- California Registered Nurse with active, unrestricted license issued by the State of California required.
- Bachelor's degree in Nursing or related healthcare field preferred, plus a minimum of five years' experience in managed care at the hospital or insurance industry level with at least 1+ year in a supervisory capacity or its equivalent required.
- Experience in managing remote employees preferred.
- Experience managing projects and initiatives from initiation through completion. Knowledge of State and Federal regulations required.
- Medical, Dental and Vision insurance
- 403(b) Retirement savings plans with employer matching contributions
- Flexible Spending Accounts
- Commuter Flexible Spending
- Career Advancement & Development opportunities
- Paid Time Off & Holidays
- Paid CME Days
- Malpractice insurance and tail coverage
- Tuition Reimbursement Program
- Corporate Employee Discounts
- Employee Referral Bonus Program
- Pet Care Insurance
-
Manager, Utilization Management
6 days ago
Optum Arcadia, United StatesFor those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start **Caring. Connecting. Growing together.** · Position in this function is responsible ...
-
Utilization Management Specialist
1 day ago
Keck Medical Center of USC Los Angeles, United StatesThe Utilization Management Specialist coordinates communication with admitting financial counselors, case management, patient financial services, and payers to ensure all inpatient services provided by the hospital are authorized by appropriate payer. The Utilization Management S ...
-
Manager Utilization Management
1 week ago
Kaiser Permanente Woodland Hills, United States**Job Summary**: · Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center. Ensures cost effective and quality patient care by appropriate utilization of resources. Provides direction to staff which may include Outside Utili ...
-
Utilization Management Deptartment Lead
2 days ago
Radnet Management, Inc. Los Angeles, United StatesOverview: · Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, we are _Leading Radiology Forward_. With dynamic cross-training and advancement opportunities in a team-focused environment, the core of our success is its people w ...
-
Utilization Management Coordinator
6 days ago
Cross Country Workforce Solutions Group Montebello, United StatesJob Description Job Description Position SummaryThis position has primary responsibility for gathering relevant information for the identified member population during assessment, care planning, interdisciplinary care team meeting, and transitions of care. This position performs ...
-
Utilization Management Coordinator
1 week ago
Cross Country Workforce Solutions Group Montebello, United StatesJob Description · Job Description · Position Summary · This position has primary responsibility for gathering relevant information for the identified member population during assessment, care planning, interdisciplinary care team meeting, and transitions of care. This position ...
-
Utilization Management Coordinator
4 days ago
North American Staffing Group Montebello, United StatesJob Description · Job DescriptionMedica Talent Group is excited to share this temporary opportunity We partnered with a prominent healthcare organization based in Montebello, CA to fill a UM Coordinator position. Please consider applying if you come with a minimum of 2 years of U ...
-
Case Manager Utilization Rn-per Diem
6 days ago
Kaiser Permanente Los Angeles, United States**Job Summary**: · Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for Inpatient hospital ...
-
utilization management coordinator ii
2 days ago
AltaMed Montebello, CA , USA, United StatesWork Boldly. Live Brilliantly. · At AltaMed, we don't just serve our communities, we are part of them. We have raised the expectations of what a community clinic can deliver because we think quality care is for everyone. And, we are determined to provide it no matter the challeng ...
-
Utilization Management Coordinator I
6 days ago
AltaMed Health Services Montebello, United StatesUtilization Management Coordinator I page is loaded Utilization Management Coordinator I Apply remote type Hybrid locations Montebello, CA 90640 time type Full time posted on Posted 30+ Days Ago job requisition id JR1637 Work Boldly. Live Brilliantly.At AltaMed, we dont just serv ...
-
Director - Utilization Management
6 days ago
Astrana Health Monterey Park, United States· Job Title: Director, Utilization Management · Department: Health Services - UM · About the Role: · Leads and shapes the Utilization Management (UM) Strategy for Astrana Health while providing management oversight in implementing, directing, and monitoring the Utilization Ma ...
-
Utilization Management Coordinator II
4 days ago
AltaMed Montebello, United StatesWork Boldly. Live Brilliantly. At AltaMed, we don't just serve our communities, we are part of them. We have raised the expectations of what a community clinic can deliver because we think quality care is for everyone. And, we are determined to provide it no matter the challenges ...
-
Utilization Management Nurse, LVN
6 days ago
North American Staffing Group, Inc. Montebello, United StatesJob Description · Job Description1yr Contract assignment in Montebello Utilization Management Nurse, LVN Opportunity · Schedule: M-F 8/5 · Location: Montebello · Term: end date 04/01/2026 · Pay $29.52 to $45.76 BOE · Qualifications · 1. Current valid License as a Licensed Vocati ...
-
Case Manager Utilization Rn, 40/hr Day
1 day ago
Kaiser Permanente Los Angeles, United States**Job Summary**: · Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for Inpatient hospital ...
-
Apex Dynamics West Park, United StatesAbout West Park MEGA Monheim Electricity and Gas Supply GmbH: · As a municipal energy provider and innovative service provider, our company is as much a part of West Park as the Rhine. Personally and on site, we create a warm, bright home for the people of West Park with a fast d ...
-
Utility Manager
6 days ago
AltaMed Los Angeles, United StatesThe LVN Utilization Management Nurse (UM Nurse) will provide routine review of authorization requests from all lines of business using respective national/state, health plan, nationally recognized guidelines. Responsible for reviewing proposed hospitalization, home care, and inpa ...
-
Utilization Manager
1 day ago
APLA Health Los Angeles, United StatesJob Details · Job Location · Baldwin Hills - Offices - Los Angeles, CA · Salary Range · $80, $106,345.36 Salary/year · Description · POSITION SUMMARY: · This position is responsible for the management of the daily operations of Utilization Management (UM) at APLA Health and ...
-
Manager Utilization Management
2 days ago
Kaiser Permanente Los Angeles, United States Full timeJob Summary: · Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center. Ensures cost effective and quality patient care by appropriate utilization of resources. Provides direction to staff which may include Outside Utilizat ...
-
Case Manager Utilization Rn, 32/hr Day
6 days ago
Kaiser Permanente Panorama City, United States**Sign On Bonus for Eligible External Hires** · **Job Summary**: · Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not m ...
-
Utilities Manager
1 week ago
City of Upland California Upland, United StatesCity of Upland is recruiting for Utilities Manager APPLY TODAY Utilities Manager, under the general direction of the Public Works Director/ City Engineer, plans, organizes, oversees, coordinates, and manages the staff and operations of the Public Manager, Utilities, Operations, C ...
Manager of Utilization Management - Montebello, United States - AltaMed Health Services
Description
Work Boldly. Live Brilliantly.At AltaMed, we don't just serve our communities, we are part of them. We have raised the expectations of what a community clinic can deliver because we think quality care is for everyone. And, we are determined to provide it no matter the challenges because this is more than a job. It's the calling of our lives and it compels us to keep moving forward.
Job Overview
Under the direction of the Director, Medical Management this position is responsible for overseeing and managing the day-to-day operations of the Utilization Management Department, health plan delegated activities, and medical management initiatives. This position works closely with the Director, Medical Director and VP to evaluate and monitor medical appropriateness determinations and care coordination activities. This position is responsible for developing and implementing strategic plans which will have a direct impact on cost containment and improved patient outcomes.
Education and Experience:
Benefits & Career Development
$97, $121,918.09 annually
