Medical Director, Utilization Management - Long Beach, CA

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 ...

Astiva Health Inc is looking for a highly energetic and collaborative Utilization Management Manager to foster an environment of excellence in servicing Astiva Health's members. · ...

WearelookingforanexperiencedUtilizationManagementAppealsReviewNursetojoinourteam.TheidealcandidatewillhaveaprofessionallicensureasLVNorRNandatleasttwoyearsofexperienceinutilizationmanagement. · ...

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

Alignment Health is breaking the mold in conventional health care committed to serving seniors and those who need it most: the chronically ill and frail Together we have built a team of talented experienced people who are passionate about transforming the lives of the seniors we ...

We are seeking an experienced Utility Design and Construction Manager to oversee the planning design and construction of utility infrastructure projects. · Manage utility design and construction projects from concept through completion · ...

We are seeking a Delivery Manager for one of our clients in Rosemead, CA. · ...

The Oncology Institute is advancing oncology by delivering highly specialized, value-based cancer care in the community setting. As an Oncology Utilization Management RN, you help ensure patients receive timely and appropriate treatment that supports our values of integrity, exce ...

The Utilization Review Case Manager performs review of patient charts as defined by the Hospital's Utilization Review Plan. · ...

The Utilization Review Case Manager performs review of patient charts as defined by the Hospital's Utilization Review Plan. · ...

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 guid ...

We are transforming senior care by providing an all-inclusive healthcare option to vulnerable seniorsOur Utilization Management LVN reviews authorization requests to ensure timely quality compliant cost-effective care. · Chart audits of items including consult summaries imaging r ...

The Utilization Review Case Manager performs review of patient charts as defined by the Hospital's Utilization Review Plan. · Validates the patient's admission status and level of care · Secures authorization for the patient's clinical services through collaboration and communica ...

Trident Consulting is seeking a Delivery Manager for one of our clients in Rosemead, CA. · ...

The Utilization Management (UM) Clerk will assist in the clerical support to the UM department staff. · Process incoming and outgoing mail for the UM Department. · Maintains inventory of office supplies at a level necessary for proper functioning of the department. · ...

+Job summary+About Altais: · At Altais, we're looking for bold and curious innovators who share our passion for enabling better health care experiences...+ ...

Supervisor Utilization Management is responsible for management and oversight of staff who provide operational support and medical review on behalf of Medicare Advantage clients. · ...

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 the team are properly trained to conduct medical necessity reviews on incoming Pre-Service/Prior-Authorization, Retr ...

We are transforming senior care by providing an all-inclusive healthcare option to vulnerable seniors. Our Utilization Management team ensures timely, quality, compliant and cost-effective care. · Chart audits of items including consult summaries and imaging results to determine ...

Under general supervision, the Utilization Review Case Manager performs review of patient charts as defined by the Hospital's Utilization Review Plan. · ...