Utilization Manager Jobs in Orange
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Search Results - Utilization Manager Jobs in Orange
Astiva Health, Inc-Orange-
accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members.
SUMMARY: The Utilization Management Authorization Review Nurse...
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Prime Staffing-Orange-
Must-Have: Strong assessment, discharge planning, and utilization review skills
Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with providers, social workers, and external...
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KZX - Astrana Health Management, Inc.-Orange-
DRG Coder partners with utilization management, care management, finance, and provider network teams to support accurate payment, risk adjustment, quality reporting, and medical expense analysis....
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Alignment Healthcare USA, LLC in-Orange-appcast.io-
clinical, quality, utilization, risk adjustment, and financial performance across assigned provider networks and geographic markets. This role partners closely with Network Management, Quality, Risk Adjustment, Pharmacy, Clinical Operations, and providers...
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Orange-uci.edu-
through excellence in patient care, research and medical education.
Responsibilities:
Position Summary:
The Presurgical Utilization Manager is responsible for overseeing preoperative utilization review processes to ensure accurate patient status...
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Prime Staffing-West Hollywood (CA), 36 mi from Orange-
BLS – AHA
Must-Have: Strong assessment, discharge planning, and utilization review skills
Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with providers, social workers...
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Orange-uci.edu-
through excellence in patient care, research and medical education.
Responsibilities:
Position Summary:
The PAL Clinical Specialist supports the efficient operation of the prior authorization and utilization management functions with a focus on appeals...
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Prime Staffing-Burbank, 38 mi from Orange-
Must-Have: Strong assessment, discharge planning, and utilization review skills
Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with providers, social workers, and external...
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Care Navigators On Demand-Rancho Cucamonga, 25 mi from Orange-
and management of clinical care coordination, utilization management, discharge planning, and outcomes management. Oversees the MediCal TAR process... Manages the systems, processes, and outcomes of clinical care teams and programs designed to address clinical...
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Prime Staffing-Burbank, 38 mi from Orange-
License
Certifications: BLS – AHA
Must-Have: Strong assessment, discharge planning, and utilization review skills
Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with providers...
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