Utilization Management Technician
4 weeks ago
Amergis Healthcare Staffing is looking for qualified Administrative Assistants to be responsible for a variety of administrative and clerical duties to help improve efficiencies at an organization. The Administrative Assistants will be the initial contact person for patients when they enter the medical office. Qualifications High school diploma or GED required. Associate’s degree (A.A.) or equivalent form two year college or technical school or six months to one year related Administrative Assistant experience and/or training; or equivalent combination of education and Administrative Assistant experience preferred. Three years in a health Care setting or one year in Utilization Management or Case Management at a Medical Group, Acute Care Environment or health plan experience required. Electronic Health Record (EHR) and Utilization Management applications (e.g. EPIC or 3M) required. Case Management Assistant experience preferred. Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and other relevant software required. Knowledge of payor portals access and use, and insurances (Medicare, Medi-Cal, Commercial) required. Ability to create and present PowerPoint presentations to large groups required. Excellent organizational and multitasking skills required. Effective communication skills, both verbal and written required. Ability to work autonomously and as a team member in a fast-paced, deadline-driven environment required. Able to receive feedback from leadership required. Ability to pay attention to details required. Benefits At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: Competitive pay & weekly paychecks Health, dental, vision, and life insurance 401(k) savings plan Awards and recognition programs *Benefit eligibility is dependent on employment status. About Amergis Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions. Amergis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law. "Pursuant to the San Francisco Fair Chance Initiative, Amergis will consider for employment qualified applicants with arrest and conviction records"
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Director, Utilization Management
3 weeks ago
Oakland, United States Alameda Health System Full timeSummary 100% employer health plan for employees and their eligible dependents Unique benefit offerings that are partially or 100% employer paid Rich and varied retirement plans and the ability to participate in multiple plans. Generous paid time off plans Role Overview: Alameda Health System is hiring! The Director of Utilization Management holds a...
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Director, Utilization Management
2 weeks ago
Oakland, United States Alameda Health System Full timeJob DescriptionSummary100% employer health plan for employees and their eligible dependentsUnique benefit offerings that are partially or 100% employer paidRich and varied retirement plans and the ability to participate in multiple plans.Generous paid time off plans Role Overview:Alameda Health System is hiring! The Director of Utilization Management holds...
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Director, Utilization Management
3 weeks ago
Oakland, United States Alameda Health System Full timeSummary 100% employer health plan for employees and their eligible dependents Unique benefit offerings that are partially or 100% employer paid Rich and varied retirement plans and the ability to participate in multiple plans. Generous paid time off plans Role Overview: Alameda Health System is hiring! The Director of...
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Director, Utilization Management
2 weeks ago
Oakland, United States Alameda Health System Full timeSummary 100% employer health plan for employees and their eligible dependents Unique benefit offerings that are partially or 100% employer paid Rich and varied retirement plans and the ability to participate in multiple plans. Generous paid time off plans Role Overview: Alameda Health System is hiring! The Director of Utilization Management...
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Director, Utilization Management
3 weeks ago
Oakland, United States Alameda Health System Full timeSummary 100% employer health plan for employees and their eligible dependentsUnique benefit offerings that are partially or 100% employer paidRich and varied retirement plans and the ability to participate in multiple plans.Generous paid time off plans Role Overview:Alameda Health System is hiring! The Director of Utilization Management holds a critical...
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Director, Utilization Management
3 weeks ago
Oakland, United States Alameda Health System Full timeSummary 100% employer health plan for employees and their eligible dependents Unique benefit offerings that are partially or 100% employer paid Rich and varied retirement plans and the ability to participate in multiple plans. Generous paid time off plans Role Overview: Alameda Health System is hiring! The Director of Utilization Management...
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Utilization Management Expert
1 week ago
Oakland, California, United States Alameda Health System Full timeAlameda Health System is seeking an experienced Director of Utilization Management to lead our operations team.About the RoleThis is a full-time position at Highland General Hospital.The ideal candidate will have 3 years of experience in utilization review, preferably with a health insurance company or acute care hospital.A strong clinical nursing background...
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Utilization Management Director
1 week ago
Oakland, California, United States Altais Health Solutions Full timeAbout Altais Health SolutionsWe are a healthcare organization dedicated to transforming the industry through innovative clinical support tools and services. Our goal is to empower clinicians and innovators to create better healthcare experiences for patients and physicians.About Your OpportunityThe Associate Vice President of Utilization Management & Care...
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System Utilization Management Specialist
2 weeks ago
Oakland, United States Alameda Health System Full timeSummary SUMMARY: Supports our Utilization Management Team for all inpatient facilities enhancing operational efficiency and patient care coordination. Key responsibilities include reconciling patient census data, providing administrative assistance, facilitating discharge planning, liaising with payors, and ensuring precise data entry and reporting....
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Oakland, California, United States Alameda Health System Full timeAlameda Health System is seeking an experienced Clinical Operations Manager to lead our Utilization Management team.About the RoleThis full-time position offers a competitive salary of $145,000 - $180,000 per year, depending on experience.The Director of Utilization Management plays a critical role in ensuring efficient utilization management practices,...
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IT Project Manager
2 days ago
Oakland, United States Compunnel Inc. Full timeJob: IT Project ManagerPREFERS LOCAL CANDIDATES BUT OPEN TO NON-LOCALS. The role is remote with monthly onsite meetings (or as needed- could be monthly, every other month, etc.) at OGO, Oakland, CA.Project Duration 1 year with potential extensionsINTAKE NOTE: The role will be a PM for a project related to utility assets. Experience in using tech assets,...
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IT Project Manager
1 day ago
Oakland, United States Compunnel Inc. Full timeJob: IT Project ManagerPREFERS LOCAL CANDIDATES BUT OPEN TO NON-LOCALS. The role is remote with monthly onsite meetings (or as needed- could be monthly, every other month, etc.) at OGO, Oakland, CA.Project Duration 1 year with potential extensionsINTAKE NOTE: The role will be a PM for a project related to utility assets. Experience in using tech assets,...
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Oakland, United States Blue Shield of CA Full timeYour Role The UM Prior Authorization team conducts medical necessity reviews for services before they are rendered. The Sr. Manager Medical and Utilization Review will report to the Director Medical and Utilization Review. In this role you will be managing a high functioning team, have direct oversight of day-to-day operations and participate in process...
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Healthcare Utilization Management Specialist
1 week ago
Oakland, California, United States Blue Shield of CA Full timeYour RoleBlue Shield of CA seeks a Senior RN to join our Utilization Management team. In this role, you will review prior authorization requests for medical necessity, coding accuracy, and policy compliance.You will utilize evidence-based guidelines and nationally recognized clinical criteria to make determinations across multiple lines of business,...
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Utilization Management Nurse, Senior
2 weeks ago
Oakland, United States Blue Shield of CA Full timeYour Role The Utilization Management Prior Authorization team accurate and timely prior authorization of designated healthcare services, continuity or care, and access to care clinical review determinations. The Utilization Management Nurse, Senior will report to the Manager, Utilization and Medical Review. In this role you will be performing first level...
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Quality Utilization Coordinator
3 days ago
Oakland, United States Kaiser Permanente Full time $73 - $95Job Summary: Coordinates quality, utilization and risk management activities for the Home Care Agency; provides technical, educational, consultative, and coordinating support to assigned areas. Essential Responsibilities: Assists in the coordination of the quality management/utilization management department activities. Acts as a consultant for appropriate...
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Quality Utilization Coordinator
3 days ago
Oakland, United States Kaiser Permanente Full time $73 - $95Job Summary: Coordinates quality, utilization and risk management activities for the Home Care Agency; provides technical, educational, consultative, and coordinating support to assigned areas. Essential Responsibilities: Assists in the coordination of the quality management/utilization management department activities. Acts as a consultant for appropriate...
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Utilization Management Coordinators
2 months ago
Oakland Park, United States Fort Lauderdale Behavioral Health Center Full timeJob DescriptionJob DescriptionImmediate Openings for Utilization Management Coordinators ($26-$40/hr) in Fort Lauderdale!The main duties of the UM Coordinator are: to coordinate and monitor appropriate utilization and documentation of services throughout the course of treatment for patients admitted to the inpatient and outpatient programs and coordinate...
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Utilization Management Coordinators
2 months ago
Oakland Park, United States Fort Lauderdale Behavioral Health Center Full timeImmediate Openings for Utilization Management Coordinators ($26-$40/hr) in Fort Lauderdale!The main duties of the UM Coordinator are: to coordinate and monitor appropriate utilization and documentation of services throughout the course of treatment for patients admitted to the inpatient and outpatient programs and coordinate authorization with third-party...
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Maintenance Technician
3 days ago
Oakland, California, United States ConAm Management Corporation Full timeJob OverviewWe are seeking a skilled Facilities and Custodial Technician to join our team at MacArthur Studios in Oakland, CA.Key Responsibilities:Maintain the cleanliness and organization of common areas and resident homesPerform routine maintenance tasks, including plumbing, electrical, and carpentry repairsAssist with grounds maintenance, painting, and...