Utilization Management jobs in Long Beach, CA

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CARE REVIEW PROCESSOR WITH UTILIZATION REVIEW/MANAGED CARE EXP. (REMOTE - 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...

CompanyOmg Technology
AddressLong Beach, CA
CategoryInformation Technology
Job typeContractor
Date Posted 3 weeks ago See detail

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...

Case Management Utilization RN PD Day

Kaiser Permanente

Harbor City, 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...

Utilization Review Case Manager - FT Days

Torrance Memorial Medical Center

Torrance, CA

$53.40 - $82.22 an hour

Tracks avoidable days....

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...

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...

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....