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8 Jobs

  • Associate Medical Director - Sleep Medicine

    COSTA MESA, California
    ... services requested. Makes medical necessity determinations for grievance and appeals appropriate for ... nurse review, of sleep studies, durable medical equipment, and high-tech diagnostic imaging ...
  • Nurse Appeals (RN) CA

    COSTA MESA, California
    ... Nurse Appeals – Licensed Nurse Location: This position will work a hybrid model ... PulsePoint locations. Shift: Monday to Friday from 8:00-5:00 pm PT The **Nurse ...
  • Nurse Appeals CA

    COSTA MESA, California
    ... Nurse Appeals – Licensed Nurse Location: This position will work a hybrid model ... PulsePoint locations. Shift: Monday to Friday from 8:00-5:00 pm PT The **Nurse ...
  • Nurse Appeals (RN) CA

    COSTA MESA, California
    ... Nurse Appeals – Licensed Nurse Location: This position will work a hybrid model ... PulsePoint locations. Shift: Tuesday to Saturday from 8:00-5:00 pm PT The **Nurse ...
  • Nurse Appeals CA

    COSTA MESA, California
    ... Nurse Appeals – Licensed Nurse Location: This position will work a hybrid model ... PulsePoint locations. Shift: Monday to Friday from 8:00-5:00 pm PT The **Nurse ...
  • Medical Oncology Medical Director - Utilization Review

    Costa Mesa, California
    ... Summary:** Perform physician-level case review, following initial nurse review, of Medical Oncology regimens and supportive care. Perform physician-level case review, following initial nurse ...
  • Nurse Medical Management II

    COSTA MESA, California
    ... directors in interpreting appropriateness of care and accurate claims payment. May also manage appeals for ...
  • Nurse Appeals (RN) CA

    COSTA MESA, California
    ... Nurse Appeals – Licensed Nurse Location: *The ideal candidate must reside in the ... pm PT The Nurse Appeals is responsible for investigating and processing and medical ...