Utilization Manager Jobs in Los Angeles
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Search Results - Utilization Manager Jobs in Los Angeles
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...
resume-library.com -
Confidential-Los Angeles
The client is seeking a Director of Case Management to oversee all Case Management functions in the Mid-Atlantic region. This role involves leading Utilization Management, Discharge Planning, Denials Management, Medical Necessity Denials, and Care...
mindmatch.ai -
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...
resume-library.com -
Regal Medical Group-Los Angeles
Position Summary:
CQM Supervisor manages CQM non-clinical auditors to monitor the regulatory compliance and quality of process in daily Non-Clinical Utilization Management (UM) activities under supervision of manager. The Supervisor...
mindmatch.ai -
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...
resume-library.com -
Central California Alliance for Health-Los Angeles
and coordination and utilization management
Principles and practices of managed care
Tools and techniques related to data analysis, and reporting
CCS and the regulatory requirements related to CCS and the WCM program
Some knowledge of Knox Keene, Medi-Cal, Title 22...
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...
resume-library.com -
Coordinated Regional Care-Los Angeles
and aggressive quality, utilization, care management and discharge planning processes and procedures while assuring the correct charting and coding of services provided and there is measurable improvement in patient satisfaction, and outcomes.
Chief Medical...
mindmatch.ai -
Macpower Digital Assets Edge Private Limited (MDA Edge)-Los Angeles
the care they need at home.
Manages the day-to-day (large medical center-425 beds ) operations of the Utilization Management Program in the Service Area or a Medical Center. Ensures cost effective and quality patient care by appropriate utilization...
resume-library.com -
National Coalition Of Healthcare Recruiters-Los Angeles
Management (Care Coordination or Utilization Management)
Skills and Certifications:
CA RN License
2 years of Acute hospital experience
1 year of supervisory experience.
Bachelor's Degree
Compensation:
Base Salary - USD $106,995 to $172,764
Full-time...
nchcr.com -
Los Angeles
years of any individual or combined experience in Quality Assurance, Utilization Management, Case Management, and/or provider liaison duties, preferably in an HMO or Managed Care setting
• High school diploma or GED required
• Possession of an active...
icims.com -
myPlace Health-Los Angeles
Quality and Utilization Management
• Lead the way in quality improvement by collaborating with team members to implement impactful Quality and Performance Improvement Programs (QAPI).
• Monitor participant health trends like hospitalizations and emergency...
appcast.io -
Los Angeles
based products
• Proven experience successfully launching new to market specialty products and resolving difficult access challenges
• Understands utilization management tools, prior authorizations and appeals
• Account management experience preferred...
pharmiweb.jobs -
Los Angeles
Overview:
Summary:
The Utilization Analyst collaborates with Chief Medical Officer (CMO) and Director of Contracting and Managed Care to track medical management, quality management, and patient and provider grievances, and assist in delivering...
icims.com -
Los Angeles
efficient strategies which maximize quality care within the current health care environment for the identified patient population. The Case Manager I is responsible for the coordination of utilization management, discharge planning and other health care...
icims.com -
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