Utilization Management Nurse, Senior

Your Role The Delegation Oversight team is responsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities to ensure compliance primarily with NCQA, CMS, DHCS, LA Care and DMHC requirements including delegation standards and requirements contained in the delegation agreement. The Delegation Operations...

Your Role The Delegation Oversight team is responsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities to ensure compliance primarily with NCQA, CMS, DHCS, LA Care and DMHC requirements including delegation standards and requirements contained in the delegation agreement. The Delegation Operations...

Your Role The Delegation Oversight team is responsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities to ensure compliance primarily with NCQA, CMS, DHCS, LA Care and DMHC requirements including delegation standards and requirements contained in the delegation agreement. The Delegation Operations...

TravelNurseSource is working with Advantage Medical Professionals to find a qualified CVICU RN in Lodi, California, 95240! Pay Information $2,370 to $2,549 per week About The Position RN - CVICU Travel Contract. Quick Facts Location: Lodi, CA Contract: 13 weeks Shift: 12hr Night Hours/Week: 36 Start: 2025-12-15 About the Assignment Join the CVICU team in...

TravelNurseSource is working with Advantage Medical Professionals to find a qualified CVICU RN in Lodi, California, 95240! Pay Information $2,370 to $2,549 per week About The Position RN - CVICU Travel Contract. Quick Facts Location: Lodi, CA Contract: 13 weeks Shift: 12hr Night Hours/Week: 36 Start: 2025-12-15 About the Assignment Join the CVICU team in...

TravelNurseSource is working with GQR Healthcare to find a qualified Med/Surg RN in Lodi, California, 95240! Pay Information $1,813 per week About The Position Contract - W2 Med/Surg Registered Nurse (RN) Job Location: Lodi, California Start Date: December 15, 2025 Profession: Registered Nurse (RN) Facility: Short Term Acute Care Estimated Pay: $1813.85 -...

Sales Manager - Lodi, California One Day Bath California Are you a driven leader with a passion for sales, strategy, and team development? One Day Bath California is seeking an experienced Sales Manager to join our growing team in Lodi, CA. This is a key leadership role focused on setting strategic goals, building high-performing teams, and driving business...

Your Role The Payment Integrity team is responsible for ensuring healthcare claims are paid accurately, both in a pre-pay and post-pay context. Some examples of payment integrity include validating coding rules, determining the correct party, membership eligibility, contractual adherence, and conducting root cause analysis to prevent errors. This team is...

Your Role The Payment Integrity team is responsible for ensuring healthcare claims are paid accurately, both in a pre-pay and post-pay context. Some examples of payment integrity include validating coding rules, determining the correct party, membership eligibility, contractual adherence, and conducting root cause analysis to prevent errors. This team is...

TravelNurseSource is working with FlexCare to find a qualified NICU RN in Lodi, California, 95240!Pay Information$2,173 per weekAbout The PositionFlexCare is a nationwide leader in the staffing of travel nurses and clinicians. With access to thousands of facilities around the country, our mission is to deliver premier travel staffing solutions with integrity...