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Utilization Manager Jobs in San Jose

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Search Results - Utilization Manager Jobs in San Jose
Central California Alliance for Health-San Jose
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...
San Jose
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 -
Diverse Lynx-Castro Valley, 25 mi from San Jose
Transitions Planning throughout the acute care patient experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the timely progression and transition of patients to the appropriate...
resume-library.com -
San Jose
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 -
Diverse Lynx-Antioch, 43 mi from San Jose
Profile Summary: Responsible for Care Coordination and Care Transitions Planning throughout the acute care patient experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure...
resume-library.com -
San Jose
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 -
Macpower Digital Assets Edge Private Limited (MDA Edge)-San Ramon, 27 mi from San Jose
Job Summary: The individual in this position has overall responsibility for hospital utilization management, transition management and operational management of the Case Management Department in order to promote effective utilization of hospital...
resume-library.com -
San Jose
care OR two (2) years of case management/utilization management required. Skills & Knowledge:  •  Knowledge of workers' compensation laws and regulations  •  Knowledge of case management practice  •  Knowledge of the nature and extent of injuries, periods...
icims.com -
eTeam Inc-San Francisco, 40 mi from San Jose
week  •  Shift: 12 hours, days  •  Employment Type: Travel CA RN Licensure  •  2 years of Case Management experience  •  Utilization Management experience in working with attending physicians supporting level of care protocols About eTeam Inc eTeam...
eTeam Inc-San Francisco, 40 mi from San Jose
week  •  Shift: 8 hours, days  •  Employment Type: Travel CA RN Licensure  •  2 years of Case Management experience  •  BLS (AHA)  •  Utilization Management experience in working with attending physicians supporting level of care protocols About eTeam Inc...

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