Utilization Manager Jobs in Rancho Cucamonga
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Search Results - Utilization Manager Jobs in Rancho Cucamonga
Alura Workforce Solutions-Rancho Cucamonga
needs.
Demonstrate a commitment to incorporate LEAN principles into daily work.
Requirements
Three (3) or more years of any individual or combined healthcare experience in quality assurance, quality management, quality improvement, utilization...
resume-library.com -
Inland Empire Health Plans-Rancho Cucamonga
management, utilization management (UM), and grievance and appeals and committee participation. The Medical Director of Behavioral Health oversees the inpatient/concurrent review process, care integration efforts, and all levels of behavioral health care...
appcast.io -
Alura Workforce Solutions-Rancho Cucamonga
or combined experience in quality assurance, utilization management, case management, and/or health care informatics is required.
Experience preferably in an HMO or managed care setting.
Associates in Nursing from an accredited institution required...
resume-library.com -
Rancho Cucamonga
residency or Licensure experience in a recognized specialty that includes but is not limited to Family Medicine, Internal Medicine, Pediatrics, and Emergency Medicine
• Experience in quality, care coordination, utilization management in an inpatient, ACO...
icims.com -
Source Code-Apple Valley (CA), 35 mi from Rancho Cucamonga
Care Coordination or Utilization Management) or successful completion of the Transitions in Practice (TIP) program for Care Managers. TIP candidates must have experience in same type of nursing unit in which the Care Manager position is available...
resume-library.com -
Rancho Cucamonga
Compliance, you play a pivotal role in ensuring the success, productivity, and regulatory compliance for Prior Authorization process within Utilization Management Out-Patient Services. You lead quality audits, provide clinical oversight, and mentor the team...
icims.com -
MLK Community Hospital-Los Angeles, 38 mi from Rancho Cucamonga
Biweekly
Salary Range (Depending on Experience):
$48.77 - $70.72
If you are interested please apply online and send your resume to marismartinez@mlkch.org
POSITION SUMMARY
The RN Utilization Management (RN UM) functions as a support liaisons...
Rancho Cucamonga
Experience
• Minimum of three (3) or more years in managed care operations, working with one or more of the following areas
• Utilization Management, Claims, Pharmacy Operations, Compliance, FDR oversight activities, Quality Management, Care Management...
icims.com -
RN Case Manager/Utilization Review (Float) - Case Management - Full Time 8 Hour Days (Non-Exempt)...
University of Southern California-Los Angeles, 38 mi from Rancho Cucamonga
health care needs to promote cost-effective, quality outcomes. Serves as a consultant to members of the health care team in the management of specific patient populations. The RN case manager role integrates the functions of utilization management, quality...
PIH Health-Downey, 32 mi from Rancho Cucamonga
The Utilization Management (UM) RN performs utilization review activities, including, but not limited to, precertification, ensures appropriate level of care and status (Inpatient, Outpatient, and Observation) throughout admission and performs...
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