- 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
- 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 (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
- Elevance Health (Los Angeles, 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)
- **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
- AeroVironment (Simi Valley, CA)
- …**Job Description** AV is seeking an experienced **Enterprise Applications Lead (Finance)** to oversee Fusion Finance Applications, including Cost Management, ... between Business Units (BU) and DBT (Digital Business Technology), and lead key strategic initiatives that strengthen and evolve AV's application ecosystem.… more
- LA Care Health Plan (Los Angeles, CA)
- Lead Customer Solution Center Appeals and Grievances RN Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position ... net required to achieve that purpose. Job Summary The Lead Customer Solution Center Appeals and Grievances RN is...clinical unit. This position is responsible for the quality review of complex and/or escalated clinical A&G cases for… more
- The Walt Disney Company (Glendale, CA)
- …entertainment content, across all media platforms. **Job Summary:** We are hiring a Lead Engineer to establish and guide our AI Operations and Tooling practice, ... to accelerate operational stability and performance. As a hands-on technical lead , you will mentor engineers, design operational enablement frameworks, and partner… more
- Cedars-Sinai (Santa Monica, CA)
- **Job Description** The Lead Patient Service Representative/ Lead Call Center Scheduler functions as an administrative team lead for the office. This position ... front office workflow. This position also assists with providing a review of Patient Service Representative administrative skills, assessing the workflow of… more
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