Director Of Utilization Management jobs in California

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DIRECTOR UTILIZATION MANAGEMENT

Current California RN license. Bachelor's degree in Nursing, Health Care Administration or advanced clinical degree. Minimum of three (3) years clinical case management (Utilization Management, denial management, care coordination...

CompanyCommonspirit Health
AddressRancho Cordova, CA
CategorySales/marketing
Job typeFull-Time
Date Posted 2 months ago See detail

Director Utilization Management

Commonspirit Health

Rancho Cordova, CA

Current California RN license. Bachelor's degree in Nursing, Health Care Administration or advanced clinical degree. Minimum of three (3) years clinical case management (Utilization Management, denial management, care coordination...

Manager Utilization Management

Kaiser Permanente

Santa Clara, CA

Chairs and Co-chairs local committees focused on creating, implementing and monitoring work plans to achieve UM targets and performance improvement. Provides expertise into target setting processes. Shares accountability with othe...

Case Manager Utilization RN ED Night 40/hr

Kaiser Permanente

San Marcos, CA

Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of app...

Case Manager Utilization RN, 40/hr Day

Kaiser Permanente

Anaheim, CA

Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of app...

Case Manager Utilization RN- Per Diem

Kaiser Permanente

Irvine, CA

Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of app...

Case Manager Utilization RN- Per Diem Day

Kaiser Permanente

Fontana, CA

Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of app...

Nurse Manager - Utilization Management

Kaiser Permanente

Oakland, CA

Manages the operations of 24-hour departments that may be at multiple locations. Ensures Assistants and staff provide the highest quality of care and are in compliance with the Nursing Practice Act, The Joint Commission, federal,...

Utilization Management Clinician, Behavioral Health

Cvs Health

Sacramento, CA

Gives providers determinations/recommendations along the continuum of care facilitates including effective discharge planning.- Coordinate with providers and other parties to facilitate optimal care/treatment.- Identify members at...

Supervisor, Utilization Management

Altais

Oakland, CA

Supervises and coordinates activities of utilization review staff in maintenance of informed policy and procedure manuals, files, records and correspondence. Provide guidance on issues related to referral and authorization process...

Utilization Management Coordinator

Yoh, A Day & Zimmermann Company

Alameda, CA

One (1) year of Managed Care experience (HMO or IPA) strongly preferred. Ability to work from home M-F, 8am-5pm PT. Support clinical staff through completion of the administrative and nonclinical coordinator functional components...

RN Supervisor Utilization Management

Dignity Health Medical Foundation

Rancho Cordova, CA

Under general supervision this position is responsible for coordinating the daily operations of the UM Pre-Authorization team in order to ensure requests are processed in a consistent and timely manner while observing regulatory g...

Case Management Utilization RN, 40/hr Day

Kaiser Permanente

San Diego, CA

Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of app...

Case Manager Utilization RN, 40/hr Day

Kaiser Permanente

Irvine, CA

Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of app...

Case Manager Utilization RN, 40/hr Day

Kaiser Permanente

San Marcos, CA

Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of app...

Case Manager Utilization RN, 40/hr Day

Kaiser Permanente

Ontario, CA

Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of app...

Case Management Utilization RN, Per Diem Day

Kaiser Permanente

Fontana, CA

Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of app...

Case Manager Utilization RN, 40/hr Day

Kaiser Permanente

Los Angeles, CA

Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of app...

Case Manager Utilization RN, 32/hr Day

Kaiser Permanente

Riverside, CA

Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of app...

Case Manager Utilization RN-Per Diem Night

Kaiser Permanente

Riverside, CA

Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of app...

Case Manager Utilization RN, 40/hr Night

Kaiser Permanente

San Diego, CA

Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of app...

Case Manager Utilization RN, 32/hr Day

Kaiser Permanente

Los Angeles, CA

Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of app...

Case Management Utilization RN, 20/hr Day

Kaiser Permanente

San Diego, CA

Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of app...