Utilization Manager Jobs in San Diego
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Search Results - Utilization Manager Jobs in San Diego
Molina Healthcare-San Diego
to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
• Provides behavioral health oversight and clinical leadership for health plan and/or market specific utilization management and care management behavioral health...
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Jobs-San Diego
information in health management systems to ensure compliance with regulatory guidelines
Assists with providing education to providers and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical care to members...
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Oklahoma Complete Health-San Diego
Qualifications for this role include:*** MD or DO without restrictions* Must be licensed in Mississippi* Board Certified Physician* Utilization Management experience and knowledge of quality accreditation standards highly preferred**Position Purpose:** Assist...
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San Diego
efficient strategies which maximize quality care within the current health care environment for the identified patient population. The Case Manager II is responsible for the coordination of utilization management, discharge planning and other health care...
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Oklahoma Complete Health-San Diego
be a licensed MD or DO in Mississippi, board-certified, and have experience in Utilization Management. The position offers competitive pay ranging from $225,700 to $428,900 annually, along with a comprehensive benefits package including health insurance...
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UCHealth-Peyton, 832 mi from San Diego
effective outcomes.
Provides focused support to various areas such as utilization management, emergency department, acute, ambulatory and specialty care.
Responsibilities:
Demonstrates critical thinking skills when utilizing the nursing process, based...
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Centene Corp.-San Diego
Utilization Management experience and knowledge of quality accreditation standards.* Actively practices medicine**Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing...
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UCHealth-Longmont, 843 mi from San Diego
outcomes.
Provides focused support to various areas such as utilization management, emergency department, acute, ambulatory and specialty care.
Responsibilities:
Demonstrates critical thinking skills when utilizing the nursing process, based on research...
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Sharp HealthCare-San Diego
i.e. utilization management, plan of care, medical necessity reviews) based on department and regulatory requirements.
• Professional and Departmental Development
Identifies needs for self-development in patient care and departmental operations...
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AvaMed, Inc-San Diego
the respective Institution/Facility designee, in accordance with Utilization Management Plan. Temporary/Relief Primary Care Physician shall complete and return all forms required regarding treatment of patient/youth. Authorization must be documented...
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AvaMed Workforce-San Diego
authorization must be obtained in writing from the respective Institution/Facility designee, in accordance with Utilization Management Plan. Temporary/Relief Primary Care Physician shall complete and return all forms required regarding treatment of patient/youth...
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University of California San Diego-San Diego
coordinates the care services for assigned patients for an episode of illness or treatment as defined by the Case Manager. Promotes the effective utilization of resources using current knowledge and awareness of community resources to achieve optimal care...
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