Utilization Management jobs in Palo Alto, CA

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UTILIZATION MANAGEMENT REPRESENTATIVE II

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...

CompanyElevance Health
AddressPALO ALTO, CA
CategoryRetail
Date Posted a month ago See detail

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....

Nurse Manager Utilization Management

Kaiser Permanente

South San Francisco, 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,...