Utilization Management - Orange, CA

WearelookingforanexperiencedUtilizationManagementAppealsReviewNursetojoinourteam.TheidealcandidatewillhaveaprofessionallicensureasLVNorRNandatleasttwoyearsofexperienceinutilizationmanagement. · ...

· Job Number: · Position Title: · Utilization Management Coordinator · External Description: · Alignment Healthcare was founded with a mission to revolutionize health care with a serving heart culture. Through its unique integrated care delivery models, deep physician partnershi ...

HealthCare Support is actively seeking a Behavioral Health Utilization Management Case Manager - LCSW / LMFT / RN / LPCC · to fill an opening in Orange, California. · Daily Responsibilities for Behavioral Health Utilization Management Case Manager - LCSW / LMFT / RN / LPCC: · Par ...

HealthCare Support is actively seeking a Behavioral Health Utilization Management Case Manager - LCSW / LMFT / RN / LPCC · to fill an opening in Orange, California. · Daily Responsibilities for Behavioral Health Utilization Management Case Manager - LCSW / LMFT / RN / LPCC: · Par ...

HealthCare Support is actively seeking a · Behavioral Health Utilization Management Case Manager - LCSW / LMFT / RN / LPCC · to fill an opening in · Orange, California. · Daily Responsibilities for Behavioral Health Utilization Management Case Manager - LCSW / LMFT / RN / LPCC · ...

The Utilization Management Appeals Review Nurse is responsible for conducting comprehensive clinical and regulatory reviews of hospital admission appeals. · This role ensures that appeal determinations are clinically appropriate, fully documented, · and compliant with CMS requir ...

· Behavioral Health Utilization Management Medical Case Manager · CalOptima · Join Us in this Amazing Opportunity · The Team You'll Join · We are a mission driven community‐based organization that serves member health with excellence and dignity, respecting the value and needs o ...

Behavioral Health Utilization Management Medical Case Manager · CalOptima · Join Us in this Amazing Opportunity · The Team You'll Join · We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of e ...

**Behavioral Health Utilization Management Medical Case Manager · CalOptima · Join Us in this Amazing Opportunity · The Team You'll Join** · We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs ...

For more details, view the complete job description: Utilities Manager · Experience the rewards of your hard work—comprehensive benefits, including upcoming COLAs, that support your well-being, growth, and success · 3% increase in base effective 6/21/2026 · Management reserves th ...

The Opportunity: The UM Coordinator will support the Utilization Management function of multiple IPAs in the Inland Valley area to proactively monitor utilization of services for patients. · ...

This is an outstanding career opportunity for a Utilities Manager to join the Public Works Department in Huntington Beach. · ...

For more details, view the complete job description: · Utilities Manager · Experience the rewards of your hard work—comprehensive benefits, including upcoming COLAs, that support your well-being, growth, and success · 3% increase in base effective 6/21/2026 · Management reserves ...

Akido builds AI-powered doctors. Akido is the first AI-native care provider, combining cutting-edge technology with a nationwide medical network to address America's physician shortage and make exceptional healthcare universal. Its AI empowers doctors to deliver faster, more accu ...

The UM Nurse Manager is responsible for providing strategic and operational leadership to the day to day function of the Utilization Management Team.The role involves ensuring compliance with timeliness, documentation, notification and review quality standards based on Federal St ...

Akido builds AI-powered doctors. Akido is the first AI-native care provider, combining cutting-edge technology with a nationwide medical network to address America's physician shortage and make exceptional healthcare universal. Its AI empowers doctors to deliver faster, more accu ...

Akido builds AI-powered doctors. Akido is the first AI-native care provider, combining cutting-edge technology with a nationwide medical network to address America's physician shortage and make exceptional healthcare universal. Its AI empowers doctors to deliver faster, more accu ...

Akido builds AI-powered doctors. Akido is the first AI-native care provider, combining cutting-edge technology with a nationwide medical network to address America's physician shortage and make exceptional healthcare universal. Its AI empowers doctors to deliver faster, more accu ...

Behavioral Health Utilization Management Medical Case Manager · CalOptima · Join Us in this Amazing Opportunity · The Team You'll Join · We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and need ...

The UM Nurse Manager is responsible for providing strategic and operational leadership to the day to day function of the Utilization Management Team. Ensures that staff achieves performance goals while adhering to applicable internal and external policies, procedures rules and gu ...