Utilization Management jobs in Cerritos, CA

Now available 5 results are consistent

Sort by:relevance - date

UTILIZATION MANAGEMENT NURSE SPECIALIST, FT DAYS

Current knowledge of Managed Care and Health Plan Division of Financial Responsibilities (DOFR). Ability to apply appropriate UM criteria. Excellent communication skills. Strong organizational capabilities. Attention to detail is...

CompanyPih Health
AddressWhittier, CA
CategoryHuman Resources
Job typeFull-Time
Date Posted 2 months ago See detail

Utilization Management Nurse Specialist, FT Days

Pih Health

Whittier, CA

Current knowledge of Managed Care and Health Plan Division of Financial Responsibilities (DOFR). Ability to apply appropriate UM criteria. Excellent communication skills. Strong organizational capabilities. Attention to detail is...

Remote Inpatient Utilization Management (UM) Coordinator

Alignment Healthcare

Stanton, CA

Assist team with daily census by entering face sheets for hospitals and skilled nursing facilities (SNF). Obtain medical records from hospitals and SNF's. Attach medical records to authorizations. Enter referral requests / authori...

Care Review Processor with Utilization Review/Managed Care Exp. (REMOTE - CA)

Omg Technology

Long Beach, CA

Provide computer entries of authorization requests/provider inquiries by phone, mail, or fax. Including: Verify member eligibility and benefits. Determine provider contracting status and appropriateness. Determine diagnosis and tr...

Senior Utilization Management Assistant

Providence

Anaheim, CA

$22.93 - $35.77 an hour

Associate's Degree in Health care, business or related field, preferred or. Bachelors Degree in Health care, business or related field, preferred or equivalent education/experience....

Utilization Review RN - Utilization Management Dept OCGMC

Kpc Global Medical Centers Inc.

Santa Ana, CA

$50 - $85 an hour

Coordinates and reviews all medical records, as assigned to caseload. Actively participates in Case Management and Treatment Team meetings Serves as on-going educator to all departments. Responsible for reviewing patient charts in...