106 Utilization Review Jobs in California
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Vice President, Medicare Risk Adjustment Physician Health Partners - , CA, United States , utilization management, managed care, Home Health, QA Review, HEDIS review; 4 years’ experience with healthcare payment and coding methodologies (i.e., ICD-10, CPT, DRG and HCC coding). Demonstrated ability 13 days ago
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Utilization Review Specialist Newport Healthcare - Irvine, California in the lives of young people and their families each and every day. Empowering Lives. Restoring Families.® Responsibilities: The Utilization Review Specialist is responsible for managing an active caseload 3 days ago
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Utilization Review Clerk - Non-Exempt Embark Behavioral Health - Bakersfield, California Overview: Utilization Review Representative Pay: $20-$22 per hour The primary responsibility for the Utilization Review Rep is to be a liaison between the Utilization Review Department 2 days ago
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Customer Service & Sales Manager Solugenix - Cupertino, CA, United States to ensure appropriate levels of staffing and skill sets in support of customer service requirements. Work with the Branch Manager and Regional management on effective staff deployment and utilization. Ensure 6 days ago
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Registered Nurse/Utilization Review APN Consulting - Santa Rosa, California Memorial Day: Falls Within: 12:00 AM day of - 12:00 AM day after Thanksgiving: Falls Within: 12:00 AM day of - 12:00 AM day after Shift... 10 days ago
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Director of Care Management Adventist Health - Glendale, CA, United States combination of education/related experience: Required Master's Degree: Preferred Seven years' hospital discharge planning, utilization review, case management and social work experience: Preferred Five years 14 days ago
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Licensed Program Manager, Mental Health HealthCare Recruiters International - Camarillo, CA, United States effectiveness and growth. Supervises and oversees day-to-day program operations to include marketing, utilization review, programming and discharge planning. Ensures clinical effectiveness and the utilization 14 days ago
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Utilization Review Manager (Contra Costa Health Plan) Martinez, CA The Position Why Join Contra Costa County Health Services? The Contra Costa Health Department is seeking to fill one (1) Utilization Review Manager position in Contra Costa Health Plan’s (CCHP $180,324.60 - $219,185.64 Annually 12 days ago
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Sr. Workplace Project Manager Blizzard Entertainment - Irvine, CA, United States and leads status review meetings, which may include internal team members, vendors, and customers. Measure, analyze, and develop key metrics for facility utilization and efficiency. Responsible for training 20 days ago
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Patient Services Representative (Full-Time) M-F Aurora San Diego Hospital - San Diego, CA, United States or adolescent), information to referral sources, physician billing, insurance, and Utilization Review companies Obtain pre-authorization for admission when needed. Completes face sheet; assigns patient 27 days ago
Top locations
- Los Angeles, CA (45)
- San Diego, CA (27)
- Oakland, CA (21)
- San Jose, CA (21)
- Santa Rosa, CA (20)
- Sacramento, CA (19)
- San Leandro, CA (18)
- Fresno, CA (15)
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