Search Results: 39,208 vacancies
...contractual obligations and state and federal laws/regulations. You will extrapolate and summarize essential information for the UM Manager and Medical Director and regularly meet with them for clinical guidance in resolving cases. You will also document appeals in the...
Suggested
Hourly pay
...position is responsible for providing support to the Medical Management department to ensure timeliness of outpatient or inpatient referral... ...other government programs required.
4. Prior experience in utilization management processing authorization referrals also required....
Suggested
Hourly pay
Holiday work
Flexible hours
...Description
Job Title: Utilization Management Coordinator - Hybrid
Department: Health Services - UM
About the Role:
The Utilization Management Coordinator is responsible for supporting clinical, management, and client activities, comprising the UM Program....
Suggested
Hourly pay
Immediate start
Work from home
...Widening, we are the program and construction manager for the LACMTA I-105 ExpressLanes, the... ...managing assigned project(s) in the Utilities Management area throughout their full... ...overall project objectives.
Performs coordination with managers on project staffing, including...
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Full time
Contract work
Part time
...direction and supervision of the RN Assistant Director, the Case Management Coordinator is responsible for patient high risk care coordination... ...procedures as established by the medical group utilization department. Responsible for prepping and processing referrals...
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Immediate start
Remote job
Flexible hours
Weekend work
Sunday
Saturday
...POSITION SUMMARY:
This position is responsible for the management of the daily operations of Utilization Management (UM) at APLA Health and Wellness (APLAHW... ...objectives.
Supervise a staff of referral coordinators, currently consisting of one supervisor and 5 other...
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Contract work
Job Description Job Description Salary:
Position Title: LVN Utilization Manager
Department: Medical
Position reports to: Director of... ...Monitor the activities of clinical and non-clinical staff
Coordinates patient’s discharge planning needs with the healthcare team...
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...career to the next level. You can do all this and more at UCLA Health.
As a Manager for Medicare Advantage Utilization Management, you'll provide direct management to a team of UM coordinators and nurses. You'll work closely with Medicare Advantage leadership to plan,...
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Remote job
Flexible hours
Monday to Friday
...the direction of the Director, Medical Management this position is responsible for overseeing... ...the day-to-day operations of the Utilization Management Department, health plan delegated... ...determinations and care coordination activities. This position is responsible...
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Holiday work
Remote job
Flexible hours
...Description: Job Summary:Develops, manages and directs the Utilization Management programs in a Service Area or a Medical Center. Develops and manages... ..., Outside Utilization Review program, Transportation coordination and Extended Care Coordination to promote a centralized...
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Full time
Contract work
Local area
Shift work
...Description Medica Talent Group is excited to share this Temp to Hire opportunity with you!
We are looking for an experienced Utilization Management LVN seeking a new exciting opportunity!
For immediate consideration, Please submit your resume to: ****@*****.***...
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Immediate start
Remote job
...As a key leader within our Medicare Advantage team, you will be responsible for assisting with the day-to-day management of the UM department and coordinators. This will involve coordinating staff schedules to efficiently handle incoming referrals and phone call volume...
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...to those individuals we serve.
Our Health Plan Services team plays a critical role in our participant's journey and our Utilization Management team ensures we can provide timely, quality, compliant, and cost-effective care to our participants. By guiding this team,...
Suggested
Hourly pay
Holiday work
...Responsibilities
Utilization Review (UR) Coordinator Opportunity.
Position: PRN (as needed)
This position is on-site and cannot be done... ...before applying, please contact Loretta Gaspar , HR Manager at: ****@*****.***
What do our current...
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Relief
Local area
Remote job
...Description
POSITION
Assistant Project Manager
Benefits:
Paid Sick Time, Medical, 401(k... ...quotes from material suppliers/vendors.
Coordinate deliveries of material.
Create purchase... ...understand civil plans (required)
Underground utility construction experience (preferred)...
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For contractors
Local area
Shift work
Monday to Friday
...job. It's the calling of our lives and it compels us to keep moving forward.
Job Overview
The Medical Director, Specialty Utilization Management is responsible for leading multi-disciplinary teams in the functional areas of Utilization Management including prior...
Holiday work
Local area
Flexible hours
...appropriate care and setting while working closely with denial coordinators and other staff to ensure the accurate processing of... ...CA LVN licensure required
Two or more years of utilization review/utilization management experience in an HMO, MSO, IPA, or health plan...
Company Description:
Raftelis provides management consulting expertise to local governments and utilities so their organizations and communities can thrive. We’ve worked with more than 700 public agencies in the last year alone. We work in all areas of management consulting...
Local area
Work visa
Flexible hours
Night shift
Utilization Management Nurse Specialist LVN II
Job Category: Clinical
Department: Utilization Management
Location:
Los Angeles, CA, US, 9... ...Utilization Management Nurse Specialist LVN II will facilitate, coordinate and approve medically necessary referrals that meet...
Holiday work
Full time
Title:
Gas & Electric Utility Client Account Manager
Location:
Los Angeles, CA or San Diego, CA (Hybrid)
Salary:
$150-$200K
Qualifications:
Bachelor of Science, Engineering, or related technical field.
Minimum 8+ years of related experience, including 4-5 years...
