Outpatient Utilization Management Specialist
1 month 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.
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Outpatient Utilization Manager
2 weeks ago
Los Angeles, California, United States MedPOINT Management Full timeJob Summary: We are seeking a detail-oriented and organized Clinical Coordination Specialist to join our team at MedPOINT Management. In this role, you will be responsible for coordinating clinical activities, communicating with healthcare providers, and maintaining accurate records of patient information.About the Role:The Clinical Coordination Specialist...
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Medical Case Manager
2 weeks ago
Los Angeles, California, United States MedPOINT Management Full timeWe are seeking a skilled Medical Case Manager to join our team at MedPOINT Management.As an Outpatient Utilization Specialist, you will play a crucial role in ensuring the quality and efficiency of our healthcare services.The estimated salary for this position is between $42,000 and $48,000 per year, depending on experience and qualifications.About the...
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Medical Management Specialist
4 weeks ago
Los Angeles, California, United States E-talentnetwork Full timeJob Summary: We are seeking a highly skilled Medical Management Specialist to join our team at E-talentnetwork. This role is responsible for ensuring appropriate, cost-effective, and high-quality care for patients.About the Role:This position involves conducting utilization management activities in accordance with health plan policies and regulatory...
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Clinical Utilization Specialist
3 weeks ago
Los Angeles, California, United States L.A. Care Health Plan Full timeJob SummaryIn this challenging role, you will play a crucial part in ensuring our members receive the necessary healthcare services. As a Utilization Management Nurse Specialist RN II, you will facilitate and coordinate medically necessary referrals, ensuring timely and accurate determinations. You will also generate approval, modification, and denial...
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Private Utility Specialist
3 weeks ago
Los Angeles, California, United States USIC Full timeJob Details:We are seeking a skilled Private Utility Specialist to join our team at USIC. As a key member of our crew, you will be responsible for providing utility locating services while building the business.Salary: $28-$30/hour + monthly bonusResponsibilities:Identify, locate, and mark all utilities within a requested job scopeManage sales cycle to close...
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Utilization Management Nurse Specialist
3 weeks ago
Los Angeles, California, United States Presidential Staffing Solutions, LLC Full timeJob SummaryWe are seeking a highly skilled Utilization Management Nurse to join our team at Presidential Staffing Solutions, LLC. As a key member of our team, you will play a crucial role in reviewing patient files and treatment methods to ensure optimal efficiency and effectiveness.Your primary responsibility will be to monitor the activity of staff,...
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Los Angeles, California, United States Macpower Digital Assets Edge Full timeRole Summary:We are seeking an experienced Registered Nurse (RN) to join our team as a Utilization Management Policy Initiatives Specialist. The successful candidate will have at least 8 years of previous experience in Clinical Nursing and a strong background in performing and creating clinical documentation.The ideal candidate will be responsible for...
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Experienced Utility Coordinator
3 weeks ago
Los Angeles, California, United States Dabri, Inc Full timeAbout the RoleWe are seeking a seasoned Utility Coordinator to join our team at Dabri, Inc. as a Project Delivery Specialist. This role is a key position in supporting the Advanced Transportation Management Program (ATMP) for Transportation/Roadway projects at the Los Angeles World Airports (LAWA).The ideal candidate will possess extensive experience in...
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Healthcare Utilization Specialist Day Shift
2 days ago
Los Angeles, California, United States Kaiser Permanente Full time**About the Position:**We are seeking an experienced Utilization Management Specialist to join our team at Kaiser Permanente. As a Utilization Management Specialist, you will play a key role in ensuring that our patients receive the most effective care possible while minimizing unnecessary costs.Responsibilities:**Work collaboratively with physicians and...
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Clinical Coordination Specialist
2 weeks ago
Los Angeles, California, United States MedPOINT Management Full timeJob Description: As an Outpatient Utilization Manager, you will be responsible for managing outpatient utilization activities, ensuring timely and effective communication with healthcare providers, and maintaining accurate records of patient information.About the Role:This role requires strong organizational and analytical skills, as well as excellent...
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Utilization Management Director
1 month 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...
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Utilization Management Director
1 month 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...
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Family Medicine Specialist
19 hours ago
Los Angeles, California, United States myMDcareers Full timeFamily Medicine Specialist - Outpatient PositionA primary care clinic in downtown Los Angeles seeks a family medicine specialist for a full-time outpatient position.The ideal candidate will have experience in providing high-quality patient care in an outpatient setting.Responsibilities:Diagnose and treat acute and chronic illnessesPerform routine check-ups...
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Utilization Management Policy Specialist RN
1 month 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...
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Utilization Management Director
2 weeks ago
Los Angeles, California, United States Healthcare Recruitment Partners Full timeJob OverviewThe Utilization Management Director balances individual patient and family needs with cost-effective utilization of resources. This role requires strong leadership skills and the ability to collaborate with an interdisciplinary team.Key Responsibilities:Assesses patients to determine the appropriateness of their level of care.Develops and...
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Risk Management Specialist
4 weeks ago
Los Angeles, California, United States MedPOINT Management Full timeKey ResponsibilitiesWe are seeking a skilled Risk Management Specialist to join our team. In this role, you will be responsible for reviewing risk pool summaries, auditing risk pool detail, and submitting disputes to health plans or cap hospitals.
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Procurement and Inventory Specialist
2 weeks ago
Los Angeles, California, United States MedPOINT Management Full timeJob OverviewAt MedPOINT Management, we are seeking a highly organized and detail-oriented Procurement and Inventory Specialist to join our team. This role will be responsible for managing and coordinating purchases, vendor contracts, and inventory levels.The ideal candidate will have a strong analytical mindset and excellent communication skills. They will...
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Procurement Specialist
2 days ago
Los Angeles, California, United States MedPOINT Management Full timeMedPOINT Management seeks a skilled Procurement Specialist to join our team.About the RoleWe are looking for an organized and detail-oriented individual with experience in inventory management and purchasing. The successful candidate will be responsible for managing and coordinating purchases, vendor contracts, and renewals.Key ResponsibilitiesReview and...
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Los Angeles, California, United States Pacific Companies, Inc. Full timeJob Overview:Pacific Companies, Inc. is seeking a skilled Medical Specialist to join our team in an outpatient oncology setting.Estimated Salary Range: $250-$350 per hourAbout the Role:We are looking for a highly qualified and experienced medical professional to work with us in Cameron Park, California. As a Medical Specialist, you will be responsible for...
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Outpatient Nursing Specialist
4 weeks ago
Los Angeles, California, United States CSMN - 1102084 - TACRI Imaging Full timeJob Overview: We are seeking a highly skilled Licensed Practical Nurse to join our team at CSMN - 1102084 - TACRI Imaging. As an Outpatient Nursing Specialist, you will be responsible for providing exceptional patient care in a fast-paced environment. Key Responsibilities: Deliver high-quality nursing care to patients with diverse needs and...