• Utilization Review, Management

    Sutter Health (Sacramento, CA)
    …Advisor will work closely with the medical staff, including house staff, and all utilization management (UM) personnel, Care Management (CM) personnel to ... health care services. The PA will develop expertise on matters regarding physician practice patterns, over- and under- utilization of resources, medical… more
    Sutter Health (05/29/25)
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  • Physician , Chief of Inpatient Medicine

    Veterans Affairs, Veterans Health Administration (Loma Linda, CA)
    …Experience supervising physicians and supporting utilization management as a Physician Utilization Management Advisor (PUMA) is preferred; Must be ... L. Pettis Memorial Veterans Hospital is recruiting for a Full-Time, Permanent, Physician , Chief of Inpatient Medicine and reports directly to the ED-Inpatient… more
    Veterans Affairs, Veterans Health Administration (06/15/25)
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  • Director, Utilization Management

    Alameda Health System (Oakland, CA)
    Director, Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req #:40826-30155 + ... plans **Role Overview:** Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational oversight,… more
    Alameda Health System (08/08/25)
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  • System Utilization Management SUM…

    Alameda Health System (Oakland, CA)
    System Utilization Management SUM Utilization Review RN + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Evening ... + Req #:41910-31048 + FTE:1 + Posted:July 14, 2025 **Summary** **SUMMARY:** The System Utilization Management [SUM] Utilization Review RN is responsible for… more
    Alameda Health System (07/29/25)
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  • Utilization Review Nurse Supervisor I

    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
    The County of Los Angeles (05/22/25)
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  • Utilization Management Admissions…

    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 ... to support the safety net required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN II is primarily responsible for… more
    LA Care Health Plan (08/02/25)
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  • Care Manager RN - Utilization Review *Full…

    Providence (Napa, CA)
    …the utilization of appropriate health care services. Position may require Utilization Management and Discharge Planning, Chronic Disease Case Management ... setting + Upon hire: California Registered Nurse License + 2 years Case management , discharge planning, or utilization management experience in the acute,… more
    Providence (08/08/25)
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  • Utilization Review RN

    Dignity Health (Long Beach, CA)
    …effectively with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs integrate. + ... and continued hospitalization. Works in collaboration with the attending physician , consultants, second level physician reviewer and...hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year… more
    Dignity Health (08/10/25)
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  • Medical Director, MSK Surgery

    Evolent (Sacramento, CA)
    …reviews appeal cases and/or attends hearings for discussion of utilization management decisions. + Strong partnership with Physician Business Managers to ... well as health plan members and staff whenever a physician `s input is needed or required. Responsible for clinical...needed for new hires to educate and train on Utilization management system and Field Medical Director… more
    Evolent (05/20/25)
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  • CDI Physician Advisor

    Sutter Health (Emeryville, CA)
    …Advisor will work closely with the medical staff, including house staff, and all utilization management (UM) personnel, Care Management (CM) personnel to ... health care services. The PA will develop expertise on matters regarding physician practice patterns, over- and under- utilization of resources, medical… more
    Sutter Health (08/02/25)
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