...The Utilization Management (UM) LVN performs utilization review activities, including, but not limited to, precertification, ensures appropriate...  ...LVN delegates to UM RN initial reviews and determines the medical necessity of requests by performing first level reviews.... 
Suggested
Full time
Shift work

PIH Health

Downey, CA
1 day ago
 ...Job Description The Utilization Management Coordinator is responsible for production of administrative and clinical materials and correspondence...  ...and PIH Health Good Samaritan Hospital, 27 outpatient medical locations, a multispecialty medical (physician) group, home... 
Suggested
Part time
Immediate start

PIH Health

Downey, CA
2 days ago
 ...Job Description The Utilization Management (UM) RN performs utilization review activities, including, but not limited to, precertification...  ...retrospective reviews according to guidelines. Determines the medical necessity of requests by performing first level reviews.... 
Suggested
Full time

PIH Health

Downey, CA
7 hours ago
 ...The Utilization Management (UM) RN performs utilization review activities, including, but not limited to, precertification, ensures appropriate...  ...reviews according to guidelines. Determines the medical necessity of requests by performing first level reviews. The... 
Suggested
Full time

PIH Health Downey Hospital

Downey, CA
27 days ago
 ...Job Summary: Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center. Ensures cost effective and quality patient care by appropriate utilization of resources. Provides direction to staff which may include Outside... 
Suggested
Full time
Local area
Shift work

Kaiser Permanente

Downey, CA
more than 2 months ago
 ...care when the patient does not meet the medical necessity for Inpatient hospitalization....  ...indirect caregiver, patient advocate and manages patients in the most cost effective way...  ...providing continuity of care, including Utilization management, Transfer coordination, Discharge... 
Suggested
Holiday work
Contract work
Part time
Local area
Shift work
Weekend work

Kaiser Permanente

Downey, CA
more than 2 months ago
 ...continuing care members at one medical center. Repatriate stable...  ...Collaborates with physicians, service directors, and other health care...  ...and implements quality and utilization standards to ensure...  ...RN in Critical Care or case management required. For positions in... 
Suggested
Full time
Contract work
For contractors
Local area
Shift work
Weekend work
Afternoon shift

Kaiser Permanente

Downey, CA
more than 2 months ago
 ...Job Summary: Coordinates and supervises data management, analyses and reporting for KFH utilization management and Continuing Care Services, SCPMG, KFHP...  ...non-authorized claims review. Documents outside medical services and reinforce procedures for patients seen... 
Suggested
Contract work
Part time
Local area
Shift work
Night shift
Weekend work

Kaiser Permanente

Downey, CA
14 days ago
 ...POSITION SUMMARY The Culinary Director is responsible for the day-to-day operations of the facility which include managing the entire food and beverage operations, establishing a menu, creating employee schedules, hiring cooks and other staff, and managing the dietary... 
Suggested
Local area

Savant Senior Living

Downey, CA
7 hours ago
 ...ABOUT THE POSITION The Deputy Director of Community Development-...  ...Community Development Department management team. This position will work...  ..., including 100% City-paid medical insurance coverage up to the...  ...'s License or the ability to utilize an alternative method of... 
Suggested
Holiday work
Work experience placement
Flexible hours

City of Downey (CA)

Downey, CA
7 hours ago
Medical Assistant - Mental Health Annual Salary Range: $44,508 - $58,536 Work Locations: Wide Variety of Geographic Settings including the Northern California Coast, San Francisco Bay Area, California Capitol, and Southern California Looking for a secure job with the... 
Suggested
Holiday work
Temporary work

California Correctional Health Care Services

Downey, CA
2 days ago
$19-22/hr Amergis Healthcare Staffing is seeking a Medical Assistant responsible for performing duties under the direction of a physician to assist inthe examination and treatment of patients. Responsibilities: Interviews patients, measures vital signs... 
Suggested
Weekly pay

Amergis

Downey, CA
7 hours ago
 ...Job Summary: The LVN/LPN Case Manager Assistant is responsible to conduct medical necessity screening and work collaboratively with the interdisciplinary...  ...for case management scope of services including: Utilization Management supporting medical necessity and denial... 
Suggested
Local area

Kaiser Permanente

Downey, CA
2 days ago
 ...Job Description Job Description Description:DIRECTOR OF PROGRAMS JOB DESCRIPTON BASIC RESPONSIBILITY: Responsible for the management and oversight of the identified Arc Program. Provides vocational and case management assistance to adults with developmental disabilities... 
Suggested
Full time
Work experience placement
Flexible hours
Weekend work
Afternoon shift
Monday to Friday

The ARC Los Angeles and Orange Counties

Downey, CA
7 days ago
 ...Job Summary: Manages the delivery of nursing services and safe patient care within...  ...exceed cost, quality, and clinical and utilization standards and performance measures. Establishes...  ...leadership committees and forums on a Medical Center, Regional level and/or National... 
Suggested
Local area
Shift work

Kaiser Permanente

Downey, CA
13 hours ago
 ...experience working with individuals with medical disabilities. OR Possession of...  ...positions in this class may be required to utilize a second designated language. Senior Instructional...  ...and utilize the District's Learning Management System. E Assist students using a... 
Hourly pay
Holiday work
Permanent employment
Full time
Part time
Work experience placement
Flexible hours

Downey Unified School District

Downey, CA
2 days ago
 ...Healthcare Staffing Professionals, Inc. is looking to hire a Medical Assistant to work in our clients ambulatory care clinic located...  ...scheduling appointments, verifying insurance information, and managing patient check-in and check-out processes. Ensure adherence to... 
Full time
Shift work

Healthcare Staffing Professionals, Inc

Downey, CA
18 days ago
 ...ensuring complete and accurate information Managing incoming phone calls Obtaining...  ...document research on an electronic health/medical record system Minimum Qualification:...  ...staff members (field associates, managers, directors) and/or business representatives.... 
Holiday work
Part time
Local area
Relocation package
Flexible hours

Hanger, Inc.

Downey, CA
13 days ago
 ...leading beverage provider, Reyes Coca-Cola Bottling! Benefits: Medical, Dental, Vision, 401K Match, PTO, Education Reimbursement...  ...governing the program.? Position Summary: The Transportation Manager will lead a team of Supervisors and Drivers to ensure that... 
Contract work

Reyes Coca-Cola Bottling

Downey, CA
7 hours ago
 ...JOB PURPOSE: The KFC of Pollys General Manager will lead their Team through continual...  ...costs. (To include food, beverage, supply, utility and labor costs) P & L responsibility...  ...excellent communication with Area Director to keep them fully informed of all issues... 
Holiday work
Local area
Work from home
Home office
Shift work
Weekend work

KFC

Downey, CA
14 days ago
 ...When you join our team as an Assistant Store Manager, you’ll take on key store management responsibilities including assisting with supervising...  ...In addition, eligible employees are offered: Medical, Prescription, Dental & Vision Insurance Generous Vacation... 
Hourly pay
Holiday work
Full time
Temporary work
Local area

Aldi

Downey, CA
7 hours ago
 ...Health is seeking a dedicated Material Management Technician to join our team at PIH Health...  ...includes multiple hospitals, outpatient medical buildings, a multispecialty medical group...  ...of medical and surgical supplies, utilizing computerized inventory systems to track... 
Hourly pay
Full time

PIH Health

Downey, CA
1 day ago
 ...a highly motivated and experienced Customer Experience Center Manager to join our team. In this role, you will lead the operations of...  ...professionals, including hiring, training, and performance management. ● Utilize customer feedback, market research, and data analytics to gain... 
Work experience placement
Remote job

Veritiv

Downey, CA
7 hours ago
 ...The RN Case Manager manages a continuum of care from pre-admission through post-discharge...  ...of the position is the appropriate utilization of hospital services, maximizing reimbursement...  ...third party payors, and education of medical/hospital staff about healthcare options.... 

PIH Health

Downey, CA
1 day ago
**Assistant Manager** 9341 Firestone Blvd, Downey, CA 90241, USA Req #1783 Saturday, February...  ...the following Benefits/Perks: * Medical + Dental + Vision Insurance * 401(K) Plan...  ...become a General Manager, Area Leader, Director of Operations, and beyond! * **Work... 
Hourly pay
Full time
Immediate start
Gangs
Flexible hours
Shift work
Saturday

El Pollo Loco

Downey, CA
4 days ago
 ...1 is an Allopathic/Osteopathic Graduate Medical Student who has been accepted for enrollment...  ...Family Medicine Residency or Program Director and/or Associate Director. PIH Health...  ..., and College of Healthcare Information Management Executives (CHIME) as one of the nation'... 
Full time

PIH Health

Downey, CA
7 hours ago
 ...the general direction of the Director of Social Services and/or the...  ...supervision of an LCSW, the Medical Social Worker I will provides...  ...developmental needs. Selects and utilizes community resources as part...  ...information. Provides case management, triage and linkage to internal... 
Full time
Local area
Shift work

Kaiser Permanente

Downey, CA
more than 2 months ago
 ...strategic plan that encompasses "A Culture of Excellence in ALL We Do." Job Summary Job Summary THE POSITION: The Project Director I, Transformative Social Emotional Learning (T-SEL) shall provide technical, specialized, consultative, advisory, and planning services... 
Local area

Los Angeles County Office Of Education

Downey, CA
3 days ago
 ...Job Description Job Description United Medical Imaging We are a large Reputable Imaging group, with 29 locations in Southern California, proud leading providers of quality healthcare to the community. Our centers are equipped to treat diagnostics, traumatic, and life... 
Flexible hours

United Medical Imaging Healthcare

Downey, CA
7 days ago
 ...The Transportation Manager will lead a team of Supervisors and Drivers to ensure that finished goods are delivered to Distribution Centers. Position Responsibilities may include, but not limited to:Staffs, trains, evaluates and develop team members. Transportation Manager... 

Reyes Coca Cola Bottling, LLC

Downey, CA
2 days ago