- Prime Healthcare (Chino, CA)
- …(https://careers-primehealthcare.icims.com/jobs/219949/case-manager-%28rn%29 utilization -management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... FacilityChino Valley Medical Center LocationUS-CA-Chino ID2025-219949 CategoryRN Position TypePer Diem ShiftDays Job TypeNon-Exempt more
- Prime Healthcare (Anaheim, CA)
- …Us! (https://careers-primehealthcare.icims.com/jobs/218947/case-manager utilization -management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityWest ... Anaheim Medical Center LocationUS-CA-Anaheim ID2025-218947 CategoryClinical Professional Position TypeFull Time ShiftDays Job TypeNon-Exempt more
- Prime Healthcare (San Dimas, CA)
- …(https://careers-primehealthcare.icims.com/jobs/214914/case-manager-%28rn%29 utilization -management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... FacilitySan Dimas Community Hospital LocationUS-CA-San Dimas ID2025-214914 CategoryRN Position TypeFull Time ShiftDays Job TypeNon-Exempt more
- Health Advocates Network (Arcata, CA)
- Benefits We Offer: + Comprehensive health, prescription, dental, vision, life, and disability plans + Competitive pay rates + Referral opportunities ? Refer a friend ... & Cash in! + Travel reimbursement and per diem allowances + Employee discounts + Educational opportunities Health Advocates Network was founded based on a shared aspiration to improve the way healthcare staffing is done. We are a company founded by healthcare… more
- Ventura County (Ventura, CA)
- …medical policy with the Health Care Agency Director and Insurance Administrator, Utilization Management staff and Quality Assurance Staff. + Participates, as a ... action plans submitted by providers. + Manages and controls inpatient utilization and outpatient referrals with attention to quality and cost-effective methods.… more
- Sharp HealthCare (San Diego, CA)
- …for and provides professional leadership and direction to the utilization /cost management and clinical quality management functions. Works collaboratively with ... and direction to the functions within the Medical Management + Department ( Utilization /Cost Management and Quality Management) + Responsible for and assists with the… more
- Centene Corporation (Sacramento, CA)
- …of Certifying Board Service (Internal and Family Medicine, preferred) + Utilization Management experience and knowledge of quality accreditation standards. + ... for the business unit. + Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. + Performs… more
- Sharp HealthCare (San Diego, CA)
- …and direction to the functions within the Medical Management Department ( Utilization /Cost Management and Quality Management) + Develops and updates Physician ... management functions. + Responsible and accountable for implementing the Utilization /Cost Management Program and Quality Improvement Program, in conjunction with… more
- Stanford Health Care (Palo Alto, CA)
- …include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient charts for timeliness ... of services as well as appropriate utilization of services; and ensuring optimum use of resources,...team members; arranges follow up care as appropriate. + Utilization Review -- Reviews prospectively, concurrently and retrospectively all… more
- Dignity Health (Rancho Cordova, CA)
- …guidance and supervision of the department Manager/Director the Supervisor of Utilization Management is responsible and accountable for coordination of services for ... Health Plan Benefit Interpretation Guidelines and Medical Management Policies and DHMF Utilization Management guidelines and protocols. - Works with other staff and… more