Utilization Management jobs in Los Angeles, CA

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CUSTOMER SUCCESS UTILIZATION MANAGER - MN/WI

Consult with customers to create a customized strategy that ensures customers understand, utilize, and leverage products purchased and bringing to life the VALUE of their installation. Custom design, plan and execute on plans for...

CompanyKarl Storz Endoscopy - America
AddressLos Angeles, CA
CategoryInformation Technology
Salary$67,600 - $107,800 per year
Job typeFull-time, Part-time
Date Posted a week ago See detail

Customer Success Utilization Manager - MN/WI

Karl Storz Endoscopy - America

Los Angeles, CA

$67,600 - $107,800 per year

Consult with customers to create a customized strategy that ensures customers understand, utilize, and leverage products purchased and bringing to life the VALUE of their installation. Custom design, plan and execute on plans for...

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...

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...

Utilization Management Coordinator

Astrana Health

Monterey Park, CA

Comply with UM policies and procedures. Annual review of selected UM policies. Read and understand NMM UM Customer Service Policy and Procedures. Answer incoming calls from providers both contracted and non-contracted. (Average 60...

Utilization Management Denial Review Nurse - LVN

Ucla Health

Los Angeles, CA

$61,400 - $121,400 a year

DescriptionQualificationsWere seeking an exceptionally gifted, self-motivated leader with: * Current CA LVN licensure required * Two or more years of utilization review/Utilization Management experience in an HMO, MSO, IPA, or he...

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...

Registered Nurse - Utilization Management - 8 Hour Days

Cedars-Sinai

Los Angeles, CA

$52.47 - $83.95 an hour

The UR Case Manager uses medical necessity screening tools, such as InterQual or MCG criteria, to complete initial and continued stay reviews in determining appropriate level of patient care, appropriateness of tests/procedures an...

RN - Utilization Management

Spectrum Healthcare Resources

Los Angeles, CA

Degree/Education: Bachelor of Science in Nursing. Graduate from a college or university accredited by National League for Nursing Accrediting Commission (NLNAC), or The Commission on Collegiate Nursing Education (CCNE). Experience...

Utilization Management Supervisor

Ucla Health

Los Angeles, CA

$61,400 - $121,400 a year

DescriptionQualificationsWere seeking a self-motivated, team-focused, deadline-driven, detail-oriented leader with: * High school diploma, GED or equivalent required * Two or more years of experience managing staff in a healthcar...

Denial Review Nurse - Utilization Management - Hybrid

Astrana Health

Monterey Park, CA

$30 - $45 an hour

Responsible for managing all deferrals and or denials by conducting a comprehensive review of clinical documentation, clinical criteria/guideline, policy, and or EOC/benefit policy Apply clinical knowledge when processing all defe...

Utilization Management LVN

Welbehealth

Los Angeles, CA

Chart audits of items including but not limited to consult summaries, imaging results, and procedure summaries to determine if additional follow up services are requested. Oversee departmental clinical inboxes, email inboxes, and...

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...

Case Manager Utilization RN, 32/hr Day

Kaiser Permanente

Panorama 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...

Case Manager Utilization RN, 24/hr Mid-Shift

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-Per Diem 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...

Utilization Review Case Manager - FT Days

Torrance Memorial Medical Center

Torrance, CA

$53.40 - $82.22 an hour

Tracks avoidable days....