Talent.com
California Licensed Utilization Management Supervisor

California Licensed Utilization Management Supervisor

VirtualVocationsSan Buenaventura, California, United States
job_description.job_card.variable_days_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 Supervisor of Utilization Management to oversee a clinical review team ensuring appropriate care for members.

Key Responsibilities

Supervises the day-to-day activities of the utilization management team

Monitors compliance with performance, quality, and efficiency standards

Collaborates with the team to address complex member care issues and identifies opportunities for process improvements

Required Qualifications, Training, and Education

Registered Nurse (RN) license for California

Graduate of an accredited nursing school or Bachelor's degree

4+ years of related experience in utilization management

Knowledge of utilization management principles preferred

Ability to work in Pacific Standard Time (PST)

serp_jobs.job_alerts.create_a_job

Supervisor Utilization Management • San Buenaventura, California, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Oklahoma Licensed Utilization Manager

Oklahoma Licensed Utilization Manager

VirtualVocationsSan Buenaventura, California, United States
serp_jobs.job_card.full_time
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 authoriza...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
California Licensed Credentialing Specialist

California Licensed Credentialing Specialist

VirtualVocationsOxnard, California, United States
serp_jobs.job_card.full_time
A company is looking for a Licensing and Credentialing Specialist.Key Responsibilities Manage the process of securing and maintaining licenses, certifications, and permits for healthcare provider...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Florida Licensed Utilization Management RN

Florida Licensed Utilization Management RN

VirtualVocationsSan Buenaventura, California, United States
serp_jobs.job_card.full_time
A company is looking for a Utilization Management RN PRN.Key Responsibilities Analyze patient records to assess hospital admissions, treatment legitimacy, and appropriate care levels Facilitate ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
California Licensed Epic Analyst

California Licensed Epic Analyst

VirtualVocationsOxnard, California, United States
serp_jobs.job_card.full_time
Systems Analyst (Epic / Willow Ambulatory / Compass Rose).Key Responsibilities Lead and support Epic Willow Ambulatory implementations, focusing on Compass Rose configuration and optimization Analyz...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
New York Licensed Utilization Coordinator

New York Licensed Utilization Coordinator

VirtualVocationsOxnard, California, United States
serp_jobs.job_card.full_time
A company is looking for a Utilization Management Coordinator - Compliance.Key Responsibilities Review and analyze member cases for medical necessity and appropriateness of treatment authorizatio...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Psychiatric Technician - Statewide in CA

Psychiatric Technician - Statewide in CA

California Department of Corrections and RehabilitationFrazier Park, California, US
serp_jobs.job_card.full_time
Psychiatric Technician - Statewide in CA Position : Psychiatric Technician Location : Statewide - Multiple Locations Throughout California Annual Salary Range : $71,460 - $105,084 California Correctio...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Seasonal Tax Expert - Local

Seasonal Tax Expert - Local

IntuitFillmore, CA, United States
serp_jobs.job_card.full_time
Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Experts in one of our new TurboTax locations across the United States on a ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
California Licensed Resolution Manager

California Licensed Resolution Manager

VirtualVocationsOxnard, California, United States
serp_jobs.job_card.full_time
A company is looking for a Resolution Manager to oversee claims management and resolution processes.Key Responsibilities Analyze claims exposure and execute decision-making to resolve claims effe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
California Licensed Clinical Appeals RN

California Licensed Clinical Appeals RN

VirtualVocationsSan Buenaventura, California, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Appeals RN, fully remote, requiring 4 or 5 workdays per week with weekends required.Key Responsibilities Review medical records and verify if requested service...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
California Licensed Utilization Management Supervisor

California Licensed Utilization Management Supervisor

VirtualVocationsOxnard, California, United States
serp_jobs.job_card.full_time
A company is looking for a Supervisor of Utilization Management to oversee a clinical review team ensuring appropriate care for members. Key Responsibilities Supervises the day-to-day activities o...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
California Licensed Project Manager

California Licensed Project Manager

VirtualVocationsSan Buenaventura, California, United States
serp_jobs.job_card.full_time
A company is looking for a Project Manager - Transportation Infrastructure.Key Responsibilities Directs and manages small to medium-sized transportation projects, ensuring on-schedule completion ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
California Licensed Human Resource Instructor

California Licensed Human Resource Instructor

VirtualVocationsSan Buenaventura, California, United States
serp_jobs.job_card.full_time
A company is looking for a Human Resource Management Adjunct Instructor.Key Responsibilities Teach synchronous online courses and engage students effectively Develop and update curriculum materi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Licensed Utilization Management Case Manager

Licensed Utilization Management Case Manager

VirtualVocationsOxnard, California, United States
serp_jobs.job_card.full_time
A company is looking for a UM Case Manager.Key Responsibilities Provide case management services including pre-certification, assessment, and coordination of care for assigned members Document a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
California Licensed Eligibility Specialist

California Licensed Eligibility Specialist

VirtualVocationsOxnard, California, United States
serp_jobs.job_card.full_time
A company is looking for an Eligibility Specialist III.Key Responsibilities Maintain eligibility and billing for assigned accounts, ensuring compliance and accuracy Provide customer service and ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Travel Certified Occupational Therapist Assistant (COTA) - $1,998 per week in Montecito, CA

Travel Certified Occupational Therapist Assistant (COTA) - $1,998 per week in Montecito, CA

AlliedTravelCareersMontecito, CA, US
serp_jobs.job_card.full_time
AlliedTravelCareers is working with Centra Healthcare Solutions to find a qualified Certified Occupational Therapist Assistant (COTA) in Montecito, California, 93108!. Centra Healthcare Solutions is...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Travel Certified Occupational Therapist Assistant (COTA) - $2,114 per week in Montecito, CA

Travel Certified Occupational Therapist Assistant (COTA) - $2,114 per week in Montecito, CA

AlliedTravelCareersMontecito, CA, US
serp_jobs.job_card.full_time
AlliedTravelCareers is working with AHS Staffing to find a qualified Certified Occupational Therapist Assistant (COTA) in Montecito, California, 93108!. AHS Staffing is looking for a SNF Certified O...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Georgia Licensed Utilization Management RN

Georgia Licensed Utilization Management RN

VirtualVocationsSan Buenaventura, California, United States
serp_jobs.job_card.full_time
A company is looking for an RN Central Utilization Management.Key Responsibilities Conduct medical necessity reviews and clinical assessments for patient admissions and ongoing care Ensure timel...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Kansas Licensed Operations Lead

Kansas Licensed Operations Lead

VirtualVocationsSan Buenaventura, California, United States
serp_jobs.job_card.full_time
A company is looking for an Operations Lead in Emergency Medicine.Key Responsibilities Assess training opportunities and provide training to team Create and analyze reports, and conduct payer or...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Massachusetts RN Utilization Management

Massachusetts RN Utilization Management

VirtualVocationsSan Buenaventura, California, United States
serp_jobs.job_card.full_time
A company is looking for an Inpatient Utilization Management Clinician.Key Responsibilities : Perform utilization review activities for inpatient cases, applying evidence-based criteria Monitor i...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Utilization Management Representative

Utilization Management Representative

VirtualVocationsOxnard, California, United States
serp_jobs.job_card.full_time
A company is looking for a Utilization Management Representative - DME - Remote.Key Responsibilities Coordinate prior authorization reviews and ensure compliance with requirements Verify insuran...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30