Registered Nurse/Utilization Review Job at Emonics LLC, Beverly Hills, CA

dkVsWlR5WENRS0gwbWFodmtZMnBCL0JqL1E9PQ==
  • Emonics LLC
  • Beverly Hills, CA

Job Description

Shift: Day 5x8-Hour (08:30 - 17:00) Description: ***Hybrid/Remote*** Orientation Location: 8501 Wilshire Blvd, Beverly Hills, CA Required:

  • RN license in CA
  • 3 years of clinical experience in hospital or urgent care
  • Utilization review experience
  • Knowledge of ICD10, CPT, HCPC
  • Familiarity with HMO, PPO, POS
Preferred:
  • Managed care experience
  • Knowledge of medical management process
  • Knowledge of NCQA regulations
Position / Specialty: Outpatient/Utilization Review Years of experience REQ: 3 years First-timers accepted: Yes Weekend REQ: No Certs REQ: BLS Is on-call REQ? No Will clinician float within scope to meet facility needs? No Locals accepted: Yes Pending License accepted: No RTO Restrictions: None Hospital Highlights Type of Facility: Outpatient Charting: Epic Emonics LLC

Job Tags

Local area, Shift work, Weekend work,

Similar Jobs

Match Education

Middle School Reading Specialist (2025-2026) Job at Match Education

 ...culturally competent - are vital to our goals and mission. See our full statement on diversity here . Position : Middle School Reading Specialist Location : Boston, MA (Jamaica Plain Campus) Start date : August, 2025 OVERVIEW OF ROLE : Match Charter... 

Nightingale Nurses

Travel Infusion Services RN - PICC Specialist Job at Nightingale Nurses

 ...Travel About Nightingale Nurses the first name in travel nursing \n You may not realize it, but as an RN with real world hospital experience, you are legendary. To the lives youve helped save, the patients youve cared for, and to the hospitals where youve done... 

Lumicity

Graduate Consultant - Sales Job at Lumicity

 ...youre ready to make an impact and jumpstart your career in an exciting industry, Lumicity wants YOU as our next Graduate Sales Consultant in West Hollywood, CA! This isnt your average job its your chance to join a fast-paced, high-energy team thats connecting... 

Atlantic Coast Appliance

Appliance Installer Job at Atlantic Coast Appliance

 ...Job Description Job Description Atlantic Coast Appliance is seeking an appliance installer in the Jacksonville and Orange Park area with a minimum of 1 yr experience in delivering and installing all in home appliances. We have been established for over 25 years in... 

Mercari, inc.

Mid-career Recruiter / 中途採用担当 - Mercari Job at Mercari, inc.

 ... G SuiteGoogle Google Google Google Meet Slack Workable (ATS) LinkedIn AI(AIGemini for Google Workspace) ...