Utilization Manager Jobs in Long Beach
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Search Results - Utilization Manager Jobs in Long Beach
Blue Shield of California-Long Beach
Your Role
The Facility Compliance Review team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events. The Utilization Management Nurse...
Long Beach
of practice and Federal and State regulations. The position’s emphasis will be on care coordination communication and collaboration with utilization management nursing physicians ancillary departments insurers and post acute service providers to progress...
icims.com -
Blue Shield of California-Long Beach
in nursing, healthcare or related field
• 3+ years managed care experience preferred
• Requires relevant behavioral health experience
• Comprehensive knowledge of case management, discharge planning, utilization management, disease management and community...
Equiliem-Orange, 26 mi from Long Beach
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 -
Blue Shield of California-Long Beach
Management. In this role you will ensure that services are provided based on standardized procedures including coordination of care with specialists, community resources. Care Managers perform a blended function of utilization management (UM) and care...
Pyramid Consulting, Inc-Los Angeles, 10 mi from Long Beach
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...
resume-library.com -
Blue Shield of California-Long Beach
or advanced degree preferred
• Comprehensive knowledge of case management, discharge planning, utilization management, disease management and community resources
• Able to operate PC-based software programs including proficiency in Word and Excel.
• Strong...
Macpower Digital Assets Edge Private Limited (MDA Edge)-Los Angeles, 10 mi from Long Beach
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...
resume-library.com -
Centene-Palos Verdes Estates, 8 mi from Long Beach
in California.
• Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.
• Performs medical review activities pertaining to utilization review, quality assurance, and medical review...
Centene-Palos Verdes Estates, 8 mi from Long Beach
in California.
• Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.
• Performs medical review activities pertaining to utilization review, quality assurance, and medical review...
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