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Utilization Manager Jobs in Sacramento

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Search Results - Utilization Manager Jobs in Sacramento
Talent Software Services, Inc.-Sacramento
a day off during the week. Key Responsibilities: Facilitate utilization management (UM) processes to ensure optimal patient care. Apply established criteria to evaluate the appropriateness of admission, level of care, continued hospitalization...
resume-library.com -
Sacramento
Practice Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation...
enlyte.com -
eTeam Inc.-Sacramento
Job Title: Registered Nurse - Case Manager Duration: 13 weeks Location: Sacramento, CA Shift: Day 5x8-Hour (07:00 - 15:30) Responsibilities: This position facilitates utilization management (UM) processes to support that the right care...
resume-library.com -
Blue Shield of California-Rancho Cordova, 11 mi from Sacramento
Your Role Reporting to the Sr. Director, Utilization Management, the role of the Director, Commercial Utilization Management is critical to the success of Blue Shield of California and the Utilization Management department in realizing its goals...
Rancho Cordova, 11 mi from Sacramento
Health Services Research (HSR), Utilization Management, Quality Management and various other departments, in the production of indicators and reports which incorporate measures of resource consumption (costs), clinical efficacy, and health and service...
icims.com -
Blue Shield of California-Rancho Cordova, 11 mi from Sacramento
Your Role The Utilization Management team reviews the inpatient stays for our members and correctly applies the guidelines for nationally recognized levels of care. The Utilization Management Nurse will report to the Utilization Management Nurse...
Rancho Cordova, 11 mi from Sacramento
up to or including supervisory role  •  Experience in Utilization Management Case Management or Care Coordination Managed Care is preferred Required Minimum Knowledge, Skills and Abilities:  •  Knowledge of current nursing technique, principles...
icims.com -
Blue Shield of California-Rancho Cordova, 11 mi from Sacramento
Your Role The Utilization Management Prior Authorization team accurate and timely prior authorization of designated healthcare services, continuity or care, and access to care clinical review determinations. The Utilization Management Nurse, Senior...
Blue Shield of California-Rancho Cordova, 11 mi from Sacramento
Your Role The Utilization Management Prior Authorization team ensures accurate and timely prior authorization of designated healthcare services, continuity or care, and access to care clinical review determinations. The Manager, Utilization...
Blue Shield of California-Rancho Cordova, 11 mi from Sacramento
Your Role The UM Prior Authorization team conducts medical necessity reviews for services before they are rendered. The Sr. Manager Medical and Utilization Review will report to the Director Medical and Utilization Review. In this role you...

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