- Prime Healthcare (Ontario, CA)
- …Healthcare is actively seeking new members to join our corporate team! Responsibilities The Utilization review lead essentially works to coordinate the ... for co-workers. UR lead will work closely with the Corporate/Facility Utilization review teams, Business Office, Case Managers, Physicians and administration… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print...so may result in an incomplete application and may lead to disqualification. We will send notifications to the ... (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW NURSE SUPERVISOR I Salary $111,656.88 - $167,136.48 Annually… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …mental health and co-occurring psychiatric and substance abuse conditions. POSITION TITLE: Utilization Review Clinician PAY RANGE: LVN/LPT $35.00-44.19 Per Hour ... RN/LCSW/LMFT/LPCC $54.00-68.18 Per Hour REPORTS TO: Director of Utilization Review DESCRIPTION OF POSITION: Work as...working collaboratively as well as possessing the skills to lead , influence, and motivate others. + Ability to work… more
- Alameda Health System (Oakland, CA)
- …in the classification. + Lead and manage a team of utilization review professionals providing guidance, training, and performance evaluations. + Monitor ... utilization reviews and determine program improvements. + Develop and implement utilization review policies and procedures in accordance with industry… more
- Prime Healthcare (Inglewood, CA)
- …to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and utilization technicians. ... We are seeking a strategic and compassionate Director of Case Management to lead our dynamic Case Management Team consisting of Registered Nurses, Social Workers,… more
- Elevance Health (Costa Mesa, CA)
- ** Utilization Management Representative I** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person ... unless an accommodation is granted as required by law. The ** Utilization Management Representative I** is responsible for coordinating cases for precertification… more
- Elevance Health (Los Angeles, CA)
- ** Utilization Management Representative II** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person ... 7:00 AM and 5:00 PM Pacific. The **Behavioral Health (BH) Utilization Management Representative II** is responsible for coordinating precertification and prior… more
- Sharp HealthCare (San Diego, CA)
- …roundsReviews every patient under assigned workload initially and reviews based on review of care plan.Makes rounds and sees every patient identified per ... departmental guidelines during hospital stay beginning with the admission review of the case manager and reviews with the...the case manager and reviews with the Case Manager Lead , as needed.Keeps SRS Leadership informed of any adverse… more
- Elevance Health (Walnut Creek, CA)
- **Genetic Counselor Review Associate** **Genetic Testing Utilization Review ** **Carelon Medical Benefits Management** **Virtual** : This role enables ... domains, including radiology, cardiology and oncology._ The **Genetic Counselor Review Associate** is responsible for authorization requests and determining their… more
- Stanford Health Care (Palo Alto, CA)
- …to be discovered. Day - 12 Hour (United States of America) The Lead Advanced Practice Provider provides supervision and management of advanced practice providers ... (APPs) in a distinct clincial service line. The Lead APP provides clinical direction and education, works closely...and adherence to policy through practice analysis and case review of APPs with physicians. . Investigate and respond… more