Utilization Manager Jobs in California
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Search Results - Utilization Manager Jobs in California
Equiliem-Orange
for assessing the medical appropriateness, quality, and cost-effectiveness of proposed hospital/medical/surgical services in accordance with established criteria.
Position Information
Department: Utilization Management
Work Arrangement: Full Office
Duties...
resume-library.com -
Alameda Health System-Oakland
time off plans
Role Overview:
Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational oversight, strategic planning, compliance, and collaboration. Their responsibilities span from...
Pyramid Consulting, Inc-Los Angeles
Immediate need for a talented Registered Nurse Utilization Management. This is a 02+months contract opportunity with long-term potential and is located in Los Angeles, CA(Onsite). Please review the job description below and contact me ASAP if you...
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Alameda Health System-Piedmont (CA)
time off plans
Role Overview:
Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational oversight, strategic planning, compliance, and collaboration. Their responsibilities span from...
Kaiser Permanente-Los Angeles
Job Summary:
Develops, manages and directs the Utilization Management programs in a Service Area or a Medical Center. Develops and manages programs that emphasize appropriate admissions as well as concurrent and retrospective review of care.
May...
appcast.io -
Macpower Digital Assets Edge Private Limited (MDA Edge)-Los Angeles
Job Summary:
The Utilization Management Policy Initiatives Nurse RN II, under the purview the Utilization Management (UM) Department Leadership Team, is responsible for managing, reviewing, updating and creating Healthcare Services clinical...
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Blue Shield of California-Rancho Cordova
Your Role
Reporting to the Sr. Director, Utilization Management, the role of the Director, Commercial Utilization Management is critical to the success of Blue Shield of California and the Utilization Management department in realizing its goals...
Ampcus Incorporated-Los Angeles
Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team.
Job Title: Utilization Management Tech
Location(s): Los Angles...
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Blue Shield of California-Rancho Cordova
Your Role
The Utilization Management Prior Authorization team accurate and timely prior authorization of designated healthcare services, continuity or care, and access to care clinical review determinations. The Utilization Management Nurse, Senior...
Jamie Grayem-Los Angeles
Manager, Utilization Management
Los Angeles, CA, US
$165,000 $175,000 + Bonus + SIGNING BONUS + Paid Relocation
*RN Required*
Call-Rotating On-Call Weekends
Manages the day-to-day operations of the Utilization Management Program in the Service Area...
jobvertise.com -
Blue Shield of California-Rancho Cordova
Your Role
The Utilization Management team reviews the inpatient stays for our members under the guidelines for nationally recognized levels of care. The Utilization Management Nurse, Senior will report to the Utilization Management Nurse Manager...
Emonics, LLC-San Francisco
Requirements:
• CA RN Licensure
• 2 years of Case Management experience
• BLS (AHA)
• Utilization Management experience in working with attending physicians supporting level of care protocols
Shift: 5 x 8 Days 0800-1630; weekend rotation/call as needed...
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Blue Shield of California-Rancho Cordova
Your Role
The Utilization Management Prior Authorization team ensures accurate and timely prior authorization of designated healthcare services, continuity or care, and access to care clinical review determinations. The Manager, Utilization...
Chino
Knowledge in discharge planning/utilization management/case management terminology and functions, in both managed care and non-managed care environments.
2. Active state LVN license required upon hire and maintain current.
3. Current BCLS (AHA) or (ARC)...
icims.com -
Vista del Mar Hospital - Behavioral Health-Ventura
Experience*
RN, MSW, LCSW, MFT, LVN or LPT with at least (3) years of direct clinical experience in psychiatric or behavioral health treatment setting. Outpatient clinical experience highly desirable. Utilization Management/UR or insurance case management...
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