Manager Utilization Management
3 weeks ago
Job Summary: Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center. Ensures cost effective and quality patient care by appropriate utilization of resources. Provides direction to staff which may include Outside Utilization, Extended Care, Bed Placement, Discharge Planning, Transportation and others as assigned. Essential Responsibilities: Assists in developing and maintaining policies and procedures for the Service Area or Medical Center related to Utilization Management. Collaborates with the multi-disciplinary teams to plan and coordinate care across the continuum. Coordinates and manages members care with non-KFH hospital facilities and providers. Identifies risk management and quality of care issues across the continuum. Surfaces issues and any suggestions to the appropriate multi-disciplinary team members. Manages transportation program to ensure appropriate utilization of resources which meet Health Plan guidelines and patient needs. Assures compliance with Federal, State, TJC, NCQA, other regulatory agencies and internal standards and requirements. Provides direction to staff regarding utilization review, care coordination, discharge planning, and other services across the continuum of care. Assists in conducting statistical studies in utilization trends, patterns, and outcomes. Hires, trains coaches, disciplines professional and clerical support staff. Basic Qualifications: Experience Minimum three (3) years of experience in utilization management and discharge planning in an acute care setting to also include supervisory or management experience. Education BSN or bachelor's degree in healthcare related field such as management, health services administration. License, Certification, Registration Registered Nurse License (California) Additional Requirements: Demonstrated knowledge of operations and healthcare management; TJC, Title XXII, Medicare, MediCal and other local, state, and federal regulations. Knowledge of managed care operations. Demonstrated interpersonal, negotiation, and management skills. Good oral and written communication skills. Must be able to work in a Labor/Management Partnership environment. Notes: Rotating on-call after hours, including weekends and holidays . COMPANY: KAISER TITLE: Manager Utilization Management LOCATION: San Diego, California REQNUMBER: 1290468 External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
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Manager Utilization Management
5 days ago
San Diego, United States Kaiser Permanente Full timeJob Summary: Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center. Ensures cost effective and quality patient care by appropriate utilization of resources. Provides direction to staff which may include Outside Utilization, Extended Care, Bed Placement, Discharge Planning, Transportation and others as...
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Manager Utilization Management
5 months ago
San Diego, United States Kaiser Permanente Full timeDescription: Job Summary:Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center. Ensures cost effective and quality patient care by appropriate utilization of resources. Provides direction to staff which may include Outside Utilization, Extended Care, Bed Placement, Discharge Planning, Transportation...
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Utilization Management Director
3 weeks ago
San Diego, California, United States Kaiser Permanente Full time**Job Summary:**We are seeking a highly skilled Utilization Management Director to oversee the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center. As a key member of our team, you will be responsible for ensuring cost-effective and quality patient care by optimizing resource utilization.**Key...
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San Diego, United States Management Business Solutions Full timeBe rewarded with uncapped compensation ranging from $150-300K+ by leveraging your existing relationships within the Municipal Water Utility sector throughout Southern California and Arizona. Our client is a rapidly growing privately-held construction and environmental services contractor that has been deeply rooted in water utilities and water distribution...
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Utilization Manager
4 weeks ago
San Diego, California, United States Sharp HealthCare Full timeJob SummaryWe are seeking a highly skilled Utilization Manager - Transfer and Admission to join our team at Sharp HealthCare. As a key member of our System Integrated Care Management team, you will play a critical role in ensuring the efficient and effective transfer and admission of patients across our healthcare system.Key ResponsibilitiesPartner with the...
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Transfer and Admissions Utilization Manager
3 weeks ago
San Diego, California, United States Sharp HealthCare Full timeJob Summary:The Transfer and Admissions Utilization Manager plays a critical role in the System Integrated Care Management team, partnering with the Centralized Patient Placement Center (CPPC) RNs to review external and internal transfer requests and direct admission requests. This position supports utilization review functions to ensure appropriate patient...
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Utilization Manager
4 weeks ago
San Diego, California, United States Sharp HealthCare Full timeJob SummaryWe are seeking a highly skilled Utilization Manager - Transfer and Admission to join our team at Sharp HealthCare. This role will be responsible for reviewing external and internal transfer requests and direct admission requests, ensuring medical necessity and payer considerations are reviewed.The ideal candidate will have a strong background in...
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Territory Sales Manager
4 weeks ago
San Diego, California, United States Crescent City Recruitment Group Full timeUnlock Your Earning PotentialAs a Territory Sales Manager with our client, you will have the opportunity to leverage your existing relationships within the Municipal Water Utility sector in Southern California and Arizona to drive business growth and revenue. Our client is a rapidly expanding privately-held construction and environmental services contractor...
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San Diego, California, United States International Staffing Consultants, Inc. Full timeUnlock Your Earning Potential as a Territory Sales Manager with our client, a rapidly growing privately-held construction and environmental services contractor. With over 60 years of experience in water utilities and distribution, you'll have the opportunity to play a crucial role in advancing municipal water management practices throughout Southern...
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Business Operations Manager
1 month ago
San Diego, California, United States ConAm Management Corporation Full timeJob OverviewConAm Management Corporation is seeking a Business Manager to support an affordable community in San Diego, CA. This is a full-time, hourly position with a pay range of $19-$21 per hour.Key ResponsibilitiesOversee daily operations and management of a multi-family residential communityProvide exceptional customer service and multitask...
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Utilities Construction Quality Control Manager
3 weeks ago
San Diego, United States Actalent Full timeJob Title: Construction Quality Control ManagerJob DescriptionThe Construction Quality Control Manager will support power utility projects related to Transmission, Distribution, and Substations with one of the state's largest utilities. Collaborate with engineering and design teams to ensure engineering meets the constructability of projects and improve the...
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Utilities Construction Quality Control Manager
2 weeks ago
San Diego, United States Actalent Full timeJob Title: Construction Quality Control ManagerJob DescriptionThe Construction Quality Control Manager will support power utility projects related to Transmission, Distribution, and Substations with one of the state's largest utilities. Collaborate with engineering and design teams to ensure engineering meets the constructability of projects and improve the...
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San Diego, United States Actalent Full timeJob Title: Construction Quality Control ManagerJob Description The Construction Quality Control Manager will support power utility projects related to Transmission, Distribution, and Substations with one of the state's largest utilities. Collaborate with engineering and design teams to ensure engineering meets the constructability of projects and improve the...
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Maintenance Service Manager
3 weeks ago
San Diego, United States Sunrise Management Full timeMaintenance Service Manager - Urban Properties (1600+ units at 106 properties throughout San Diego County) San Diego, CA Who we are: At Sunrise, we practice resident hospitality, focusing on what matters most: Helping people feel right at home. We are people people who pride ourselves in providing our residents with a Positive Living Experience. About this...
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Utilities Business Manager
4 weeks ago
San Francisco, California, United States City of Gilroy, CA Full timeJob Title: Utilities Business ManagerAbout the Role:The City of Gilroy is seeking a highly skilled Utilities Business Manager to join our team. As a key member of our Utilities Department, you will be responsible for managing the financial health and operational efficiency of our utility enterprise funds.Key Responsibilities:Manage and oversee multiple funds...
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RN Case Manager
1 month ago
San Diego, California, United States AMN Healthcare Full timeJob DetailsAs a RN Case Manager at AMN Healthcare, you will play a critical role in ensuring the highest quality patient care. Your responsibilities will include utilization review and discharge planning, ensuring that patients receive the most effective and efficient care possible.Key Responsibilities:Conduct thorough utilization reviews to identify...
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Utilities Business Manager
4 weeks ago
San Francisco, California, United States City of Gilroy, CA Full timeAbout the PositionThe City of Gilroy is seeking a highly skilled Utilities Business Manager to join our team. As a key member of our Utilities Department, you will be responsible for managing and overseeing the financial health and operational efficiency of our utility enterprise funds.Key Responsibilities:Develop and manage budgets related to utilities...
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Project Manager
1 month ago
San Diego, California, United States Restoration Management Full timeJob Title: Project DirectorWe are seeking a highly skilled and experienced Project Director to join our team at Restoration Management.Job Summary:The Project Director will be responsible for managing multiple large-scale projects simultaneously, from beginning to end. This includes developing estimates, reviewing and approving time and material billing, and...
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Utility Foreman
4 days ago
San Diego, United States Castle Contracting LLC Full timeDescription ABOUT US: Castle Contracting, LLC (Castle) is a 100% employee-owned, self-performing site preparation contractor. We have served clients in Southern California since 1969, helping to solve their most complex site preparation challenges. We provide site utilities, dry utilities, natural gas, and earthwork construction services. The company has...
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Senior Project Manager
4 weeks ago
San Diego, California, United States Brown and Caldwell Full timeJob SummaryBrown and Caldwell is seeking a highly experienced Senior Project Manager to lead and manage projects for Los Angeles clients, including MWD, LADWP, LABOE, LASAN, and LACPW. The ideal candidate will have strong verbal and written communication skills, be highly organized, and capable of working in a diverse team environment.Key...