Top 194 Lead Jobs in Lancaster Ca

Utilization Management Lead
HIGH DESERT MEDICAL CORP, A MEDICAL GRP —Lancaster, CA
- $25.19 - $37.18 an hour
- Microsoft Word
- Mid-level
- High school diploma or GED
- Paid time off
- Parental leave
Quick Apply
Lead Clerk
WinCo Foods —Lancaster, CA
- $24.42 - $31.40 an hour
- Weekends as needed
- 18 years or older
- Management
- Merchandising
- Health insurance
- Employee stock ownership plan
Quick Apply
1d
Lead Toddler Infant Teacher
Academy Of Excellence Learning Center —Lancaster, CA
- $18.56 - $21.43 an hour
- Part-time
- Background check
- Classroom
- CPR Certification
- Flexible schedule
Quick Apply
1d
Licensed Real Estate Agent — Leads, Coaching & Support
Confidential —California
- $75,000 - $250,000 a year
- Full-time
- Remote
- Mid-level
- Real Estate License
- Communication skills
- Flexible spending account
- Professional development assistance
Quick Apply
Floor Leader (Palisades Men's)
Buck Mason —California
- $20 - $26 an hour
- Overnight shift
- Inventory management
- Leadership
- Entry level
Quick Apply
Swiss CNC Machinist Team Lead
Accelera —Palmdale, CA
- Full-time
- Analysis skills
- Supervising experience
- Continuous improvement
Quick Apply
Real Estate Agent - Inbound Leads Division
Rise Real Estate —Palmdale, CA
- $48,226.91 - $196,492.21 a year
- Weekends as needed
- Mid-level
- Real Estate License
- Communication skills
- Flexible schedule
Retail Loss Prevention Lead
DICK'S Sporting Goods —Palmdale, CA
- $19.50 - $28.50 an hour
- Full-time
- Background check
- Entry level
Fulfillment Operations Team Leader
Target —Palmdale, CA
- $24.75 - $42.05 an hour
- Part-time
- 18 years or older
- Inventory management
- Mid-level
- Paid holidays
- Disability insurance
Guest Experience Lead (GEL)
McDonald’s —Lancaster, CA
- $20 - $21 an hour
- Choose your own hours
- Serving
- High school
- Quick service & fast food restaurant
- Health insurance
- Dental insurance
Lead Magazine Keeper & Inventory Control Specialist
Dyno Nobel —Mojave, CA
- $30 - $36 an hour
- Monday to Friday
- Background check
- Microsoft Outlook
- 5 years
- Health savings account
- Paid holidays
Assistant Store Leader
Quick Quack Car Wash —Lancaster, CA
- $20.90 an hour
- Weekends as needed
- Clean driving record
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
Operations Lead in Training, EX
Mister Car Wash —Lancaster, CA
- $21 - $23 an hour
- Full-time
- Sales
- Guest services
- 1 year
Quick Apply
Lead Care Manager
Serene Health —Lancaster, CA
- $25 - $28 an hour
- Full-time
- Hybrid work
- Background check
- Spanish
- Current TB test
- Mileage reimbursement
- Paid holidays
Quick Apply
Project Lead II
JT4 LLC —Edwards, CA
- $96,500 - $130,000 a year
- Mid-level
- Office
- 8 years
- Health savings account
- Disability insurance
Shift Leader
PLANET FITNESS —Lancaster, CA
- $16 - $17 an hour
- Part-time
- 18 years or older
- CPR Certification
- Ability to walk for extended periods
Quick Apply
Child Activity Center Leader
YOUNG MENS CHRISTIAN ASSOCIATION OF METROPOLITAN LOS ANGELES —Lancaster, CA
- $17.87 an hour
- Part-time
- 18 years or older
- CPR Certification
- First Aid Certification
Quick Apply
17h
Project Lead II - Armament
JT4 LLC —Edwards, CA
- $96,500 - $130,000 a year
- Mid-level
- Office
- 8 years
- Health savings account
- Disability insurance
Catering Lead
Panera Bread —Lancaster, CA
- $20 an hour
- Full-time
- 18 years or older
- Driver's License
- Reliable transportation
- Dental insurance
- 401(k)
Quick Apply
Project Lead I
JT4 LLC —Edwards, CA
- $85,950 - $100,000 a year
- 6 years
- Writing skills
- Mid-level
- Health savings account
- Disability insurance

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Utilization Management Lead

HIGH DESERT MEDICAL CORP, A MEDICAL GRP -
Lancaster, CA

Quick Apply

Job Details

$25.19 - $37.18 an hour

Benefits

RSU
Paid time off
Parental leave

Qualifications

Microsoft Word
Statistics
Staff supervision
Confidential information handling
Data analysis reporting
Presentation software
Team supervision
Performance Reporting
Data summary reports
High school diploma or GED
Grammar Experience
Task assignment

Full Job Description

The UM Lead works under the direction of their Supervisor and UM Director to oversee day to day activities of the Referral Management Department by assisting the Medical Director and Physician Reviewers with obtaining adequate information for making referral determinations, including gathering necessary medical records, clinical review guidelines, health plan and/or regulatory policies, financial/benefit/coverage information, and/or other documentation as needed or requested.

Summary of Duties:

Coordinates accurate and timely processing of pre-service referrals by gathering necessary medical records through use of NextGen EHR and/or contacting treating providers as necessary or requested by MD Reviewer.
Ensures accurate eligibility and benefit verification.
Ensures use of appropriate member notification templates.
Facilitates timely communication of authorizations to providers, members, and health plans by monitoring the clinical review process to ensure determinations are made within the appropriate timeframe.
Communicate with health plans when issues with coverage or responsibility are in question.
Under the direction of the UM Manager and Supervisor, provide training and education to other UM Coordinators, Nurses, and Phisician Reviewers.
Assist with department coverage for lunches, breaks, and absences.
In collaboration with UM Manager and Supervisor, prepares and delivers reports, logs, and communication internally and externally.
Assists with development of clinical review processes to ensure workload balancing for timely and accurate workflow and production.
Ensures consistency with member notifications by monitoring volume of clinical review queues.
Monitors utilization patterns and notifies UM Manager and Supervisor of potential utilization issues.
Ensures excellent customer service is provided to our members, providers, vendors, and internal customers.
Assists with department phone coverage during normal business hours.
Maintain up to date knowledge of MediCare, MediCal, managed care, and other insurance benefits and requirements.
Communicate current regulations, benefits, and requirements to clinical review team and other staff as directed by UM Manager and Supervisor.
Provide consistent clinical review updates to UM Manager and Supervisor.
Providers resource information to patients, families, and the community when necessary.
Creatively contributes to problem solving for outcome and process improvement.
Assist UM Leadership with documenting situations, performance evaluations, and timecards when necessary.
Assists meetings as needed.
Performs other duties as assigned.

Requirements:

High school graduate or equivalency.
Ability to communicate effectively with patients, family members, vendors and providers.
Working knowledge of Word, Excel, PowerPoint, EZ-Cap, Medic, and Report Riter.
Must have excellent communication skills both verbally and written.
Ability to handle a multitude of assignments, meeting all given deadlines.
Knowledge of correct punctuation, grammar and spelling.
Ability to deal responsibly with matters of a confidential matter.
Ability to prioritize work in order to meet daily deadlines.
Ability to work in a multi-task, high productive environment.
Ability to supervise staff with varying job responsibilities and assignments.
Ability to analyze routine statistical reports and communicate outcomes to supervisor and/or leadership as needed or assigned.
Knowledge of inventory control and supply ordering.
Understanding of current state and federal regulations pertaining to managed care delivery system.

The pay range for this position at commencement of employment is expected to be between $27.00 and $37.18/hr, non-exempt; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, and experience. The total compensation package for this position may also include other elements, including a sign-on bonus, restricted stock units, and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered. Details of participation in these benefit plans will be provided if an employee receives an offer of employment.

If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.

Compensation: $ 25.19-$34.66 per hour

Quick Apply

Refine Your Search

lead jobs in lancaster ca

Utilization Management Lead

Lead Clerk

Lead Toddler Infant Teacher

Licensed Real Estate Agent — Leads, Coaching & Support

Floor Leader (Palisades Men's)

Swiss CNC Machinist Team Lead

Real Estate Agent - Inbound Leads Division

Retail Loss Prevention Lead

Fulfillment Operations Team Leader

Guest Experience Lead (GEL)

Lead Magazine Keeper & Inventory Control Specialist

Assistant Store Leader

Operations Lead in Training, EX

Lead Care Manager

Project Lead II

Shift Leader

Child Activity Center Leader

Project Lead II - Armament

Catering Lead

Project Lead I

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