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Utilization Manager Jobs in California

1 - 15 of 115
1 - 15 of 115
Search Results - Utilization Manager Jobs in California
apartmentPyramid Consulting, IncplaceSan Franciscoevent_available
Immediate need for a talented Registered Nurse – Case Manager/ Utilization Manager. This is a 03+ months contract opportunity with long-term potential and is located in San Francisco, CA (Onsite). Please review the job description below and contact...
apartmentSharp HealthCareplaceSan Diegolanguagemindmatch.aievent_available
A healthcare provider in San Diego is seeking a Licensed Vocational Nurse (LVN) to oversee comprehensive utilization management and coordinate care for members. The ideal candidate will require a California LVN license and have experience in case...
apartmentL.A. Care Health PlanplaceLos Angeleslanguageappcast.ioevent_available
A major health organization in Los Angeles is seeking a Medical Director for Utilization Management. This role requires significant clinical oversight, leadership experience, and collaboration across teams to ensure quality care and compliance...
placeRedding (CA)languageicims.comevent_available
Overview: To provide daily supervision of utilization management staff. Provide departmental leadership, support, resources and direction to staff. Assists in developing and maintaining a cohesive team with a high level of productivity, accuracy...
1 similar job: Fairfield
apartmentL.A. Care Health PlanplaceLos Angeleslanguageappcast.ioevent_available
the safety net required to achieve that purpose. Job Summary The Medical Director, Utilization Management provides clinical oversight of authorization decision making and processing, pre and post payment claims review activities, payment integrity clinical...
apartmentPro Staff Group LLCplaceSanta Claralanguagejobvertise.comevent_available
Qualifications: Basic Qualifications: Experience:  •  Three (3) or more years of experience in management /leadership in a hospital or outpatient setting.  •  Minimum three (3) years of previous experience in utilization management activities...
apartmentTenet DesertplacePalm Springs (CA)event_available
per week  •  Shift: 12 hours  •  Employment Type: Staff This position qualifies for a $20,000 Sign-On Bonus! /n SUMMARY: /n The individual in this position has overall responsibility for hospital utilization management, transition management...
apartmentBryan HealthplaceLancasterevent_available
Physician Advisor Are you an experienced MD or DO with current licensure in the state of Nebraska? Do you have EPIC or large scale EMR experience? Do you have a passion for high quality care and Utilization Management? Are you willing to learn...
apartmentTenet North CalplaceSan Ramonevent_available
Shift: 12 hours  •  Employment Type: Staff Shift: Days /n Job Type: Full Time /n The individual in this position has overall responsibility for hospital utilization management, transition management and operational management of the Case Management...
apartmentUniversity HealthplaceFair Oaks (CA)languagemindmatch.aievent_available
EDUCATION/EXPERIENCE Graduation from an accredited school of nursing, RN or LVN is required. A minimum three years of clinical nursing experience is required. Data entry, referral management, utilization management experience is required. Case Management...
apartmentProTouch StaffingplaceSan Franciscoevent_available
Job Description Job Title : Care Transitions Nurse Employment Type : Full time / Direct Hire Location : San Francisco, CA, US Remote : No We are seeking an experienced Care Transition Nurse (RN) to join a collaborative Utilization Management...
apartmentTenet DesertplacePalm Springs (CA)event_available
12 hours  •  Employment Type: Staff This position qualifies for a $20,000 Sign-On Bonus! SUMMARY: The individual in this position has overall responsibility for hospital utilization management, transition management and operational management...
apartmentJobotplaceMammoth Lakesevent_available
perks Job Details Job Details: As a Permanent Patient Access Manager, you will be reporting to the Director of Health Information Management/Utilization Management. You will provide operational and strategic leadership for all patient access services...
apartmentThe AllianceplaceLos Angeleslanguagemindmatch.aievent_available
Grievance work involves complex coordination, investigation and specific resolution within regulatory timeframes. Areas of Grievance work include: Appeals: A member complaint involving an adverse benefit determination by an Alliance Utilization Management...
2 similar jobs: San Diego, San Jose
apartmentJobotplacePorterville (CA)event_available
and spiritual health. Employee Discounts: Discounts on sports tickets, gym memberships, event tickets, and more. Job Details Job Details: As a Permanent Patient Access Manager, you will be reporting to the Director of Health Information Management/Utilization...
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