies, claims processing certifications |
| Work Environment | Remote, administrative setting handling FSA claims | Remote, administrative setting handling health insurance claims |
| Industry Usage | Common in benefits administration, HR departments | Common in insurance companies, healthcare providers |
While both roles involve processing insurance-related claims remotely, the Remote Fsa Claims Processor specializes in flexible spending account claims, focusing on FSA-specific regulations. The Remote Health Insurance Claims Processor handles broader health insurance claims, often requiring more extensive knowledge of health policies. Both roles are remote, administrative, and industry-related, but they differ in scope and certification requirements.
For Remote Fsa Claims Processor jobs in Rancho Cucamonga, CA, the most frequently searched job titles are:
The top searched job categories for Remote Fsa Claims Processor jobs in Rancho Cucamonga, CA are:
Cities near Rancho Cucamonga, CA with the most Remote Fsa Claims Processor job openings:

$30.64 - $45.80/hr
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 9 days ago
Gathers demographic and clinical information on inpatient and outpatient treatments to support utilization review decisions.
Analyzes collected data to determine certification or denial of treatment and documents all work appropriately.
Communicates issues of concern to claims staff or customers and promotes utilization review services with stakeholders.
The Utilization Review Nurse gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and out-patient treatment, certifies the medical necessity and assigns an appropriate length of stay while supporting the goals of the Case Management department and of CorVel.
This is a remote position.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
KNOWLEDGE & SKILLS:
EDUCATION & EXPERIENCE:
PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $30.64 - $45.80 per hour
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
ABOUT CORVEL:
CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#LI-Remote