- UCLA Health (Los Angeles, CA)
- …leader with: + Current CA LVN licensure required + Two or more years of utilization review / utilization management experience in an HMO, MSO, IPA, ... in the issuance of adverse organization determinations. You will review for appropriate care and setting while working closely...for appropriate care and setting while working closely with denial coordinators and other staff to ensure the accurate… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves… more
- UCLA Health (Los Angeles, CA)
- …+ experience in an HMO environment + Thorough knowledge of health care industry, utilization review , utilization management , and concurrent review ... can do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management , you'll provide direct management to a team of UM… more
- UCLA Health (Los Angeles, CA)
- …case management and behavioral health support. Under the supervision of the Utilization Management Operations Manager and the RN Assistant Director, the ICM ... with RN Case Managers and Social Workers to develop non-clinical care plans + Review pending claims for approval or denial decisions Note: Position may convert… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Authorization Technician Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... achieve that purpose. Job Summary The Supervisor, Authorization Technician supports the Utilization Management (UM) Specialist by handling all administrative and… more
- Banc of California (Santa Ana, CA)
- …relationship-based business banks focused on providing banking and treasury management services to small, middle-market, and venture-backed businesses. Banc of ... WE WIN(R) **THE OPPORTUNITY** Responsible for providing the planning, coordination, utilization and administration of MS-SQL relational databases and other file… more
- Live Nation (Beverly Hills, CA)
- …employees across the organization. They support ad-hoc projects like crisis management and drive communications and other essential communication-related tasks for ... Taking the lead on all HR-related communications, they draft, manage, review , and distribute (when applicable) internal employee-centered communications and consult… more
- The County of Los Angeles (Los Angeles, CA)
- …methods include group, family, individual and conjoint therapy, clinical case management , and crisis intervention. Positions allocable to this class also provide ... problem, which may include individual, group, family or marital counseling, case management , and/or referral to another treatment source such as a psychiatrist, a… more
- Dignity Health (Los Angeles, CA)
- …for developing data-driven analyses to assess service line costs, utilization trends, and provider performance while identifying opportunities for improvement. ... of accounts receivable (AR) to ensure real-time data availability and proactive management . + Participate in the preparation and delivery of decision support reports… more