Utilization Management Specialist

The Utilization Management Specialist coordinates communication with admitting financial counselors, case management, patient financial services, and payers to ensure all inpatient services provided by the hospital are authorized by appropriate payer. The Utilization Management Specialist works with case managers to facilitate timely transmission of...

The Utilization Management Specialist coordinates communication with admitting financial counselors, case management, patient financial services, and payers to ensure all inpatient services provided by the hospital are authorized by appropriate payer. The Utilization Management Specialist works with case managers to facilitate timely transmission of...

The University of Southern California (USC), founded in 1880, is in the heart of downtown Los Angeles and is the largest private employer in the City of Los Angeles. As an employee of USC, you will be a part of a world-class research university and a member of the "Trojan Family," which is comprised of the faculty, students and staff that make the university...

The University of Southern California (USC), founded in 1880, is in the heart of downtown Los Angeles and is the largest private employer in the City of Los Angeles. As an employee of USC, you will be a part of a world-class research university and a member of the "Trojan Family," which is comprised of the faculty, students and staff that make the university...

In collaboration with the interdisciplinary team, provides care coordination services evaluating options and services required to meet an individual's health care needs to promote cost-effective, quality outcomes. Serves as a consultant to members of the health care team in the management of specific patient populations. The RN case manager role integrates...

In collaboration with the interdisciplinary team, provides care coordination services evaluating options and services required to meet an individual's health care needs to promote cost-effective, quality outcomes. Serves as a consultant to members of the health care team in the management of specific patient populations. The RN case manager role integrates...

The incumbent is responsible for full-cycle recruitment of various positions throughout the organization. He/she will be responsible for sourcing, pre-screening, interviewing and referring qualified candidates to respective hiring departments. Targeting the best qualified candidates, this recruiter will develop strategies to attract and retain staff as well...

The incumbent is responsible for full-cycle recruitment of various positions throughout the organization. He/she will be responsible for sourcing, pre-screening, interviewing and referring qualified candidates to respective hiring departments. Targeting the best qualified candidates, this recruiter will develop strategies to attract and retain staff as well...

Job Title: Utilization Review Specialist Reports to: Utilization Review Supervisor Employment Status: Full-Time FLSA Status: Non-Exempt - Job Summary:_ CodeMax Medical Billing is seeking to hire an experienced Utilization Review Specialists or Licensed Medical Clinicians to be trained as a Utilization Review Specialists. We specialize in Behavioral...

The Manager of Clinical Informatics & Analytics manages staff and operations of the Quality Informatics & Analytics to ensure the accuracy, completeness and timeliness (quality control) of data that is reported internally and to external organizations, regulatory and accrediting bodies, included but not limited to CMS, CDPH, data registries, payer centers of...

The Manager of Clinical Informatics & Analytics manages staff and operations of the Quality Informatics & Analytics to ensure the accuracy, completeness and timeliness (quality control) of data that is reported internally and to external organizations, regulatory and accrediting bodies, included but not limited to CMS, CDPH, data registries, payer centers of...

In collaboration with the interdisciplinary team, provides care coordination services evaluating options and services required to meet an individual's health care needs to promote cost-effective, quality outcomes. Serves as a consultant to members of the health care team in the management of specific patient populations. The RN case manager role...

The Wound Management Program Nurse Coordinator has the responsibility and accountability for development and facilitation of all clinical aspects of the skin injury prevention program. This position will be responsible for ensuring that all relevant clinical policies and practices are consistent with requirements of all regulatory bodies and industry best...

The Contracts Manager is responsible for contract review and management for Clinical and Non-Clinical products, software, and services. This includes drafting, analyzing, negotiating, advising on, and executing contracts with suppliers, vendors, and other service providers. The Contracts Manager works collaboratively with Leadership and the Supply Chain Team...

Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11225 Salary Range: $67,186.00 (Min.) - $87,342.00 (Mid.) - $107,498.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the...

Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11225 Salary Range: $67,186.00 (Min.) - $87,342.00 (Mid.) - $107,498.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the...

The Nurse Manager holds 24-hour accountability for the quality of patient care, efficiency of operations, and human resources management for area(s) assigned. S/he will strive to achieve the optimal patient experience in a cost-effective manner, while applying evidenced-based leadership and practice. The Nurse Manager is responsible for the provision of safe...

The Nurse Manager holds 24-hour accountability for the quality of patient care, efficiency of operations, and human resources management for area(s) assigned. S/he will strive to achieve the optimal patient experience in a cost-effective manner, while applying evidenced-based leadership and practice. The Nurse Manager is responsible for the provision of safe...

The Supervisor works under the direction of the Associate Administrator of Advance Practice Providers, Department's Administration, and Medical Directors to provide both clinical services as well as leadership and managerial services . The Supervisor will facilitate safe and efficient operational flow of the dedicated patient population. The Supervisor is...

The Supervisor works under the direction of the Associate Administrator of Advance Practice Providers, Department's Administration, and Medical Directors to provide both clinical services as well as leadership and managerial services . The Supervisor will facilitate safe and efficient operational flow of the dedicated patient population. The Supervisor is...