Top 461 Resource utilization manager Jobs in Pasadena, Ca

Utilization Management Supervisor, Non-Clinical
UCLA Health —Los Angeles, CA
- $70,900 - $145,200 a year
- Writing skills
- Mid-level
- 3 years
Registered Nurse Case Manager ED Full Time Nights
Martin Luther King, Jr. Community Hospital —Los Angeles, CA
- $53.07 - $82.27 an hour
- Full-time
- Background check
- Spanish
- Nursing
- Wellness program
- 403(b) matching
Quick Apply
RN Wound Care Lead
Martin Luther King, Jr. Community Hospital —Los Angeles, CA
- $52.25 - $80.99 an hour
- Full-time
- Acute care
- Background check
- Nursing
- Wellness program
- 403(b) matching
Quick Apply
Program Manager - Behavioral Health FSP
SCHARP —Los Angeles, CA
- $96,600 a year
- On call
- Background check
- Computer literacy
- Urgent Care
Quick Apply
Health Information Manager / Market Health Information Management Manager
Kindred Hospitals —Paramount, CA
- $69,000 - $86,000 a year
- Full-time
- Background check
- Hospital
- Customer service
- Health savings account
- Health insurance
Quick Apply
7d
Registered Nurse – Case Manager | Travel Contract | Acute Care Hospital
First Class Nurses, Inc. —Los Angeles, CA
- $2,500 - $3,000 a week
- 8 hour shift
- Acute care
- RN License
- Hospital
- Travel reimbursement
- Health insurance
Quick Apply
3d
Maintenance Contract Manager - Winnemucca, NV
Student Transportation of America —Los Angeles, CA
- $85,000 - $125,000 a year
- Full-time
- CDL B
- ASE Certification
- Mechanic experience
- Disability insurance
- Relocation assistance
Quick Apply
Program Manager - FSP
SCHARP —Los Angeles, CA
- $96,600 a year
- On call
- Computer literacy
- Urgent Care
- Mid-level
Quick Apply
Ready Mix Plant Manager
CalPortland —Vernon, CA
- $75,000 - $105,000 a year
- Background check
- Microsoft Excel
- Microsoft Outlook
- Disability insurance
- Health insurance
Case Manager - RN Full Time Day Shift
Community Hospital of Huntington Park —Huntington Park, CA
- $51.88 - $76.28 an hour
- Full-time
- Nursing
- RN License
- Hospital
Quick Apply
Case Manager - RN Full Time Day Shift
Coast Plaza Hospital —Norwalk, CA
- Full-time
- Nursing
- RN License
- Hospital
Quick Apply
Department Lead, Active Transportation
Michael Baker International —Los Angeles, CA
- Up to $280,000 a year
- Full-time
- Hybrid work
- 11+ years
- Bachelor's degree
- Mentoring
- Health savings account
- AD&D insurance
3rd Party Manager-RN (Fertility)
Ivy Fertility-Reproductive Partners Medical Group —Beverly Hills, CA
- $110,000 - $130,000 a year
- Full-time
- Background check
- Nursing
- RN License
- Health savings account
- Health insurance
Quick Apply
Case Manager - RN Full Time Day Shift
Memorial Hospital of Gardena —Gardena, CA
- $51.88 - $76.28 an hour
- Full-time
- Nursing
- RN License
- Hospital
Quick Apply
RN - Lead Care Manager (Full-Time, Day Shift)
Adventist Health —Los Angeles, CA
- Full-time
- Nursing
- Addiction Medicine
- RN License
Care Manager RN Full- time Day
Providence Health and Services —Santa Monica, CA
- $57.28 - $88.92 an hour
- Full-time
- Acute care
- Nursing
- RN License
- Paid parental leave
- Paid holidays
1d
RN Wound Care Lead
Martin Luther King, Jr. Community Hospital —Los Angeles, CA
- Full-time
- Nursing
- RN License
- Hospital
11d
Retail Operations Continuous Improvement Manager
Johnson Health Tech Retail Inc —Vernon, CA
- $95,000 - $115,000 a year
- Full-time
- 5 years
- Analysis skills
- Driver's License
- Health insurance
- Dental insurance
Quick Apply
Case Manager - Utilization Management
West Anaheim Medical Center —Anaheim, CA
- $30.28 - $43.32 an hour
- Full-time
- Acute care
- Hospital
- Computer literacy
- Health insurance
- Dental insurance
Case Manager - Care Coordinator - Full Time 8 hours Days (7:30AM - 4:00PM) (Union, Non-Exempt)
USC —Arcadia, CA
- $46.00 - $76.07 an hour
- 8 hour shift
- Nursing
- RN License
- Hospital

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resource utilization manager jobs near pasadena, ca

Utilization Management Supervisor, Non-Clinical

UCLA Health -
Los Angeles, CA

Apply Now

Job Details

$70,900 - $145,200 a year

Qualifications

Staff supervision
Skilled nursing facility experience
Inpatient experience
Managed care organization experience
Team leadership
Healthcare referral management
Care coordination
Home health agency experience

Full Job Description

Description

Under the direction of the Utilization Management Assistant Director, the Utilization Management Supervisor (Non-Clinical) oversees the daily operations of non-clinical patient navigation services supporting high-risk and high-utilizer patient populations within the Utilization Management Department. This role supervises a team of coordinators, patient navigators and concurrent nurses, ensuring efficient workflow management, timely access to care, effective care transitions, and high-quality service delivery.

Key Responsibilities

Supervise and provide leadership to Patient Navigators and Coordinators supporting UM, SNF, ED follow-up, and Home Health workflows.
Oversee patient navigation activities, including appointment scheduling, transportation coordination, DME coordination, and community resource referrals.
Monitor operational work queues, referrals, discharge tracking, and care transition activities to ensure timely follow-up and service delivery.
Support effective transitions of care through post-discharge outreach, appointment adherence, and coordination of services.
Collaborate with interdisciplinary teams to identify and address barriers to care and support patient engagement initiatives.
Manage staff performance, scheduling, attendance, payroll/timekeeping, training, and professional development.
Analyze operational and utilization data to support quality improvement, compliance, and strategic decision-making.
Lead process improvement initiatives and support the development and optimization of departmental workflows, policies, and procedures.
Support system-related functions and operational activities related to care coordination, authorizations, and utilization management workflows.

Salary Range: $70,900 - $145,200/Annually

Qualifications

High school diploma, GED or equivalent experience.
Four or more years of experience in a Managed Care Case Management and care coordination environment – REQUIRED
Three or more years of experience in Inpatient and ambulatory Managed Care program/referrals – REQUIRED
Three or more years of leadership or Supervisory role - REQUIRED
Two or more years of
- Experience supporting Intensive Case Management, Utilization Management, Skilled Nursing Facility, and Home Health programs
- Familiarity with Medicare Advantage and value-based care models
- Experience with electronic health records (e.g., Epic/CareConnect)
Four years or more experience in Managed care Organization, Medical Group operations, Health Plan administration and workflows.
Ability to multi-task, work with frequent interruptions, and meet deadlines. Must be detailed, oriented, attentive, organized, and able to follow directions.
Proficient computer skills including working knowledge of Microsoft Excel, Visio, Power P and Word.
Ability to operate a wide variety of office equipment, including computers, printers, copy machines, facsimile receiver/transmitter, scanners and mailing equipment.
Ability to communicate thoughts and information clearly and succinctly in writing as well as verbally.
Highly organized, reliable, consistently seeking learning opportunities and new challenges, High EQ, communication skills, problem solving ability, and teamwork, humble yet confident, peers feel comfortable requesting your assistance.
Experience in Medicare Advantage or value-based care models - Preferred

Apply Now

Refine Your Search

resource utilization manager jobs in pasadena, ca

Utilization Management Supervisor, Non-Clinical

Registered Nurse Case Manager ED Full Time Nights

RN Wound Care Lead

Program Manager - Behavioral Health FSP

Health Information Manager / Market Health Information Management Manager

Registered Nurse – Case Manager | Travel Contract | Acute Care Hospital

Maintenance Contract Manager - Winnemucca, NV

Program Manager - FSP

Ready Mix Plant Manager

Case Manager - RN Full Time Day Shift

Case Manager - RN Full Time Day Shift

Department Lead, Active Transportation

3rd Party Manager-RN (Fertility)

Case Manager - RN Full Time Day Shift

RN - Lead Care Manager (Full-Time, Day Shift)

Care Manager RN Full- time Day

RN Wound Care Lead

Retail Operations Continuous Improvement Manager

Case Manager - Utilization Management

Case Manager - Care Coordinator - Full Time 8 hours Days (7:30AM - 4:00PM) (Union, Non-Exempt)

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