Search Results: 33,993 vacancies

 ...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...  ...and Experience: * California Registered Nurse with active, unrestricted license issued... 
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AltaMed

Montebello, CA
3 days ago
 ...Description I. Job Purpose and Core Tasks The Customer Success Utilization Manager plays a critical role in managing overall success,...  ...~ Establish and maintain strong working relationships with nurses, physicians, materials management, and administrative personnel... 
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KARL STORZ Endoscopy - America

El Segundo, CA
10 days ago
 ...The Utilization Management (UM) LVN performs utilization review activities, including, but not limited to, precertification, ensures appropriate...  ...state of California. A minimum of 2 years of bedside nursing experience in an acute care setting. A minimum of 2... 
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Full time
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PIH Health

Downey, CA
22 hours ago
 ...We are: Accenture Strategy & Consulting, Utility Industry, Retail Energy and Customer Service Practice helps energy providers around...  ...case, deliver agile projects, develop new operating model, manage talent and change, co-create intellectual property Our Commitment... 
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Accenture

Los Angeles, CA
3 days ago

$73k - $95k

 ...indirect caregiver, patient advocate and manages patients in the most cost effective way...  ...providing continuity of care, including Utilization management, Transfer coordination, Discharge...  ..., Registration ~ Registered Nurse License (California) ~ Basic Life... 
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Full time
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Kaiser

Los Angeles, CA
19 hours 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...  ...License, Certification, Registration ~ Registered Nurse License (California) Additional Requirements:... 
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Full time
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Kaiser Permanente

Harbor City, CA
7 days ago
 ...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.... 
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AltaMed Health Services Corporation

Montebello, CA
5 days ago
 ...Hire opportunity with you! We are looking for experienced Utilization Management LVNs seeking a new exciting opportunity. Our client offers...  ...com Pay: $36hr Overview The LVN Utilization Management Nurse (UM Nurse) will provide routine review of authorization... 
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North American Staffing Group

Montebello, CA
7 days ago
 ...Job Description The Utilization Management (UM) RN performs utilization review activities, including, but not limited to, precertification,...  ...necessity of requests by performing first level reviews. The UM nurse ensures a process that is efficient for providing care,... 
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Full time

PIH Health

Downey, CA
2 days ago
 ...Job Description ManageAmerica is looking for an experienced Utility Rate Analyst to join our Submetered Utility Billing Service team...  ...ManageAmerica: ManageAmerica is a complete online property management, utility billing, and accounts receivable software suite with... 
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ManageAmerica

Los Angeles, CA
22 days ago
 ...plays a critical role in our participant's journey and our Utilization Management team ensures we can provide timely, quality, compliant, and...  ...Requirements: * Minimum of three (3) years of relevant clinical nursing experience * Strong preference for prior PACE experience... 
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Welbe Health

Los Angeles, CA
1 day ago
 ...with you! We are looking foran experienced RN Supervisor, Utilization Management seeking a permanent opportunity. Our client offers growth...  ...evaluations. Qualifications: 1. Associate's Degree in Nursing required, Bachelor's Degree in Nursing preferred 2. Minimum... 
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North American Staffing Group

Los Angeles, CA
5 days ago
 ...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...  ...License, Certification, Registration Registered Nurse License (California) Additional Requirements: Demonstrated... 
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Kaiser Permanente

Los Angeles, CA
1 day ago
 ...Job Description The Utilization Management Coordinator is responsible for production of administrative and clinical materials and correspondence, coordinating day-to-day activities and other duties and projects as assigned. Coordinates the transfer of information to... 
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Full time
Immediate start

PIH Health

Downey, CA
1 day ago
The Engineering Manager (Utility Scale Solar + Storage Development) will support the infrastructure development and operations team with energy modeling, design reviews, and technical support from early development phase through operations. Assignments shall also include... 
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CIM Group, LP

Los Angeles, CA
2 days ago
- 1-5+ years of utility inspection and/or compliance experience, pipeline or construction specific - Ability to travel with a reliable...  ...for documentation review. It is highly important this person manages documentation for compliance with regulatory, company, and department... 

Insight Global

Los Angeles, CA
23 hours ago
 ...subcontractor agreements and our client contract obligations. Design Management: Manages design development process and interfaces between...  ...& Planning: Applies building and construction knowledge, utilizing experience and current developments in the industry to prepare... 
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JLM Strategic Talent Partners

Los Angeles, CA
1 day ago
Utilization Manager Los Angeles, California Is remote? No APLA Health Los Angeles, CA Website: https://aplahealth.org/Posted: May...  ...informal role) preferred. ~Requires either a Bachelor’s degree in Nursing (RN with active California certification) or other... 
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CenterLink, Inc.

Los Angeles, CA
12 days ago
 ...The Utilization Management Nurse Specialist RN II will facilitate, coordinate, and approve medically necessary referrals that meet established criteria. Assures timely and accurate determination and notification of referrals and reconsiderations based on the referral... 
Full time

L.A. Care Health Plan

Los Angeles, CA
11 days ago
 ...The Utilization Management (UM) RN performs utilization review activities, including, but not limited to, precertification, ensures appropriate...  ...necessity of requests by performing first level reviews. The UM nurse ensures a process that is efficient for providing care,... 
Full time

PIH Health Downey Hospital

Downey, CA
a month ago