Showing 1-10 of 30
Showing 1-10 of 30
Utilization Management Nurse Inpatient jobs near Irvine, CA

Mission Hospital Laguna Beach - Laguna Beach, CA

Comprehensively applies utilization management principles and criteria for the behavioral health patient through clinical review process concurrently and...

CalOptima - Orange, CA

Perform utilization management and case management functions. Guidelines and regulations relevant to case management and utilization management....

Mission Hospital Laguna Beach - Laguna Beach, CA

Good working knowledge of behavioral health utilization management functions and payor groups. Recent Utilization Review experience....

St. Jude Medical Center (SJH) - Fullerton, CA

Case management or acute care experience in a healthcare setting. The management of utilization and the coordination of the continuum of care will be performed...

PRIMARY PROVIDER MANAGEMENT COMPANY, INC. - Corona, CA

Maintain accuracy and timely input of all ambulatory and inpatient utilization data into the Management Information System....

CalOptima - Orange, CA

Guidelines and regulations relevant to case management and utilization management. Assess resource utilization, cost management and negotiate effectively....

UnitedHealth Group - Irvine, CA

Utilization Management experience. Manager, Case Management, Nurseline, RN, registered nurse, nurse, prior authorization, assessment, telephonic, triage, CM,...

Pathways College Community Services - Garden Grove, CA

Completes utilization reviews on program clients and documents appropriately. Coordinates with providers including clinicians, medical director, and/or nurse...

Pacific Cardiovascular Associates Medical Group - Laguna Hills, CA

Knowledge of healthcare quality Assurance/Quality Control program and Federal and State regulations pertaining to quality and utilization management....

Northbound Treatment Services - Newport Beach, CA

The Director of Utilization Management*. Facilitates educational training for Medical staff on utilization management issues....


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