Talent.com
Utilization Review Clinical Liaison
Utilization Review Clinical LiaisonVirtualVocations • Fullerton, California, United States
Utilization Review Clinical Liaison

Utilization Review Clinical Liaison

VirtualVocations • Fullerton, 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 Utilization Review Clinical Liaison.

Key Responsibilities

Serve as the primary point of contact for 1st level utilization review (UR) cases

Coordinate 2nd level escalations based on 1st level protocols

Assist with triaging incoming cases, assessing urgency, and routing appropriately

Qualifications

High school diploma or equivalent required

Minimum of 2 years of experience in a healthcare environment

Familiarity with medical terminology and patient scheduling or triage coordination

Strong organizational skills

Experience in patient scheduling or triage coordination

serp_jobs.job_alerts.create_a_job

Utilization Clinical • Fullerton, California, United States

Job_description.internal_linking.related_jobs
Licensed Utilization Review Clinician

Licensed Utilization Review Clinician

VirtualVocations • Pasadena, California, United States
serp_jobs.job_card.full_time
A company is looking for a Utilization Review Clinician - ABA.Key Responsibilities Evaluates member's care and health status related to Applied Behavioral Analysis (ABA) services Performs prior ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
RN Utilization Review - Lakewood - PT Days Exempt

RN Utilization Review - Lakewood - PT Days Exempt

University of California - Irvine Health • Lakewood, CA, United States
serp_jobs.job_card.full_time
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_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Director-Rehab Clinical

Director-Rehab Clinical

Powerback Rehabilitation • Los Angeles, CA, United States
serp_jobs.job_card.full_time +1
At Powerback, we're on a mission to improve lives.As the leader in physical, occupational, speech, and respiratory therapies, we help older adults stay active and thrive while providing essential t...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Group Operations Liaison

Group Operations Liaison

PIH Health • Whittier, CA, US
serp_jobs.job_card.full_time
Group Operations Liaison is a critically important role.It is highly strategic and facilitative one that requires a combination of focus and flexibility, as well as a willingness to play an active ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Clinical Ops Project Manager

Clinical Ops Project Manager

Common Spirit Health • Los Angeles, CA, US
serp_jobs.job_card.full_time
The Clinical Operations Project Manager (COPM) is a strategic, system-thinking professional who leads and manages operational improvement initiatives, service line optimization, and project-based t...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Utilization Management Specialist

Utilization Management Specialist

TEKsystems • Los Angeles, California, United States
serp_jobs.job_card.full_time
Hybrid Schedule - 3 days remote and 2 on-site (Tues / Thurs).Position Overview • The Utilization Management Specialist plays a critical role within the Quality Management department, serving as the la...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Utilization Management RN

Utilization Management RN

Your IT Recruiter • Los Angeles, CA, us
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
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_more
serp_jobs.last_updated.last_updated_variable_days
Care Review Clinician (RN)

Care Review Clinician (RN)

Molina Healthcare • Pasadena, CA, United States
serp_jobs.job_card.full_time
California residents preferred.EMERGENCY ROOM ADMISSIONS REVIEW NURSE .DAY SHIFT 7 : 30AM - 08 : 30PM PACIFIC HOURS NON EXEMPT, 3 days a week will rotate. TRAINING SCHEDULE WILL BE Monday thru Friday ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
PACE UTILIZATION REVIEW SPECIALIST - RN

PACE UTILIZATION REVIEW SPECIALIST - RN

Chinatown Service Center • Alhambra, CA, US
serp_jobs.job_card.full_time
The PACE Utilization Review Specialist – RN oversees clinical utilization management for participants enrolled in the Program for All-Inclusive Care for the Elderly.The position ensures that ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Care review Clinician | Utilization review nurse

Care review Clinician | Utilization review nurse

Careers Integrated Resources Inc • Long Beach, CA, US
serp_jobs.job_card.full_time
Job Title : Care review Clinician | Utilization review nurse.Duration : 06 months+ contract (Possibility of extension).Shift timings : Standard hours - 8 : 00 AM to 5 : 00 PM (Mon-Fri).Processing pediatri...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Utilization Management Director

Utilization Management Director

Ami Network • Pasadena, CA, United States
serp_jobs.job_card.full_time
AMI Network is partnered with a large healthplan organization to find their next Utilization Management Director in Pasadena. Our client is a leading Health Plan + IPA that offers full-service Medic...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Oregon Licensed Utilization Review Nurse

Oregon Licensed Utilization Review Nurse

VirtualVocations • Pasadena, California, United States
serp_jobs.job_card.full_time
A company is looking for a Utilization Review Nurse.Key Responsibilities Monitor utilization practices from preadmission to discharge to ensure cost-effective resource use and quality patient car...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Associate Director of Nursing Clinical Operations

Associate Director of Nursing Clinical Operations

American Career College • LOS ANGELES, California, United States
serp_jobs.job_card.full_time
American Career College, we share a.As an associate for a certified Great Place to Work, you will join a collaborative, student-centric culture valuing academic integrity, mutual respect, student l...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Utilization Review Clinical Liaison

Utilization Review Clinical Liaison

VirtualVocations • Long Beach, California, United States
serp_jobs.job_card.full_time
A company is looking for a Utilization Review Clinical Liaison.Key Responsibilities Serve as the primary point of contact for 1st level utilization review (UR) cases Coordinate 2nd level escalat...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Manager, Clinical Operations

Manager, Clinical Operations

West Coast University • NORTH HOLLYWOOD, California, United States
serp_jobs.job_card.full_time
At West Coast University, we share a.As an associate for a certified Great Place to Work, you will join a collaborative, student-centric culture valuing academic integrity, mutual respect, student ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Tennessee Licensed Clinical Review Manager

Tennessee Licensed Clinical Review Manager

VirtualVocations • Ontario, California, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Review Manager to oversee medical reviews for utilization management.Key Responsibilities Initiate referrals for appropriate coordination of care Assist in co...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Supervisor, Care Review (RN) Utilization Management

Supervisor, Care Review (RN) Utilization Management

Molina Healthcare • Montebello, CA, United States
serp_jobs.job_card.full_time
Current residents of California Preferred.Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Manager, Enhanced Care Management (Clinical)

Manager, Enhanced Care Management (Clinical)

LOS ANGELES CARE HEALTH PLAN • Los Angeles, CA, US
serp_jobs.job_card.full_time
Manager, Enhanced Care Management (Clinical).Reporting to the Director of Enhanced Care Management (ECM), the ECM Manager will be responsible for overseeing the day-to-day operations of both clinic...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Clinical Operations Lead (Onsite)

Clinical Operations Lead (Onsite)

RDI • Van Nuys, CA, US
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
At RDI, we are building something most of the world thinks is impossible : .A clinical trial engine that actually works — for the sponsors who need results, for the labs that generate data, and for t...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days
Clinical Social Worker

Clinical Social Worker

California Department of Corrections and Rehabilitation • ALTADENA, California, US
serp_jobs.job_card.full_time
Position : Clinical Social Worker Increased Salaries are Just the Beginning… The past few years have seen dramatic shifts in the health care landscape. California Correctional Health Care Services (C...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted