Utilization Manager Jobs in Los Angeles
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Search Results - Utilization Manager Jobs in Los Angeles
Provider Solutions & Development-Los Angeles
Qualifications & Requirements:
• MD or DO from accredited program required
• 3+ years of medical group management experience required
• Must have working knowledge of utilization management and review essential to operations management and to clinical...
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Martin Luther King, Jr. Community Hospital-Los Angeles
POSITION SUMMARY
The RN Utilization Management (RN UM) functions as a support liaisons for a variety of UM functions which may include: the e-TAR process, denials management, and the UM process. Coordinates care submission relating to the process...
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Behavioral Health Works-Los Angeles
Associate's or Bachelor's degree in Healthcare Administration, Business Administration, Psychology, or a related field preferred.
• Minimum of 2 years of experience in healthcare authorizations, insurance verification, utilization management, or a related...
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workable.com -
Los Angeles
leadership and teamwork and collaboration skills, with a focus on exceeding client expectations
• Excellent organizational skills and a collaborative working style
• Experience in resource deployment and utilization management
• Strong interpersonal skills...
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icims.com -
Pacific Health Group-Los Angeles
improvement, utilization management, and outcome tracking for behavioral health services
• Supervise and mentor clinical staff, fostering a culture of trauma-informed, culturally responsive, high-quality care
• Manage departmental budget, productivity targets...
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workable.com -
GHR Healthcare-Long Beach, 10 mi from Los Angeles
Job Description
Physician Advisor - Physical Medicine | Long Beach, CA (On-Site)
Physician Advisor – Physical Medicine in Long Beach, CA: on-site, full-time role for MD/DO with a California license and hospital-based utilization management...
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Integrity Healthcare...-Pomona, 25 mi from Los Angeles
management teams to support high-quality, cost-effective care.
• Participate in appeals, grievance reviews, retrospective claims reviews, and quality improvement initiatives.
• Serve as a clinical resource to providers on utilization management and patient...
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Martin Luther King, Jr. Community Hospital-Pico Rivera, 9 mi from Los Angeles
POSITION SUMMARY
The RN Utilization Management (RN UM) functions as a support liaisons for a variety of UM functions which may include: the e-TAR process, denials management, and the UM process. Coordinates care submission relating to the process...
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Prime Staffing-Orange, 27 mi from Los Angeles
authorizations, and collaboration with interdisciplinary teams to optimize patient outcomes and resource utilization.
Required Qualifications
• Active Registered Nurse (RN) License
• Recent Acute Care Hospital Case Management experience
• Experience...
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Adecco-Pomona, 25 mi from Los Angeles
Utilization Management Technician (Appeals & Denials)
Are you an experienced RN with a passion for appeals, denials management, and clinical documentation? Join Adecco Healthcare and be part of a high-impact team where your expertise directly...
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adecco.com -
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