Medical Claims Review Manager jobs in Ontario, CA

Medical Claims Review Manager oversees the performance, productivity, and quality of the medical claims review staff. Responsible for hiring, training, and firing medical claims review staff. Being a Medical Claims Review Manager evaluates medical claims review processes and recommends process improvements. Serves as a technical resource for all medical review workers. Additionally, Medical Claims Review Manager typically requires an RN or BSN. Requires a bachelor's degree. Typically reports to a head of a unit/department. The Medical Claims Review Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Medical Claims Review Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2020 Salary.com)

218 Medical Claims Review Manager jobs found in Ontario, CA area

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AMBULATORY CARE MANAGEMENT NURSE, LVN
  • Network Medical Management
  • Monterey Park, CA
  • ... medical, physical and psycho-social needs. Using clinical judgement develops, modifies and assists ... Responsible for reviewing Health Plan reports/request for new members assigned to SPD, SNP and Cal ...
  • yesterday

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IT Manager / Senior Technical Manager
  • Professional Staffing Ventures
  • Rancho Cucamonga, CA
  • Functions as the IT Manager. IT Specialist Skills REQUIRED MUST-HAVES, please review before ... Salary DOE * Benefits - medical, dental, vision * 401K * Profit Sharing * Life and long term ...
  • yesterday

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Onsite Supervisor
  • PrimeSkill Staffing
  • Chino, CA
  • ... duty if necessary), manage the process of any open claims and injured employees, detailed ... Compile all information required for quarterly reviews; coordinate and schedule the quarterly ...
  • yesterday

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RN Case Manager (Telephonic)
  • A-Line Staffing Solutions
  • Monterey Park, CA
  • ... Review, Certified Case Manager, Telehealth, Nurse Navigator, CCM, HEDIS, ICU, ED, Medical Surgical, Emergency Room, Home Health, utilization management, Nurse Navigator, Admissions Nurse, Care ...
  • yesterday

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CREDENTIALING SPECIALIST
  • Network Medical Management
  • Monterey Park, CA
  • Prepare monthly reports for peer review/credentialing committee meetings * Input all credentialing ... Medical Management, Inc. (NMM) is a growing Management Services Organization (MSO) based in ...
  • 4 days ago

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AMBULATORY CARE COORDINATOR
  • Network Medical Management
  • Monterey Park, CA
  • ... Request medical records from physicians for review. -Create case (EZ-Cap/EZ-Care) -Case load ... Experienced in managed care environment to include but not limited to health plan, IPA or MSO ...
  • 6 days ago

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Case Manager - Skilled Nursing
  • Ensign Services
  • Orange, CA
  • Case Manager - Medical Patient Care Full Time The Hills Post Acute 1800 Old Tustin Avenue Santa Ana ... Review nurses' notes to determine if the care plan is being followed. Discuss problem areas with ...
  • 6 days ago

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Medical Coder - Major Medi-Cal Plan - $22/hr-$27/hr
  • MediQuest Staffing
  • Orange, CA
  • Create codes based on reviewing ICD-19, CPT, and HCPCS codes * Knowledge of Claims processes, CMS ... Our dedicated medical focus and expertise allow us to build collaborative partnerships with both ...
  • 6 days ago

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Claims Research Specialist
  • PPMC Primary Provider Management Co., Inc.
  • Corona, CA Full-Time
  • Company or Affiliated Company : PPMC Primary Provider Management Co., Inc. Location : Corona Job Title : ‚Äč Claims Resear...
  • 21 Days Ago
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Claims Examiner Workers Compensation - Ontario
  • Sedgwick
  • Ontario, CA Full-Time
  • Claims Examiner Workers Compensation IF YOU CARE, THERE'S A PLACE FOR YOU HERE For a career path that is both challengin...
  • Just Posted
Ontario is a city located in southwestern San Bernardino County, California, 35 miles (56 km) east of downtown Los Angeles and 23 miles (37 km) west of downtown San Bernardino, the county seat. Located in the western part of the Inland Empire metropolitan area, it lies just east of Los Angeles County and is part of the Greater Los Angeles Area. As of the 2010 Census, the city had a population of 163,924, up from 158,007 at the 2000 census, making it the county's fourth most populous city after San Bernardino, Fontana, and Rancho Cucamonga.[not verified in body] The city is home to the Ontario ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$93,435 to $119,130
Ontario, California area prices
were up 3.0% from a year ago