Utilization Manager Jobs in San Diego
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Search Results - Utilization Manager Jobs in San Diego
Molina Healthcare-San Diego
strategies that promote high-quality, cost-effective care.
Job Summary
Leads and manages a multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral...
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 -
Molina Healthcare-San Diego
experience.
Leads and directs a multidisciplinary team of healthcare services professionals in some or all of the following functions: utilization management, care management, behavioral health and other programs. Leads team responsible for assessing...
San Diego
Requirements
• Three (3) or more years of any individual or combined experience in Quality Assurance, Utilization Management, Case Management, provider liaison duties, and/or clinical experience in a hospital/clinical setting
• Experience preferably in an HMO...
icims.com -
Molina Healthcare-San Diego
with multidisciplinary teams to promote the Molina care model.
• Adheres to utilization management (UM) policies and procedures.
Required Qualifications
• At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization...
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 -
McKesson-Irving, 1170 mi from San Diego
pharmacy for Commercial lines of business, pharmacy adjudication processes, formulary design, utilization management edits, pharmacy networks, clinical compendia for decision support, FDA approval process, medical and pharmacy rebates, pharmaceutical market...
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