Utilization Management Program Director

Job Summary:As a key member of the Kaiser Permanente team, the Utilization Management Program Director plays a vital role in ensuring cost-effective and quality patient care. This position is responsible for managing the day-to-day operations of the Utilization Management Program, collaborating with multidisciplinary teams to plan and coordinate care across...

Job SummaryPrime Healthcare Management, Inc. is seeking a highly skilled Clinical Utilization Management Director to join our corporate team. As a key member of our healthcare operations team, you will be responsible for providing comprehensive oversight of the Utilization Review process for our self-insured Employee Health Plans.The ideal candidate will...

Job SummaryWe are seeking a highly skilled and experienced Clinical Utilization Management Director to join our team at Prime Healthcare Management, Inc. This is a key leadership role that requires a strong background in clinical utilization review, healthcare operations, and management.Key ResponsibilitiesProvide comprehensive oversight of the Utilization...

Job SummaryWe are seeking a highly skilled and experienced Corporate Director of Clinical Utilization Management to join our team at Prime Healthcare Management, Inc. This role will provide comprehensive oversight of the Utilization Review process for our self-insured Employee Health Plans, ensuring alignment with EPO Plan Documents and other applicable...

Job SummaryPrime Healthcare Management Inc. is seeking a highly skilled Utilization Review Technician III to join our team. As a key member of our denial management initiatives, you will play a crucial role in coordinating the utilization review and appeals process.ResponsibilitiesThe successful candidate will serve as a liaison between various teams,...

Job SummaryPrime Healthcare Management Inc. is seeking a highly skilled Utilization Review Technician III to join our team. As a key member of our denial management initiatives, this role will coordinate the utilization review and appeals process, serving as a liaison between teams and responsible for coordinating phone calls, data entry, and tracking data...

Job SummaryPrime Healthcare Management Inc. is seeking a highly skilled Utilization Review Technician III to join our team. As a key member of our denial management initiatives, you will play a crucial role in coordinating the utilization review and appeals process.ResponsibilitiesThe successful candidate will serve as a liaison and coordinate with other UR...

Job Title: Epic Program DirectorPrime Healthcare Management, Inc. is seeking an experienced Epic Program Director to lead and oversee the revenue cycle management processes within our organization.Responsibilities:Implement, maintain, optimize, and enhance the Epic Electronic Health Record (EHR) systems to ensure a seamless financial operation.Collaborate...

OverviewPrime Healthcare Management, Inc. is a leading health system with a strong presence in 14 states. With over 45 hospitals and 300 outpatient locations, we provide exceptional patient care and strive for excellence in healthcare delivery. Our team is dedicated to making a positive impact on the lives of our patients and communities.We are seeking an...

Job Summary:Kaiser Permanente seeks a skilled Case Manager Utilization RN to join our team. As a key member of our multidisciplinary team, you will work collaboratively with physicians to coordinate and screen for the appropriateness of admissions and continued stays. Your expertise will be essential in making recommendations to physicians for alternate...

Program Director OpportunityWe are seeking a highly skilled and experienced Program Director to lead our Internal Medicine Residency Program in Southern California. As a key member of our team, you will be responsible for the overall administration, curriculum planning, and teaching of our residents.Key ResponsibilitiesClinical Teaching and Supervision:...

About This Career OpportunityBlack & McDonald's Western Utilities team is seeking a highly skilled and experienced Project Manager to join our team. As a Project Manager, you will be responsible for planning, organizing, directing, controlling, and evaluating assigned projects from start to finish.Key ResponsibilitiesPlan, prepare, monitor, and manage...

Job Summary:We are seeking a skilled Case Manager Utilization RN to join our team at Kaiser Permanente. As a key member of our multidisciplinary team, you will work collaboratively with physicians and other healthcare professionals to coordinate and screen for the appropriateness of admissions and continued stays.Key Responsibilities:Coordinate and screen...

Job OverviewWorkbox Staffing is seeking a seasoned Sales Director to lead business development efforts in the RV and Solar industry. This remote opportunity offers a competitive base salary of $75,000, plus commission and quarterly bonus opportunities. The ideal candidate will possess strong negotiation skills, a proactive approach to business development,...

Job OverviewPlatt College Los Angeles, LLC is seeking a highly qualified and experienced Diagnostic Medical Sonography Program Director to lead our medical imaging programs. As a key member of our faculty team, you will be responsible for providing collaborative leadership to faculty within the discipline(s) of a given instructional Department and serving as...

OverviewPrime Healthcare Management Inc is a leading health system with a strong commitment to providing high-quality patient care. We are seeking a skilled Utilization Review Coordinator to join our team.ResponsibilitiesThe Utilization Review Coordinator will play a critical role in the implementation and management of our employee medical benefit program....

Job SummaryWe are seeking a highly experienced Director of Operations to lead our construction and maintenance projects in the power generation industry.The ideal candidate will have a strong background in project management, with a proven track record of steering multiple projects to completion.Responsibilities will include:Recruiting and motivating staff...

Job Title: Director of OperationsWe are seeking an experienced Director of Operations to join our team at Terry Staffing and Consulting. As a key member of our organization, you will be responsible for overseeing the coordination and successful completion of power generation projects.Key Responsibilities:Recruit and motivate staff to achieve goals and...

Program Director OpportunityWe are seeking a highly skilled and experienced Program Director to lead our Internal Medicine Residency Program in Southern California. As a key member of our team, you will be responsible for the overall administration, curriculum planning, recruitment, and teaching and supervision of our IM Residency Program.Key...

Job Title: Corporate Director of Accounts PayablePrime Healthcare Management Inc is seeking a highly skilled Corporate Director of Accounts Payable to lead the execution of enterprise initiatives and develop enterprise-level controls.Key Responsibilities:Plan and determine the scope of implementation of system-wide initiatives to streamline finance...