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
care experience preferred
• Bachelor of Science in Nursing or advanced degree preferred
• Requires relevant behavioral health experience
• Comprehensive knowledge of case management, discharge planning, utilization management, disease management...
Robert Half-Long Beach
to providers and following up accordingly
• Notify internal stakeholders about newly executed agreements
• Update and maintain the contract database and EZ-Cap
• Handle member LOAs requested by the Utilization Management department
• Communicate with internal...
roberthalf.com -
Blue Shield of California-Long Beach
of Care 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)...
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 -
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...
Ampcus Incorporated-Los Angeles, 10 mi from Long Beach
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...
resume-library.com -
Jamie Grayem-Los Angeles, 10 mi from Long Beach
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 -
SGA Inc.-Los Angeles, 10 mi from Long Beach
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...
resume-library.com -
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