Utilization Manager Jobs in San Jose
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San Jose (CA)
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Search Results - Utilization Manager Jobs in San Jose
Molina Healthcare-San Jose
hospice facilities
Working knowledge of Utilization Management processes
Preferred License, Certification, Association
Active, unrestricted Certified Case Manager (CCM)
To all current Molina employees: If you are interested in applying...
International SOS Government Medical Services-San Jose
lives.
Key Responsibilities
Participate in Utilization Management/Case Management meetings to review and identify opportunities to improve treatment provided and recommend corrective action when problems exist.
Participate in the provision...
resume-library.com -
Molina Healthcare-San Jose
Education
Bachelor's Degree in Nursing
Preferred Experience
Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines.
Effective verbal and written...
San Jose
Education & Requirements
• Two (2) or more years of individual or combined experience in pharmacy, hospital, or drug benefit related quality assessment, utilization management and/or provider liaison duties OR a minimum of one (1) year Managed Care...
icims.com -
Alameda Health System-San Jose
off plans
Role Overview:
Alameda Health System is hiring The Director of Utilization Management holds a critical role encompassing operational oversight, strategic planning, compliance, and collaboration. Their responsibilities span from...
tiptopjob.com -
San Jose
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 -
PIH Health-San Jose
to implement key strategies.
Required Experience
Required:
Minimum of 3 years of Case Management/Utilization Management or Quality Management experience Minimum of 3 years leadership/management experience Knowledge and understanding of Utilization...
tiptopjob.com -
Alameda Health System-Oakland, 32 mi from San Jose
time off plans
Role Overview:
Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational oversight, strategic planning, compliance, and collaboration. Their responsibilities span from...
eTeam Inc.-Castro Valley, 25 mi from San Jose
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 the timely progression...
resume-library.com -
Diverse Lynx-San Francisco, 40 mi from San Jose
Job Description: 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...
resume-library.com -
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