Senior Utilization Manager

3 weeks ago


Redwood City, California, United States Alameda Health System Full time
About the Role

This Senior Utilization Manager position offers a unique opportunity to make a significant impact on patient care and outcomes. As a key member of our Care Management team, you will be responsible for leading daily clinical rounds and monthly audits of charts on care management activities.

Key Responsibilities
  • Managing and assuming responsibility for day-to-day operations of utilization management, care coordination, and discharge planning activities.
  • Overseeing the submission of audits, including MediCal, Medicare, and internal compliance studies.
  • Maintaining minimal denial rates by Medicare, MediCal, private, and contracted payers through appropriate direction of utilization practices.
About the Opportunity

This role offers a competitive salary of $120,000 - $145,000 per year and opportunities for professional growth and development. We are looking for a seasoned leader who is passionate about improving patient care and outcomes.



  • Redwood City, California, United States Kensington Senior Living, LLC Full time

    Company Overview">Kensington Senior Living, LLC is a leading provider of senior living communities that offers a unique and supportive environment for its residents. Our community is driven by its core values: a Love for Seniors, Respect for Each Other, Passion for Excellence, and a Spirit to Serve.">Job Description">The Senior Financial Manager will be...

  • Utilization Manager

    3 weeks ago


    Redwood City, California, United States Alameda Health System Full time

    About the RoleThe Clinical Operations Director will be responsible for overseeing the day-to-day operations of utilization management, care coordination, and discharge planning activities.This includes managing the process of pre-admission review of questionable admissions, overseeing submission of audits, and actively appealing denied cases when...


  • Redwood City, California, United States Alameda Health System Full time

    About This OpportunityWe are excited to offer a challenging and rewarding opportunity for a Utilization Manager Lead to join our team at Alameda Health System.About the RoleThis is a full-time day position at Highland General Hospital. The estimated salary for this role is $120,000 - $150,000 per year, depending on experience.The successful candidate will...


  • Redwood City, California, United States Alameda Health System Full time

    About the RoleAs a Utilization Review Manager at Alameda Health System, you will play a crucial role in managing the day-to-day operations of facility wide utilization, discharge planning and care coordination. You will be responsible for conducting and recording periodic staff meetings to inform staff of changes in policies and procedures, developing and...


  • Redwood City, California, United States Alameda Health System Full time

    About the Job:The Care Coordination Director will be responsible for managing the day-to-day operations of care coordination and utilization management activities, including pre-admission review, interdepartmental team conferences, and data gathering and record keeping. The successful candidate will have a proven track record of developing and implementing...

  • Senior Care Director

    3 weeks ago


    Redwood City, California, United States Kensington Senior Living, LLC Full time

    Company OverviewKensington Senior Living, LLC is a community-driven organization that prioritizes the well-being and care of its residents. We are seeking an experienced Memory Care Manager to lead our Memory Care neighborhood and ensure the highest quality of life for our seniors.


  • Redwood City, California, United States Kaiser Permanente Full time

    **Job Description**We are seeking an experienced Continuing Care Utilization Review Coordinator RN to assist in conducting utilization reviews for in-house patients and/or members admitted to contracted facilities. This role requires strong communication skills and the ability to work collaboratively with physicians and other healthcare...

  • Senior Chef Manager

    4 days ago


    Redwood City, California, United States The Hunter Group Associates Full time

    The Hunter Group Associates is seeking a talented Senior Chef Manager to oversee the culinary operations of our company.About the Company:We are a technology company that values innovation, creativity, and teamwork. Our on-site dining and catering services are an essential part of our employee experience, and we are committed to providing exceptional food...


  • Redwood City, California, United States Zūm Services, Inc. Full time

    We're looking for a seasoned Talent Acquisition professional to lead our recruitment efforts and help shape the future of student transportation.About the JobAs a Senior Hiring Manager, you'll be responsible for owning the recruitment process for key senior roles, including our Head of Safety position. You'll also provide guidance and support to the...


  • Redwood City, California, United States Cypress HCM Full time

    We are seeking a highly experienced and dynamic Senior Performance Management Lead to oversee the entire project lifecycle, from discovery to post-cycle evaluation.Key Responsibilities:Project manage performance management processes and parallel system implementations / functionality enhancementsDevelop plans & recommendations, gather requirements, drive...


  • Redwood City, California, United States Kensington Senior Living, LLC Full time

    Job OverviewKensington Senior Living, LLC is seeking a skilled Business Office Manager to oversee the accounting and financial management duties of our community. The ideal candidate will possess strong analytical skills, excellent communication abilities, and the ability to work effectively within a team-based environment.Responsibilities:Manage accounts...


  • Redwood City, California, United States ABM Industries Full time

    Job DescriptionThe Senior Business Development Manager will be responsible for driving business growth and expansion through strategic account management, sales planning, and execution.Key qualifications include:Bachelor's degree or equivalent experience5+ years of service sales experience, including finding, qualifying, and closing new business primarily...


  • Redwood City, California, United States Box Full time

    Job Description: As a Senior Staff Architect at Box, you will own and lead the conversion domain, including backend infrastructure and conversions built on top of it. You will contribute to company objectives, work closely with engineering teams, and collaborate with Product Management to refine requirements and break down complex projects into meaningful...


  • Redwood City, California, United States RTA US Full time

    Job OverviewWe are seeking an experienced Senior Accountant to join our team. As a key member of our accounting department, you will play a crucial role in supporting the monthly financial statement close, managing fixed assets, accounts payable processes, and annual audit.The successful candidate will have significant interaction with other operational...


  • Redwood City, California, United States Southland Industries Inc. Full time

    Job Summary:Southland Industries Inc. seeks a highly skilled and experienced Senior Construction Manager to support our project team on larger construction projects.The ideal candidate will have a strong background in building systems, including HVAC, lighting, controls, generation, and water systems, as well as excellent communication and problem-solving...


  • Redwood City, California, United States Canyon Ranch Full time

    Job Title: Senior Night Operations ManagerCanyon Ranch, a renowned leader in the wellness industry, is seeking a highly skilled Senior Night Operations Manager to join our team.About Us:Canyon Ranch has been a pioneer in the wellness lifestyle since 1979. With multiple resorts and destinations across the US, we offer a unique opportunity for guests to...


  • Redwood City, California, United States Brookdale Senior Living Full time

    Salary Range Information$20.75 - $25.94 per hourThis competitive salary range reflects the value we place on our transportation supervisors and their critical role in ensuring the safe and efficient transportation of our residents.


  • Redwood City, California, United States Disability Solutions Full time

    **About Box**: We are the world's leading Content Cloud, trusted by over 115K organizations globally. Our platform enables secure collaboration and content management for businesses across industries.As a Senior Product Manager for Identity Security at Box, you will drive the direction and development of our identity and access management products. You will...


  • Redwood City, California, United States Tbwa ChiatDay Inc Full time

    We look for candidates who are passionate about enabling creators everywhere to make what the world needs, right now.The Senior Business Development Manager will lead cross-functional teams to drive business growth by sourcing, developing, and qualifying high-quality leads across multiple sectors.This role requires a proven track record of meeting or...


  • Redwood City, California, United States REVOLUTION Medicines Full time

    Job Description:We are seeking a highly skilled Senior Formulation Development Manager to join our team at Revolution Medicines. This role will be responsible for leading the development of drug products from early stage through commercialization. The ideal candidate will have extensive experience in pharmaceutical product development, with a focus on...