Utilization Manager Jobs in Los Angeles
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Search Results - Utilization Manager Jobs in Los Angeles
Los Angeles
Pharmacy Utilization Management (RxUM), the Pharmacy Technician - Utilization Management (RxUM) is responsible for the technical/clinical review of the utilization management authorization request with a medication component.
Commitment to Quality...
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icims.com -
Martin Luther King, Jr. Community Hospital-Los Angeles
managing the cost of care and providing timely and accurate information to payors. The role integrates and coordinates the functions of utilization management, care progression and care transition.
The Case Manager is accountable for a designated patient...
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Los Angeles
Services is responsible for providing patient-specific medication reviews and developing recommendations for medical drug utilization management (RxUM), Medication Therapy Management (MTM), medication adherence, pharmacy clinical quality, including...
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icims.com -
Los Angeles
to utilization management, care management, quality improvement, and operational teams.
• Interpret and apply Medicaid regulations, medical policies, and nationally recognized clinical guidelines to support program compliance.
• Collaborate with clients...
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tiptopjob.com -
Los Angeles
Management
• Work closely with in and out of network hospitals, facilities, healthcare providers, and ancillary vendors to coordinate effective care for members based on MD, AMD and utilization management guidelines.
• Primary contact for intake of Letter...
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icims.com -
Los Angeles
and clinical review professionals to ensure high:quality medical necessity reviews, utilization management, and regulatory compliance. The role focuses on driving clinical quality, operational efficiency, workforce planning, budget management, and continuous...
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tiptopjob.com -
Los Angeles
Requirements
• Three (3) or more years of any individual or combined experience in Quality Assurance, Utilization Management, Case Management, provider liaison duties, and/or clinical experience in a hospital/clinical setting
• Experience preferably in an HMO...
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icims.com -
Los Angeles
evaluations.
• Conduct peer:to:peer consultations with providers and apply evidence:based clinical criteria to support appropriate testing and treatment decisions.
• Provide clinical guidance to utilization management, quality, case management, and operational...
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tiptopjob.com -
Los Angeles
determinations related to behavioral health and autism treatment services.
• Conduct peer:to:peer consultations with providers and apply evidence:based clinical criteria to support appropriate care decisions.
• Provide clinical guidance to utilization management...
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tiptopjob.com -
Los Angeles
to utilization management, quality, case management, and operational teams.
• Interpret and apply Medicaid regulations, medical policies, and rehabilitation treatment guidelines to support program compliance.
• Collaborate with clients and internal stakeholders...
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tiptopjob.com -
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