- Alameda Health System (San Leandro, CA)
- …necessarily performed by each individual in the classification. + Coordinates all utilization review functions, including response to payor requests for ... and identifies cost-effective protocols. Care Management provides Care Coordination, Compliance, Transition Coordination, and Utilization ...experience in Case Management in an acute setting or utilization review at a medical group or… more
- Alameda Health System (San Leandro, CA)
- SLH Case Manager RN + San Leandro, CA + San...Degree preferred. Minimum Experience: Two years related in acute care facility and/or utilization review ... SLH Social Services + Part Time - Day + Care Management + $58.74 - $97.91 per hour +...Posted:August 6, 2025 **Summary** **JOB SUMMARY** The SLH Case Manager RN is responsible for providing comprehensive case management… more
- Banc of California (San Diego County, CA)
- …and motivation to achieve branch excellence. Within their area, the Branch Manager is responsible for achieving superior financial results, including their own ... overall Bank and regulatory policies and guidelines. To accomplish this, the Branch Manager builds and develops a diverse and high performing branch team. Performs… more
- Stanford Health Care (Palo Alto, CA)
- …the technical direction of the Medical Director, the Testing Lab Operations Manager is responsible for the administrative and technical management of Technical ... to supervisors and support personnel as appropriate. The Testing Lab Operations Manager will be responsible for managing supervisors as well as directly supervising… more
- Rain for Rent (Imperial, CA)
- …and environmentally incident-free workplace. + Develop staff through effective utilization of all available personnel options including hiring, training, coaching, ... recovery, return on rental and other performance metrics. + Review open contracts and receivables, and rental and resale...At Rain for Rent, we take pride in taking care of our team. We offer a comprehensive benefits… more
- Stanford Health Care (Menlo Park, CA)
- …(United States of America) Located in the heart of Silicon Valley, Stanford Health Care 's mission is to heal humanity through science and compassion, one patient at ... The Facilities Services division plays a key role in helping Stanford Health Care accomplish this mission. With a fast-paced, tech-savvy and lean culture that… more
- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/228577/rn-case- manager utilization - ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing… more
- Sharp HealthCare (San Diego, CA)
- …setting. + 2 Years utilization /Case Management experience, preferably in a Managed Care setting. + Experience as a case manager or discharge planner ... be unrestricted. **Essential Functions** + Referral CoordinationEnsures consistent application of the utilization review process for effective utilization of… more
- CVS Health (Sacramento, CA)
- …that promote high-quality healthcare for members. **Position Summary** The Associate Manager is responsible for oversight of Utilization Management staff. ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Prime Healthcare (Ontario, CA)
- …school of nursing and a current state Registered Nurse license. + Minimum 3 years RN Utilization Manager working for a Health Plan. + At least 3 years of ... cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of...experience in utilization review , referrals, authorizations, denials and appeals.… more
