Utilization Management jobs in Fremont, CA

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UTILIZATION MANAGEMENT COORDINATOR

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...

CompanyYoh, A Day & Zimmermann Company
AddressAlameda, CA
CategoryInformation Technology
Job typePart-Time
Date Posted 2 weeks ago See detail

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...

Utilization Management Representative II

Elevance Health

PALO ALTO, CA

Managing incoming calls or incoming post services claims work. . Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requ...

Director - Utilization Management

San Jose Behavioral Health

San Jose, CA

Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patient's provider benefits for their needs. . Conducts and oversees concurrent and retrospective reviews for all patients....

Utilization Management Supervisor

Hill Physicians Medical Group

San Ramon, CA

$110,000 - $120,000 a year

Provide clinical expertise, guidance and supervision to the Authorizations staff including clinical and non-clinical staff. Lead by example and act as a resource to staff by resolving clinical and benefit issues. Manage staff prod...