- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW NURSE SUPERVISOR I ... comprehensive information regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to join our team. Whether you're working… more
- Alameda Health System (Oakland, CA)
- … utilization . This role supports patient care coordination, fosters physician collaboration, and aligns with organizational objectives while adapting to ad ... Director, Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req #:40826-30155 + FTE:1 +… more
- Highmark Health (Sacramento, CA)
- …Inc. **Job Description :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in ... and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician... utilization review, the incumbent participates as the physician member of the multidisciplinary team for case and… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... the safety net required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN II is primarily responsible for… more
- Dignity Health (Rancho Cordova, CA)
- …driving distance of the Greater Sacramento, CA region.** **Position Summary:** The Utilization Review (UR) LVN uses clinical judgement in providing utilization ... to reach determination. - Preps case thoroughly, concisely and clearly for physician review. Researches EMR, criteria, medical policy and past history of member… more
- Providence (Mission Hills, CA)
- **Description** **RN Utilization Review - Remote. This position will work full- time in a 8-hr Day shift.** Provide prospective, retrospective, and concurrent ... utilization reviews for our LA ministries. Conduct clinical reviews...care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice… more
- Dignity Health (Rancho Cordova, CA)
- …is work from home** **within driving distance of Sacramento, CA** **.** As a Utilization Review (UR) LVN, you will use clinical judgement in providing utilization ... work activities. **Job Requirements** **Minimum Qualifications:** - 3 years Managed Care/ Utilization Management (UM) experience. 5 years LVN experience. - Clear and… more
- Sharp HealthCare (San Diego, CA)
- …care setting in collaboration with the Hospitalist team, SRS primary care physician , and ancillary staff to ensure cost effective quality service throughout the ... issued under the direction of the appropriate Medical Group Physician Representative.Collaborates with SCMG Medical Group Appeals when necessary....and also discuss with the PCP's nurse if the physician is unable to come to the phone for… more
- Dignity Health (Bakersfield, CA)
- …the Bakersfield/Central CA region.** **Position Summary:** The Medical Director of Physician Engagement is responsible for developing and driving implementation of ... physician and APP focused strategies that aim to drive...- Provide backup support to the Medical Director of Utilization Management in medical review activities, peer-to-peer consultations, appeals… more
- Veterans Affairs, Veterans Health Administration (Fresno, CA)
- …become available.** VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): Authorized Education Debt ... Malpractice: Free liability protection with tail coverage provided Contract: No Physician Employment Contract and no significant restriction on moonlighting Provider… more