Utilization Manager Jobs in Los Angeles
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Search Results - Utilization Manager Jobs in Los Angeles
SHPCA SCAN Health Plan-Los Angeles
strengthen—not dilute—our mission. We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve.
The Job The temporary Medicare Advantage Utilization Management (UM) Physician...
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appcast.io -
Los Angeles
of the Utilization Management Manager, the Utilization Management Nurse is responsible for prospective and concurrent/retrospective review of referrals ensuring regulatory requirements are being met as they relate to language readability and appropriate citation...
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icims.com -
2600 White Plains Hospital Medical Center-Los Angeles
with regulatory standards.
You will collaborate with hospital administrators on budgets and strategic planning, participate in utilization management and quality improvement, and support recruitment and staff evaluation as part of a broader clinical
#J-18808...
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To Help Everyone Health & Wellness Centers-Los Angeles
meetings addressing utilization management for Health Care LA IPA , eConsult and RPS system. (for designated staff only)
• Responsible for a monthly report to measure productivity.
• Other duties as assigned.
Qualifications and Experience Requirements...
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L.A. Care-Los Angeles
L.A. Care Health Plan in Los Angeles, CA seeks a Medical Director, Quality to provide executive leadership for medical management functions under Health Services, including utilization management, care management, behavioral health, and long-term...
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appcast.io -
To Help Everyone Health & Wellness Centers-Los Angeles
on our own.
• Attend monthly meetings addressing utilization management for Health Care LA IPA , eConsult and RPS system. (for designated staff only)
• Responsible for a monthly report to measure productivity.
• Other duties as assigned.
Qualifications...
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WeShare-Los Angeles
reserves, working across Finance, Utilization Management, Product, Compliance, and leadership.
The ideal candidate combines strong quantitative expertise with healthcare cost knowledge and will build analytics infrastructure in a growing, mission-driven...
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appcast.io -
Los Angeles
Three (3) or more years of any individual or combined experience in quality assurance, utilization management, case management, and/or health care informatics
• Experience in an HMO or managed care setting preferred
• Associate's degree in Nursing from...
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icims.com -
2600 White Plains Hospital Medical Center-Los Angeles
4. As may be reasonably required by the Hospital, assist the Hospital in recruitment of additional physicians to the area served by the Hospital.
5. Participate in utilization management, quality improvement, patient satisfaction programs...
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appcast.io -
Los Angeles
Health Plan operations and department business needs are successful
Qualifications:
Education & Requirements
• Two (2) years or more case management, utilization management in managed care setting or related experience in a health care delivery...
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icims.com -
2600 White Plains Hospital Medical Center-Los Angeles
be reasonably required by the Hospital, assist the Hospital in recruitment of additional physicians to the area served by the Hospital.
5. 5.Participate in utilization management, quality improvement, patient satisfaction programs and committees as may...
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appcast.io -
Los Angeles
reviews and develop recommendations using established medical treatment protocols and clinical practice guidelines in compliance with regulatory timelines and standards
1. Medical drug utilization management (RxUM) - Evaluate adjudicate prior...
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icims.com -
2600 White Plains Hospital Medical Center-Los Angeles
the Hospital in recruitment of additional physicians to the area served by the Hospital.
5. Participate in utilization management, quality improvement, patient satisfaction programs and committees as may be reasonably requested by the Hospital.
6. Participate...
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appcast.io -
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 -
PHYSICIANS DATA TRUST-Los Angeles
customers to ensure appropriate exchange of information. *
• Prepare for and participate in onsite health plan audits as required.
• To actively participate in Utilization Management Committees regarding Case Presentations and problem-solving...
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