2,102 review jobs at 1,020 companies in California
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Utilization Review Coordinator
San Jose, California, United States
$195k-$249k/yr FieldTemporary
2+ YOECurrent unrestricted California RN license and two years of recent acute-care hospital nursing experience; utilization review experience is desirable.
InterQual, Milliman Care Guidelines (MCG)
2w
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Utilization Review Liaison
Fremont, California, United States
$32-$44/hr OnsiteFull Time
Coordinates insurance reviews and authorizations, submits clinical information, supports case management, obtains medical records, performs data entry, and tracks claims and denials.
1w
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Utilization Review Nurse
Bradenton or Grand Rapids or Pittsburgh or Valhalla or California
HybridFull Time
Active LPN and multistate nursing licenses required. Requires strong clinical experience, medical-record review, clinical-guideline interpretation, organization, communication, and Microsoft Office proficiency.
Microsoft Office, HIPAA, URAC
2w
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Construction Review Administrator
Mountlake Terrace or Seattle or Walnut Creek or Kirkland or Phoenix
$70k-$105k/yr OnsiteFull Time
4+ YOE4-6 years construction/construction lending/credit analysis or appraisal experience; ability to review construction and loan documents, analyze budgets and plans, and manage multiple projects.
Microsoft Outlook, Microsoft Word, Microsoft Excel, Microsoft Project
1mo
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RETECHS Senior Review Appraiser
San Francisco or Tempe or Irvine
$132k-$156k/yr HybridFull Time
8+ YOEManage commercial real estate appraisal reviews, ensure compliance with USPAP and regulations, resolve deficiencies, manage vendor panel; typically 8+ years experience, State Certified General, MAI or AI-GRS preferred, bachelor’s or equivalent.
Microsoft Office
2mo
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Utilization Review RN
Portland or Washington or Alaska or California or Montana or New Mexico or Texas
$50-$78/hr HybridPart Time, Full Time
5+ YOEBachelor's degree in nursing, or associate degree with 2+ years related experience; Oregon RN license; five years acute adult medical-surgical, utilization review, or case management experience.
1w
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Development Review Technician
Watsonville, California, United States
$31-$42/hr OnsiteFull Time
3+ YOEHigh school graduation and three years of office support experience required, preferably in a public agency. Requires a California Class C driver's license; development review experience and Spanish are desirable.
Microsoft Excel
1w
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Disciplinary Review Analyst
Sacramento County or Sacramento
$4k-$6k/mo HybridFull Time
Professional analytical experience reviewing criminal history, firearm prohibitions, disciplinary matters, licensing actions, appeals, and confidential records; requires analysis, judgment, communication, writing, and problem-solving skills.
Personal computer, Microsoft Office Forms
3w
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Utilization Review RN
Ontario, California, United States
$72k-$104k/yr OnsiteFull Time
7+ YOERequires current state RN license, BCLS/BLS (AHA), knowledge of MCG or InterQual, minimum 7 years post-graduate nursing and 3+ years utilization review experience; strong clinical judgment and computer skills.
MCG Criteria, InterQual Criteria
1mo
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Bill Review Specialist
Lake Forest, California, United States
$22-$28/hr HybridFull Time
3+ YOE3+ years workers' compensation bill review experience; knowledge of CPT, ICD-10, HCPCS; high school diploma required (associate preferred); experience with billing accuracy, fee schedules, PPO contracts, and provider appeals; Conduent Strataware preferred.
Conduent Strataware
2mo
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Clinical Review Specialist (Roseville)
Roseville, California, United States
$81k-$122k/yr OnsiteFull Time
2+ YOERN preferred; CPHQ or CPPS required; 2 years quality data abstraction; 3 years peer review/quality reporting preferred.
3w
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LVN-Peer Review Coordinator
Visalia, California, United States
$31-$46/hr OnsitePart Time
3+ YOECA LVN required, 3 years acute care experience, Cerner and Microsoft Office skills, knowledge of peer review and quality improvement preferred.
Cerner, Microsoft Office, Microsoft Word, Microsoft Excel
2mo
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Translation Review Specialist – Finnish
Finland or Sweden or Norway or United States or Canada or Australia or Minnesota or Michigan or Oregon or California or Florida
$10/hr RemoteContract
Native-level Finnish, strong reading and attention to detail, ability to follow guidelines and make consistent quality assessments; task-based review experience beneficial.
6d
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Sr Bill Review Analyst
California, United States
$20-$23/hr OnsiteFull Time
3+ YOEHigh school diploma or equivalent; 3+ years of medical bill review or coding experience; 10-key proficiency; Microsoft Word and Excel; medical terminology and CPT/ICD coding knowledge.
Medata, Microsoft Word, Microsoft Excel, CPT, ICD-9, ICD-10
1mo
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Real Estate Review Lead
Irvine or Encino
$126k-$185k/yr OnsiteFull Time
10+ YOERequires a 4-year degree, State Certified General Appraiser license, 10+ years appraising/reviewing complex multifamily or commercial properties, proficiency in Microsoft Office and DCF software, strong analytic and communication skills.
Microsoft Word, Microsoft Excel, Microsoft Outlook, DCF software
1mo
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App Review Specialist, Vietnamese Language
Sunnyvale, California, United States
OnsiteFull Time
Demonstrates critical thinking, integrity, attention to detail; reviews third-party apps to ensure user safety and developer ecosystem quality.
2mo
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Constructability Review Specialist- General
Los Angeles, California, United States
$180k-$210k/yr OnsiteFull Time
15+ YOE15 years professional experience (architecture degree plus 10 years as Construction Administrator and 5 years as Designer OR 15 years as Superintendent/Project Manager on large public/commercial projects). Bachelor\u0002s in Architecture/Engineering/Construction Management required (substitution available). Proficient in RFCs/submittal review, Blue...
Microsoft Word, Microsoft Excel, Bluebeam
2mo
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Clinical Review Nurse - Prior Authorization
Pomona, California, United States
$62k-$94k/yr OnsiteFull Time
3+ YOEActive California LVN or RN license; 3-5+ years clinical UM review; prior authorization in managed care; knowledge of MCG criteria; EZCap experience preferred; California DMHC/CMS knowledge.
EZCap, MCG guidelines
4w
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Care Review Clinician, Specialty Therapist
Jacksonville or Miami or Orlando or St Petersburg or Tampa or Long Beach
$26-$51/hr OnsiteFull Time
2+ YOE2+ years in acute care, inpatient review, prior authorization or managed care; active unrestricted OT, PT, or SLP license; BLS/CPR implied; strong organization, prioritization, and communication skills; Microsoft Office proficiency.
Microsoft Office
2mo
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New Account Review Specialist
Rosemead, California, United States
$23-$26/hr OnsiteFull Time
2+ YOEReview and verify new account documentation for regulatory and policy compliance (KYC/AML, OFAC, CIP), 2+ years deposit operations experience preferred, strong attention to detail, and Microsoft Word/Excel/Outlook proficiency.
Microsoft Word, Microsoft Excel, Microsoft Outlook
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