Utilization Manager Jobs in California
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Search Results - Utilization Manager Jobs in California
Karl Storz GmbH & Co. KG-El Segundo
I. Job Purpose and Core Tasks
The Customer Success Utilization Manager plays a critical role in managing overall success, effectiveness, and adoption of the technologies installed (hardware and software of Operation Room/Video installation projects...
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KARL STORZ Endoscopy - America-El Segundo
I. Job Purpose and Core Tasks
The Customer Success Utilization Manager plays a critical role in managing overall success, effectiveness, and adoption of the technologies installed (hardware and software of Operation Room/Video installation projects...
Workpath, LLC-Long Beach
To assist the Utilization Management Team in conducting chart reviews to determine the medical necessity of physical, occupational and speech therapy authorization requests. Includes process and performance improvement consulting: training, auditing...
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Welbe Health-Los Angeles
Plan Services team plays a critical role in our participant's journey and our Utilization Management team ensures we can provide timely, quality, compliant, and cost-effective care to our participants. By guiding this team, the Utilization Management RN...
Alura Workforce Solutions-Rancho Cucamonga
on UM logic and criteria including but not limited to LCD, NCD, UM manual, MCG, MDX and other establish criteria when applicable.
Technical/Clinical review of authorizations (drug and utilization management) that includes reviewing authorization, chart...
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NeueHealth-Anaheim
communicated to transition of care teams, when applicable.
• Meet or exceed productivity targets set forth
• Serve as a resource to non-clinical team members when applicable
• Adhere to the Policies and Procedures set forth by the Quality Management Committee...
Integrated Resources, Inc-Riverside
Job Description:
Job Title:
Utilization Coordinator
Department:
Utilization Management
Reports To:
Director, Utilization Management
SUMMARY: Verifies eligibility and benefits for patient services. Provides data entry and hard copy...
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UnitedHealth Group Inc.-Irvine
Registered Nurse license through the State of California
• 3+ years of care management, utilization review or discharge planning experience
Preferred Qualifications:
• Bachelor of Science in Nursing, BSN
• HMO experience
California Residents Only...
Robert Half-Monterey Park
The Utilization Management Nurse Specialist LVN promotes the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to emergent/urgent and continued stay reviews...
roberthalf.com -
L.A. Care Health Plan-Los Angeles
Authorization Technician II
Job Category: Clinical
Department: Utilization Management
Location:
Los Angeles, CA, US, 90017
Position Type: Full Time
Requisition ID: 11131
Salary Range: $47,840.00 (Min.) - $57,062.00 (Mid.) - $68,474.00 (Max...
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Pyramid Consulting-Los Angeles
leave (depending on work location).
Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
We are looking for an RN Case Manager with Utilization...
IEHP-Rancho Cucamonga
Associates degree required.
• Three (3) or more years of any individual or combined experience in quality assurance, utilization management, case management, and/or health care informatics is required.
• Experience preferably in an HMO or managed care setting...
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Community Health System - CA-Fresno
are welcome as valued members of our community.
We know that our ability to provide the h taking care of our incredible teams. Want to learn more? Click here.
Responsibilities: Responsible for various aspects of utilization management to ensure that care...
Montclair (CA)
operate a comprehensive Case Management Program. Provides leadership and supervision to case managers, social workers, case management coordinators/discharge planners, utilization review coordinators and utilization review technicians.
Assesses needs...
icims.com -
Medix™-Los Angeles
Authorization Nurse confers with Nursing Manager, VP of Clinical Policy and/or Medical Director whenever appropriate in utilization management or problem solving.
Essential Duties
• Reviews prior authorization referrals for medical necessity by:
• Exercising...
mindmatch.ai -
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