Oklahoma Licensed Utilization Manager
VirtualVocationsFullerton, California, United Statesjob_description.job_card.1_day_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Manager, Utilization Management to oversee two Utilization Management teams and ensure compliance with healthcare guidelines.
Key Responsibilities
Manage prior authorization, concurrent review, and retrospective clinical review teams to ensure compliance with guidelines
Analyze utilization management activities and provide recommendations for improvement to senior leadership
Develop and maintain utilization management policies and educate the team on key initiatives
Required Qualifications
Graduate of an Accredited School of Nursing or Bachelor's degree with 5+ years of related experience
2+ years of supervisory experience preferred
Knowledge of utilization management principles preferred
RN - Registered Nurse - State Licensure and / or Compact State Licensure required
serp_jobs.job_alerts.create_a_job
Utilization Manager • Fullerton, California, United States
Job_description.internal_linking.related_jobs
We recognize and reward top talent.If you are looking for a team environment where you can also make an individual contribution and are seeking opportunities for continual learning and development,...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
University of California, Irvine, and the only academic health system based in Orange County.UCI Health is comprised of its main campus,.
UCI Health Community Network in Orange and Los Angeles count...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Meridian University is seeking an individual experienced with managing operations across multiple departments.This role involves process management, project management, and quality assurance.Monday...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
We are currently seeking a Registered Nurse with 2 to 3 years of clinical nursing background and 2 to 3 years of Utilization Review experience.
The ideal nurse for this role would also be proficient...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
The Utilization Management (UM) Nurse is responsible for conducting clinical reviews and assessing the medical necessity, appropriateness, and efficiency of healthcare services requested by provide...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Job Summary : Briefly describe the major purpose or objective of the job.The Operations Manager supervises and carries out the day-to-day maintenance repairs, evaluates facility needs, identifies co...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Management In Training - Operations (Mit) Program.POOLCORP is the world's leading distributor of outdoor living products.
With more than 445 sales centers and over 6,000 employees, we proudly provid...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
If you would like the chance to make your mark with the world's largest equipment rental provider,.As Operations Manager at United Rentals, you will leverage your leadership skills to coordinate an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
With a career at The Home Depot, you can be yourself and also be part of something bigger.The DC Operations Manager is responsible for the success of assigned functions within a complex distributio...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Operations Manager - Upland, CA.Would you like to join an international team working to improve the future of healthcare? Do you want to enhance the lives of millions of people? Grifols is a global...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Neros is a defense technology company rebuilding America's drone industrial base.We design and manufacture high-performance unmanned systems that are tested in combat, iterated at startup speed, an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
At Owens & Minor, we are a critical part of the healthcare process.As a Fortune 500 company with 350+ facilities across the US and 22,000 teammates in over 90 countries, we provide integrated techn...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Create a healthier, brighter future for pets, pet parents and people!.If you want to make a real difference, create an exciting career path, feel welcome to be your whole self and nurture your well...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
We specialize in energy solutions offering cutting-edge technologies to help our clients utilize clean, renewable energy for savings from the grid and backup power.
Coordinate and manage generator i...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Radiant is an El-Segundo, CA-based clean energy startup building a nuclear microreactor.A climate-friendly alternative to diesel generators, Radiant's Kaleidos 1MW microreactor will be the world's ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
At UCLA Housing & Hospitality Services (H&HS), you become part of UCLA's tradition of excellence by providing quality housing, dining, and hospitality services to student-residents, faculty, staff,...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Centinela Hospital Medical Center.At Centinela Hospital Medical Center, our dedicated team of professionals are committed to our core values of quality, compassion, and community.As a member of Pri...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
JJ&S Environmental Services is seeking a client-focused.The Operations Manager will serve as the go-to problem solver for disputes, complaints, and conflicts, working closely with homeowners, p...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
The Retail Operations Manager is responsible for the efficient operation of a Retail Store, Boutique or Attended Donation Center (ADC), with accountability for the operation functions.The Retail Op...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Association of American Universities and is ranked among the nation's top 10 public universities by U.The campus has produced five Nobel laureates and is known for its academic achievement, premier...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
- serp_jobs.job_card.promoted
Relative Services Program Manager
Penny Lane CentersNorth Hills, CA, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
RN Utilization Review - Lakewood - PT Days Exempt
University of California - Irvine HealthLakewood, CA, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Cross-Departmental Operations Manager
Meridian UniversitySanta Monica, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Utilization Management Denials Specialist, RN
Imperial Health Plan of California, Inc.Pasadena, CA, United Statesserp_jobs.job_card.full_time
Utilization Management RN
Your IT RecruiterLos Angeles, CA, usserp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
- serp_jobs.job_card.promoted
Operations Manager (LACC FT)
ASM GlobalSan Pedro, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Manager in Training - Operations (Southern California)
PoolLos Angeles, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Operations Manager
United RentalsSun Valley, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
DC Operations Manager
Home DepotBaldwin Park, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Operations Manager - Upland, CA - $5k Transfer Bonus
GrifolsUpland, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Operations ManagerEl Segundo, California, United States
Neros TechnologiesEl Segundo, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Operations Manager
Owens & MinorIrvine, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Hospital Operations Manager
Petco Health and WellnessGardena, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Project & Permitting Operations Manager
Generator SupercenterIrvine, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Operations ManagerEl Segundo, California, United States
RadiantEl Segundo, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Housing Operations Manager
InsideHigherEdLos Angeles, California, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Director of Case Management - Utilization Management
Prime HealthcareInglewood, CA, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Operations Manager
JJ&S Environmental ServicesOrange County, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Retail Operations Manager
Goodwill Southern CaliforniaNorco, CA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Intercollegiate Athletics Field Operations Manager
University of California - IrvineIrvine, CA, United Statesserp_jobs.job_card.full_time +1