Top 29 Utilization review Jobs in Salinas, Ca

Medical Field Case Manager
Enlyte —Salinas, CA
- $100,000 - $105,000 a year
- Full-time
- Hybrid work
- Nursing
- Microsoft Outlook
- RN License
- Travel reimbursement
- Health savings account
Clinical Coordinator III
Community Solutions for Children, Families and Individuals —Gilroy, CA
- $107,687.06 a year
- Weekends as needed
- Hybrid work
- Bilingual
- Clean driving record
- Management
- 403(b) matching
- Mileage reimbursement
Quick Apply
Health Records & Referrals Manager
Salud Para La Gente —Watsonville, CA
- $93,985.93 - $114,240.48 a year
- Full-time
- Spanish
- HIPAA
- English
- Paid holidays
- Disability insurance
Quick Apply
2d
Epic Willow Analyst / Pharmacist
Salinas Valley Health —Salinas, CA
- $79.87 - $99.84 an hour
- Full-time
- Bachelor of Science
- Mid-level
- High school diploma or GED
Therapist
Balance Treatment Center —Monterey, CA
- $40 - $57 an hour
- Full-time
- LMFT
- Customer service
- Licensed Clinical Social Worker
- Paid holidays
- Health insurance
Quick Apply
Registered Nurse
Affinity Hospice Care Inc. —Monterey, CA
- $140 - $150 a year
- Part-time
- Remote
- CPR Certification
- RN License
- BLS Certification
- Mileage reimbursement
- Flexible schedule
Quick Apply
Physician Assistant
CLINICA DE SALUD DEL VALLE DE SALINAS —Salinas, CA
- $140,000 - $170,000 a year
- Medicine
- Computer literacy
- BC/BE
- Wellness program
Physician
CLINICA DE SALUD DEL VALLE DE SALINAS —Salinas, CA
- $260,000 - $327,000 a year
- Medicine
- Computer literacy
- BC/BE
- Wellness program
Pediatrician
CLINICA DE SALUD DEL VALLE DE SALINAS —Salinas, CA
- $241,000 - $301,000 a year
- Full-time
- Medicine
- Computer literacy
- Writing skills
- Wellness program
- Health insurance
Family Practitioner
CLINICA DE SALUD DEL VALLE DE SALINAS —Castroville, CA
- $255,000 - $319,000 a year
- Medicine
- Computer literacy
- BC/BE
- Wellness program
Registered Nurse
Best Home Health Providers, Inc. —Watsonville, CA
- $110 - $130 a year
- Part-time
- Remote
- CPR Certification
- RN License
- BLS Certification
- Mileage reimbursement
- Flexible schedule
Quick Apply
Physical Therapist - Per Diem
Natividad Medical Center —Salinas, CA
- $10,994.53 - $15,017.60 a month
- Weekends as needed
- Physical & Rehabilitation Medicine
- Mid-level
- Driver's License
5d
BEHAVIORAL HEALTH MEDICAL DIRECTOR
County of Monterey, CA —Salinas, CA
- $29,877 - $32,779 a year
- Weekends as needed
- Background check
- Spanish
- Psychiatry
Assistant Director of Rehab - Physical Therapist
Salinas Valley Post Acute —Salinas, CA
- $63 - $73 an hour
- Full-time
- Skilled nursing facility
- Physical & Rehabilitation Medicine
- Mid-level
- Paid holidays
- Health insurance
Quick Apply

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Utilization Management and Discharge Planning RN
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utilization review jobs near salinas, ca

Medical Field Case Manager

Enlyte -
Salinas, CA

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Job Details

Full-time
$100,000 - $105,000 a year

Benefits

Travel reimbursement
Health savings account
AD&D insurance
Paid holidays
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Employee assistance program
Vision insurance
Referral program

Qualifications

RN License
Grammar Experience

Full Job Description

Company Overview:

At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth.

Be part of a team that makes a real difference.

Job Description:

This is a full-time, hybrid position. The candidate must be located in the
Salinas, CA area due to regular local travel for in-person patient appointments.

Perks: Full and comprehensive benefits program, 24 days of paid vacation/holidays in your first year plus sick days, home office equipment including laptop and desktop monitor, mileage and travel reimbursement, Employee Assistance and Referral Program, and hands-on workers’ compensation case management training.

Join our compassionate team and help make a positive difference in an injured person’s life. As a Field Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning. In this role, you will:

Demonstrate knowledge, skills, and competency in the application of case management standards of practice.
Use advanced knowledge of types of injury, medications, comorbidities, treatment options, treatment alternatives, and knowledge of job duties to advise on a treatment plan.
Interview disabled persons to assess overall recovery, including whether injuries or conditions are occupational or non-occupational.
Collaborate with treating physicians/providers and utilize available resources to help create and implement treatment plans tailored to an individual patient.
Work with employers and physicians to modify job duties where practical to facilitate early return to work.
Evaluate and modify case goals based on injured/disabled person’s improvement and treatment effectiveness.
Independently manage workload, including prioritizing cases and deciding how best to manage cases effectively.
Complete other duties, such as attend injured worker’s appointments when appropriate, prepare status updates for submittal to customers, and other duties as assigned.

Qualifications:

Education: Associates Degree or Bachelor’s Degree in Nursing or related field.
Experience: 2+ years clinical practice preferred. Workers’ compensation-related experience preferred.
Skills: Ability to advocate recommendations effectively with physicians/providers, employers, and customers. Ability to work independently. Knowledge of basic computer skills including Excel, Word, and Outlook Email. Proficient grammar, sentence structure, and written communication skills.
Certifications, Licenses, Registrations:
- Active Registered Nurse (RN) license required. Must be in good standing.
- URAC-recognized certification in case management (CCM, CDMS, CRC, CRRN or COHN, COHN-S, RN-BC, ACM, CMAC, CMC).
Travel: Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in assigned geography.
Internet: Must have reliable internet.
Transportation: Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in assigned geography.

Benefits:

We’re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $100,000 - $105,000 annually. In addition to the base salary, you will be eligible to participate in our productivity-based bonus program. Your total compensation, including base pay and potential bonus, will be based on a number of factors including skills, experience, education, and performance metrics.

The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

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Registered Nurse (RN), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse, Nurse Case Manager, Field Case Manager, Medical Nurse Case Manager, Workers’ Compensation Nurse Case Manager, Critical Care Registered Nurse, Advanced Practice Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse, COHN, Certified Occupational Health Nurse, CMC, Cardiac Medicine Certification, CMAC, Case Management Administrator Certification, ACM, Accredited Case Manager, MSW, Masters in Social Work, URAC, Vocational Case Manager

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Refine Your Search

utilization review jobs in salinas, ca

Medical Field Case Manager

Clinical Coordinator III

Health Records & Referrals Manager

Epic Willow Analyst / Pharmacist

Therapist

Registered Nurse

Physician Assistant

Physician

Pediatrician

Family Practitioner

Registered Nurse

Physical Therapist - Per Diem

BEHAVIORAL HEALTH MEDICAL DIRECTOR

Assistant Director of Rehab - Physical Therapist

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