Outpatient Utilization Management Specialist
2 days ago
The MedPOINT Management team is seeking an experienced Outpatient UM Clinician to join our team. This role is responsible for ensuring a thorough review of outpatient precertification/preauthorization referrals for members requiring outpatient services.
In close collaboration with the Medical Director, the successful candidate will work towards high-quality medical outcomes and utilize effective relationship management skills to promote improved quality of care and prevent hospitalizations when possible.
-
Nurse Utilization Specialist
5 days ago
Los Angeles, California, United States Presidential Staffing Solutions, LLC Full timeJob Title: Nurse Utilization SpecialistJob SummaryWe are seeking a highly skilled and experienced Nurse Utilization Specialist to join our team at the West Los Angeles VA Medical Center. As a key member of our Outpatient Case Management department, you will play a crucial role in reviewing patient files and treatment methods to ensure efficient and effective...
-
Healthcare Utilization Manager
2 days ago
Los Angeles, California, United States Kaiser Permanente Full timeAbout the Role">Kaiser Permanente, a leading not-for-profit health plan, seeks a skilled Healthcare Utilization Manager to join their team. This dynamic role offers an exciting opportunity to shape the future of care while making a difference in the lives of patients and communities across the nation.">Job Description">We are looking for a highly motivated...
-
Healthcare Coordinator
3 days ago
Los Angeles, California, United States Blue Shield of California Full timeJob SummaryThe Senior Case Management Nurse plays a vital role in supporting patients' health and wellness in the outpatient setting. As a key member of the Care Management team, this position involves developing individualized care plans, coordinating care with specialists, and ensuring compliance with medical necessity and clinical guidelines.
-
Critical Care Case Management Specialist
1 week ago
Los Angeles, California, United States Pyramid Consulting Full timeAre you a skilled and experienced nurse looking for a new challenge? Pyramid Consulting is seeking a talented Critical Care Case Management Specialist to join their team in Los Angeles, California. This exciting opportunity will allow you to utilize your expertise in case management and utilization review to make a real difference in the lives of...
-
Essel Utilities Management Specialist
2 days ago
Los Angeles, California, United States Essel Full timeAt Essel, we are seeking a highly skilled and experienced Utilities Superintendent to join our team. This is an exciting opportunity for a motivated individual to take on a leadership role in managing utilities operations.
-
Physical Therapist
7 days ago
Los Angeles, California, United States Kaiser Permanente Full timeJob SummaryWe are seeking a skilled Physical Therapist to join our team at Kaiser Permanente. As an outpatient per diem specialist, you will be responsible for managing the physical therapy needs of patients and providing high-quality care in a fast-paced environment.
-
Medical Notice Coordinator Specialist
3 weeks ago
Los Angeles, California, United States MedPOINT Management Full timeJob Title: NOA Outpatient Coordinator IIJob Summary:At MedPOINT Management, we are seeking a highly organized and detail-oriented NOA Outpatient Coordinator II to join our team. As a key member of our operations department, you will play a critical role in preparing and processing Notice of Action letters for our managed care members.Duties and...
-
Purchasing Specialist
3 weeks ago
Los Angeles, California, United States MedPOINT Management Full timeJob DescriptionThe Purchasing Specialist plays a critical role in MedPOINT Management's supply chain operations. This position is responsible for managing and coordinating purchases, as well as vendor contracts and renewals.
-
Utilization Management Director
6 days ago
Los Angeles, California, United States Kaiser Permanente Full timeJob DescriptionWe are seeking a highly skilled Utilization Management Director to join our team at Kaiser Permanente.Job Summary:The ideal candidate will have extensive experience in directing utilization management and discharge planning in an acute care setting. This role is responsible for developing, managing, and directing the Utilization Management...
-
Los Angeles, California, United States MEDSTAFF National Medical Staffing Full timeAt Medstaff National Medical Staffing, we are seeking an experienced Physician to join our team of medical professionals as a Family Medicine Specialist. This locum tenens opportunity is perfect for those looking to provide quality care in an outpatient setting.**Job Summary:**We are seeking a dedicated and compassionate Physician to work with us on a locum...
-
Food Service Utility Specialist
4 days ago
Los Angeles, California, United States Morrison Healthcare Full timeEstablished in 1957, Morrison Healthcare is a leading provider of food and nutrition services to more than 806 hospitals and healthcare systems across the United States.Morrison's mission is to create personalized dining experiences for patients and staff while advancing the healing and healthful missions of its clients. Our team of experienced chefs,...
-
Utilization Management Director
6 days ago
Los Angeles, California, United States Kaiser Permanente Full timeWe are seeking an experienced Clinical Operations Leader to join our team at Kaiser Permanente. This is a leadership role that requires strong management skills, knowledge of healthcare operations, and excellent communication skills.Job Summary:This position oversees the Utilization Management programs in a Service Area or Medical Center, ensuring compliance...
-
Outpatient Care Coordinator
2 days ago
Los Angeles, California, United States Blue Shield of California Full timeRole Overview:The Senior Outpatient Care Coordinator plays a pivotal role in facilitating health and wellness for patients in the outpatient setting. This position involves developing tailored care plans, coordinating care with specialists, and ensuring compliance with medical necessity and clinical guidelines.About Us:Blue Shield of California is committed...
-
Clinical Rehabilitation Specialist
2 days ago
Los Angeles, California, United States Delta Companies Full timeOverviewDelta Companies, a leading provider of travel therapy staffing solutions, is seeking an experienced Clinical Rehabilitation Specialist to join their team in outpatient orthopedics. As a Clinical Rehabilitation Specialist, you will be responsible for providing rehabilitation services to patients and working closely with healthcare professionals to...
-
Los Angeles, California, United States LanceSoft Full timeLanceSoft is a leading provider of healthcare staffing solutions. We are seeking an experienced Physical Therapist to join our team as a Vice Chair for Outpatient Orthopedic Therapy.Job SummaryWe are looking for a highly skilled Physical Therapist to lead our outpatient orthopedic therapy team in Los Angeles, California. The successful candidate will have...
-
Utilization Management Policy Specialist RN
1 week ago
Los Angeles, California, United States Scout Exchange Full timeJob Summary: We are seeking a highly skilled Utilization Management Policy Initiatives Nurse II to join our team at Scout Exchange. As a key member of our Utilization Management Department, you will be responsible for managing, reviewing, updating and creating Healthcare Services clinical policies, guidelines, protocols and related documentation.About the...
-
Healthcare Data Assurance Specialist
6 days ago
Los Angeles, California, United States MedPOINT Management Full timeAt MedPOINT Management, we are seeking a skilled Healthcare Data Assurance Specialist - Hybrid Position to join our team. In this role, you will play a crucial part in ensuring the accuracy and efficiency of our client IPA provider network data reporting to Health Plans, States, or Federal entities.Key Responsibilities:Manage and troubleshoot data integrity...
-
Rehabilitation Specialist
2 days ago
Los Angeles, California, United States Delta Companies Full timeJob SummaryWe are seeking a skilled Physical Therapist to join our team in an outpatient orthopedic setting. As a Rehabilitation Specialist, you will be responsible for providing high-quality care to patients and contributing to their rehabilitation.About the RoleWork in a dynamic outpatient orthopedic setting with a focus on patient-centered careProvide...
-
Physical Therapist
2 days ago
Los Angeles, California, United States Delta Companies Full timeJob Title: Physical Therapist - Outpatient Orthopedic SpecialistAbout the JobIn this role, you will provide high-quality patient care through individualized treatment plans in an outpatient orthopedic setting.Key Responsibilities:* Provide physical therapy services to patients with various orthopedic conditions* Develop and implement effective treatment...
-
Web Inquiry Support Specialist
7 days ago
Los Angeles, California, United States MedPOINT Management Full timeWe are seeking a highly skilled Web Inquiry Support Specialist to join our team at MedPOINT Management.About the RoleThis is an excellent opportunity for individuals with strong communication and organizational skills to contribute to our team's success. The successful candidate will be responsible for providing exceptional support to our clients through...