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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
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...
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
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...
Amerit Consulting-Los Angeles, 10 mi from Long Beach
Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest health delivery systems in California, seeks an accomplished Utilization Management Coordinator...
mindmatch.ai -
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 -
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 -
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 -

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