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...
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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...
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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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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 -
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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TrueCare-San Marcos (CA)
including but not limited to Remote Patient Monitoring, Transitions of Care, Utilization Management, Risk Stratification, Chronic Care Management (CCM), Enhance Care Management (ECM).
TrueCare has been a cornerstone of quality Community Health, in North San...
SGA Inc.-Los Angeles
Software Guidance & Assistance, Inc., (SGA), is searching for an Utilization Management Tech for a contract assignment with one of our premier Healthcare clients in Los Angeles, CA. (100% remote PST hours)
Responsibilities :
You will receive...
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Necnic Group Healthcare Recruitment-San Francisco
hospital utilization, transition management, and the operations of the Case Management Department to ensure effective use of resources, compliance with regulatory requirements, and timely patient throughput. This role involves leading the implementation...
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Diverse Lynx-San Francisco
Job Description: Responsible for Care Coordination and Care Transitions Planning throughout the acute care patient experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN...
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National City (CA)
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Responsibilities:
Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across...
icims.com -
Inland Empire Health Plan-Rancho Cucamonga
in a recognized specialty that includes but is not limited to Family Medicine, Internal Medicine, Pediatrics, and Emergency Medicine
• Experience in quality, care coordination, utilization management in an inpatient, ACO or FQHC environment
• Strong product...
Health Net-La Palma
and ad hoc meetings to resolve clinical issues and concerns.
• Provide people leadership, coaching and mentorship for a team of front-line medical directors including but not limited to scheduling needed Utilization Management coverage, annual goal...
3 similar jobs: Dos Palos, Topanga, Sylmar
Sharp HealthCare-San Diego
preventive and wellness programs.
• Develops and Implements health plan clinical policies, goals and objectives.
• Provides professional leadership and direction to the functions within the Medical Management Department (Utilization/Cost Management...
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Health Net-Los Angeles
and ad hoc meetings to resolve clinical issues and concerns.
• Provide people leadership, coaching and mentorship for a team of front-line medical directors including but not limited to scheduling needed Utilization Management coverage, annual goal...
Health Net-San Diego
and ad hoc meetings to resolve clinical issues and concerns.
• Provide people leadership, coaching and mentorship for a team of front-line medical directors including but not limited to scheduling needed Utilization Management coverage, annual goal...
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