Utilization Management Policy Specialist RN

Job OverviewThe 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...

Job 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...

Unlock your career in credit policy and risk management with City National Bank.About the OpportunityWe're seeking a seasoned professional to join our team as a Senior Credit Policy Specialist. In this role, you'll play a crucial part in shaping our credit risk framework, ensuring alignment with regulatory expectations and industry best practices.Key...

We 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...

Role OverviewWe are seeking a Credit Policy and Governance Specialist to join our team. This is an exciting opportunity to contribute to the development and implementation of credit policies and procedures that support our business goals.

About NRG EnergyNHG, a leading integrated power company in the U.S., seeks an experienced Regulatory Affairs Specialist to join its Western U.S. team. This remote position will focus primarily on California energy policy and regulatory matters, supporting the company's retail and wholesale businesses.Job OverviewThis is a key role within our dynamic...

At 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.

Job Title: Senior Utilization Management DirectorAbout the Role:We are seeking a seasoned RN Manager of Utilization Management to join our team at Healthcare Recruitment Partners in West Los Angeles, California.Responsibilities:Oversee day-to-day operations, including staff schedules, assignments, and caseloads to ensure optimal hospital-wide...

Position OverviewWe are seeking a highly motivated and experienced individual to serve as our Climate Change Policy Specialist at the University of California, Los Angeles (UCLA).Salary Range: $140,000 - $200,000 per annum.This is a two-year full-time non-tenure track academic position with an expected start date of April 1, 2025.About the RoleThe successful...

Job SummaryKaiser Permanente is seeking a highly skilled Case Management Utilization RN to join our team. This is a unique opportunity to work in a dynamic and supportive environment where you can make a real difference in the lives of our members.

Job 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.

Job 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...

Established 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,...

We 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...

About 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...

Company Overview">The Public Utilities Regulatory Analyst team is a dynamic group that plays a critical role in shaping California's clean energy future. Our team works closely with high-level decision-makers to advise on complex energy policy and market issues.">Job Description">We are seeking a highly skilled Senior Energy Policy & Planning Analyst to...

Are 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...

At 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...

The Healthcare Policy Analyst will play a pivotal role in supporting the Department of Public Health's Consumer Protection Unit, focusing on reducing financial harms caused by the healthcare system. The ideal candidate will have expertise in policy development, legislative analysis, and healthcare, with a strong commitment to ensuring fairness, transparency,...

Overview: Scout Exchange is seeking an experienced Utilization Management Policy Initiatives Nurse II to join our team. 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. The ideal candidate...