Senior Nurse Auditor - Utilization Management (Hybrid)
Blue Shield of CA
Blue Shield of CA is seeking an experienced Delegation Operations Nurse Auditor-LVN-Experienced to manage IPA Utilization Management audits, issues, complaints, and monitoring. You will identify root causes and maintain monthly reporting to track patterns of delegated entities, supporting continuous quality improvement under UMDO leadership. This hybrid role requires in-office presence two days weekly and will involve communication with cross-functional teams to ensure compliance and timely #J-18808-Ljbffr Blue Shield of CA
- Blue Shield of California's Utilization Management team seeks a leader to oversee complex utilization and retrospective reviews across multiple... ...holds an RN license (active), an Associate Degree in Nursing, and preferably a BSN or higher, with 5+ years in managed care...Senior
- Overview Your Role The Utilization Management team independently manages complex utilization and retrospective... ...and Experience Associate Degree in Nursing required Bachelor of Science in... ...) RN license within 90 days of hire Hybrid Virtual Work This role allows employees...SeniorFull timeWork at office
$70k - $83k
...leading healthcare organization is seeking a highly motivated Senior Claims Auditor in Monterey Park, CA. This role involves auditing health... ...processing, attention to detail, and the ability to work in a hybrid setting. The compensation ranges from $70,000 to $83,000 annually...Senior$140k - $215k
...in the Energy sector is seeking a Sr. Business Development Executive to drive growth and develop strategies within the utility industry. This hybrid position is based in Los Angeles and involves weekly travel to clients. The ideal candidate will have over 8 years of experience...Senior- ...Southern California Edison (SCE) as a Utility Regulatory Affairs Senior Advisor among the ranks of the Clean... ...compliance, proven project management abilities, and effective communication... ...with SCE's policies. The role offers a hybrid work environment, requiring candidates...Senior
- PM2CM, Inc. leverages its Program and Project Management, Construction Management and Project Controls... ...to support design and construction phases of utility projects in California. Located in Pomona, the role offers hybrid-remote work with in-office/field presence on Tuesdays...SeniorWork at officeRemote work
$70k - $80k
...LLC is the largest business management firm in the country, with... ...Entertainment. We are seeking a Senior Staff Auditor to be a key contributor in... ...the audit process. Utilize data analytics and computer... ...on designated dates. Hybrid work schedules, if applicable...SeniorSummer workWork at officeFlexible hours$110k - $125k
...healthcare auditing firm based in California is seeking a Senior Internal Auditor. This role entails managing the SOX 404 compliance process, conducting audits,... ..., and a proactive attitude. The position offers a hybrid working structure, requiring 2-3 days in the office...SeniorWork at office$116.3k - $264.6k
...UCLA Outpatient Clinics is looking for an experienced Utilization Management Assistant Director in Los Angeles. In this key leadership role, you will oversee Intensive Case Management and Utilization Management operations, ensuring high-quality patient care across complex...Senior- Blue Shield of California is seeking a Care Management professional to independently manage complex high-risk cases, apply clinical judgment... ...and participate in a rotating evening and weekend on-call schedule in a hybrid virtual work model. #J-18808-Ljbffr Blue Shield of CASeniorAfternoon shift
- ...structural projects. The role involves overseeing project teams, managing client relationships, and providing technical expertise. The... ...managing teams and business development. Competitive compensation and hybrid work options are offered. #J-18808-Ljbffr Australia-EmploymentSenior
$55 - $57 per hour
A leading IT services provider is seeking a Senior Health Plan Auditor for a 3-month contract in Los Angeles, CA. The role involves auditing... ..., with strong analytical skills and experience in managed healthcare. Hybrid work is available, with a pay rate of $55-$57 per hour...SeniorHourly payContract work- NKSFB, LLC, the leading business management firm, seeks a Senior Staff Auditor to join its Audit Department in the Los Angeles area. The role offers exposure... ..., and strong analytical and communication skills. Hybrid work options and a competitive salary accompany a broad...SeniorFlexible hours
- ...firms in the world, is seeking a Senior Financial Analyst - Client & Matter Management to join its dynamic team Los Angeles... ...schedule that allows for a hybrid About the role As a Senior Financial... ...project & matter management Utilizing analytical skills and expert...SeniorFlexible hours
- ...leading financial services firm in Los Angeles is seeking an Audit Senior Associate to provide assurance services and supervise audit... ...and at least 2+ years of experience in public accounting. This hybrid position offers opportunities for career growth within a collaborative...SeniorWork at office
$115.44k - $148.15k
A leading health organization is seeking a Senior Manager for Claims Delegation Audit in Monterey Park, CA. The role involves management of... ...relevant experience in claims administration. The position offers a hybrid work model and a competitive salary range of around $115,441...Senior- ...within the Audit & Assurance practice. You will supervise staff, manage engagement planning, and ensure high-quality audit deliverables... ...CPA certification, and willingness to travel. The position offers hybrid/work onsite arrangements and opportunities to advance within a...Senior
- Jobot is hiring an Audit Senior Manager in the Los Angeles area with a focus on State and Local Government. The role requires 7-10 years in... ...client sites, and contribute to business development while enjoying a hybrid work model and strong benefits. #J-18808-Ljbffr JobotSeniorLocal area
$163k - $188k
The Wonderful Company LLC is hiring a Senior Business Systems Analyst in Los Angeles, CA, to analyze financial systems and support decision... ...with teams to enhance business processes. The position offers a hybrid work schedule, competitive salary of $163,000 to $188,000...Senior$105k - $120k
Astrana Health Management is seeking a highly motivated Senior Accountant to assist in scaling operations within the healthcare sector. This position involves... ...proficiency in Microsoft Excel. This role offers a hybrid work model and a compensation range of $105,000 - $12...Senior$30 - $34 per hour
A health services company is seeking a Utilization Management Review Nurse in Monterey Park, CA. This hybrid role includes conducting reviews for inpatient admissions and outpatient procedures, ensuring compliance with regulations, and working collaboratively with the team...Hourly payWeekend work$80k - $100k
CyberCoders in Southern California seeks a Senior Auditor for Public Accounting (CPA). The role... ...controllers and CFOs. Expect a path toward manager with a base salary of $80,000-$100,000 and a 100% employer-paid medical plan. Hybrid work in San Diego or Woodland Hills; 55+...Senior- A state regulatory body is seeking a Senior Broadband Analyst in Los Angeles. This role involves leading... ...'s degree and experience with data analysis are required. The position offers a hybrid working environment. #J-18808-Ljbffr California Public Utilities CommissionSenior
- Viking is seeking a Senior Internal Auditor to drive a culture of accountability, risk management, and continuous improvement across the organization. Reporting to the Senior... ...gaps with practical recommendations. This hybrid role is based in our Woodland Hills, CA office...SeniorWork at officeWeekday work
$223.2k - $262.7k
Are you ready to make an impact?West Monroe is seeking a Senior Principal to lead our Distributed Energy Resource Management Systems (DERMS) capability within the Energy & Utilities practice. This role is purpose-built for a leader who combines deep DERMS and grid modernization...SeniorLocal areaImmediate startFlexible hours- Viking Cruises is seeking a Senior Internal Auditor in a hybrid role based in Woodland Hills, CA. You will perform financial, operational, compliance... ..., a path for professional growth, and the opportunity to influence risk management and #J-18808-Ljbffr Viking CruisesSenior
- ...Job Description PM2CM, Inc., (Project Management to Construction Management) is a professional... ...is located in Pomona, California. Hybrid-Remote (Tuesday and Wednesday in the office... ...functional impacted stakeholders and utilized Engineering, Cost Estimating, Scheduling...SeniorWork at officeRemote work
$135k - $145k
...vulnerable older adults and frail seniors. We specialize in providing... ...Role As our Enrollment RN Manager, you’ll be the clinical leader... ...requirements. In this hybrid role, you’ll split your time... ..., helping present and review nursing recommendations for potential...SeniorTemporary workPart timeWork at officeLocal areaRemote workMonday to FridayFlexible hours- ...actively seeking an experienced Senior Ecologist to join our... ...business development and project management. This role will have a focus... ...projects and programs in the utility, energy, municipal, federal,... ...environmental compliance projects. This hybrid role can be based in our San...SeniorContract work
- Blue Shield of CA is seeking a Senior Manager of Care Management to lead and oversee our care management team, ensuring effective coordination of patient care across settings. You will report to the Director of Care Management and drive high-quality, cost-effective programs...Senior
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