Utilization Manager Jobs in San Diego
Search jobs in
1 - 13 of 13
Search Results - Utilization Manager Jobs in San Diego
SHPCA SCAN Health Plan-San Diego
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...
appcast.io -
San Diego
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...
icims.com -
Hcepinc-San Diego
Job Description:
Healthcare Executive Placements, Inc. (HCEPInc) is seeking an Interim Nurse Manager – Utilization Management for a W2 Contract position based in San Diego, California.
Schedule: Full time, 10:00 AM to 6:30 PM
Assignment Duration...
appcast.io -
Jazz Pharmaceuticals-San Diego
and resource development across the Jazz portfolio and pipeline. As Payers and other Population Health Decision Makers (PHDMs) continue to shift to more restrictive utilization management strategies, special evidentiary requirements including real-world...
WeShare-San Diego
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...
appcast.io -
San Diego
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...
icims.com -
E2E Alignment Healthcare USA, LLC-San Diego
community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.
Job Title
Remote Regional Medical Director, Non-Acute Utilization Management (RMD Non-Acute UM) is a market...
appcast.io -
San Diego
Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab...
enlyte.com -
SOCOTEC, Inc.-San Diego
and safety regulations. Serve as a subject matter expert to ensure the highest standards of safety and fire prevention are upheld.
• Full P&L ownership for the Service Line within the local area: manage budgeting, forecasting, utilization management, margin...
appcast.io -
San Diego
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...
icims.com -
SOCOTEC, Inc.-San Diego
utilization management, margin optimization, and cash flow
• Establish and optimize operational processes, quality management systems, and safety protocols specific to the Service Line
• Implement KPIs and performance metrics to drive accountability...
appcast.io -
San Diego
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...
icims.com -
San Diego
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...
icims.com -
Utilization Manager jobs in San Diego – Similar offers:
Utilization Manager jobs – More cities:
Broaden your job search:
Don’t miss out on new job openings!
Create a job alert for: Utilization Manager, San Diego
It's free, and you can cancel email updates at any time