- Prime Healthcare (Ontario, CA)
- …Healthcare is actively seeking new members to join our corporate team! Responsibilities The Utilization review lead essentially works to coordinate the ... for co-workers. UR lead will work closely with the Corporate/Facility Utilization review teams, Business Office, Case Managers, Physicians and administration… more
- Elevance Health (Costa Mesa, CA)
- ** Utilization Management Representative I** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person ... unless an accommodation is granted as required by law. The ** Utilization Management Representative I** is responsible for coordinating cases for precertification… more
- Jacobs (Irvine, CA)
- This position reports to the Coastal West Federal Operations Lead and has leadership and supervisory responsibilities for the Electrical Engineering team in ... management of assigned staff; holds staff accountable for delivery. * Balance utilization of team across levels to ensure staffing profitability * Develops workforce… more
- TAD PGS, Inc. (Canoga Park, CA)
- We have an outstanding Contract to Hire position for aL5 Lead / L6 Scientistto join a leading Company located in theCanoga Park, CAsurrounding area. Pay Rate: $82.00 ... and maintain a Secret Security Clearance.** Shall have the capability to lead the analysis, design, and optimization of turbomachinery for liquid rocket engine… more
- Stantec (Paramount, CA)
- …on our performance. You will partner with our other Business Center (BC) Leaders to lead and manage, inspire and engage, and win and do work - building a culturally ... This role also collaborates with other BC Leaders to lead our behavioral safety culture, maintain quality and technical...and drive revenue. - Establish an effective Go/No Go Review process with Principals and track compliance. - Partner… more
- Elevance Health (Costa Mesa, CA)
- …Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. + Partners ... information presented meets medical necessity criteria or requires additional medical necessity review . + Conducts initial medical necessity review of exception… more
- Stantec (Long Beach, CA)
- Grounded in safety, quality, and ethics, our experts lead their fields and guide our work with rigor, a creative spirit, and vision for growth. We draw from more ... range of market sectors that leads to an expected 60% direct utilization - Primary point-of-contact for planning-related pursuits, inputs to operational and business… more
- University of Southern California (Arcadia, CA)
- …outside referring physicians andmedical groups.* Communicates with insurance company utilization review and authorization personnel.* Gathers and maintains ... interactions.* Performs other duties as assigned by Manager / Director / Clinical Lead RN.* Prioritizes cases to provide service to most urgent case.* Organizes… more
- University of Southern California (Alhambra, CA)
- …+ Req 5 years Clinical experience + Req 2 years Ambulatory case management or utilization review experience within the last three years + Req Ability to work ... The role integrates the functions of complex case management, utilization management, quality management, discharge planning assessment, and coordination of… more
- WSP USA (Irvine, CA)
- …in accordance with all acceptable engineering practices. + Perform engineering review of permit applications, engineering design plans and specifications, standby ... practice and standards. + May serve as project manager and technical lead for PA&E/PS&E projects. + Responsible for subject matter expertise, innovation and… more
- Elevance Health (Costa Mesa, CA)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... appeal case reviews with attending physicians or other ordering providers to discuss review determinations. + Serves as a resource and consultant to other areas of… more
- Colliers Engineering & Design (Irvine, CA)
- …which are necessary for the successful execution of the work. + Reviews staff utilization regularly to address employees not meeting utilization goals. + Ensures ... + Meet with assigned staff to provide feedback and review job performance on a regular basis. + Address...as one of the ways we will continue to lead our industry into the future. As part of… more
- Clean Harbors (Compton, CA)
- …Manager to join their safety conscious team! This team member will plan, lead , organize and coordinate all duties associated with daily branch operations to include ... but not limited to improving operational efficiencies through effective utilization of equipment and scheduling of personnel. Interact with Sales Team and other… more
- Hyundai Autoever America (Fountain Valley, CA)
- …PURPOSE We're seeking a dynamic and experienced Manager of ERP Operations to lead our SAP-focused Parts Sales application team. This critical, on-site role will ... our SAP applications, directly impacting Hyundai/Kia America's sales business. You'll lead a diverse team of employees, partners, and contractors, ensuring optimal… more
- Hensel Phelps (Irvine, CA)
- …for the outcome of achieving our financial goals, and who knows how to lead , delegate, and doesn't make excuses. If this sounds like you, the next step ... and ultimately the Cx testing process. + Competency surrounding the utilization of all standard MEPF/building controls testing procedures and applicable tools… more
- Fresenius Medical Center (Anaheim, CA)
- …implement positive change and/or create organizational structure within IPS: + Lead operational efforts through subordinates to complete the administration of ... priority management, and recommendation and implementation changes of current methods. + Review and comply with the Code of Business Conduct and all applicable… more
- Liberty Utilities (Downey, CA)
- …and IT operations, ensuring alignment with IT and business priorities. + Lead monthly and quarterly business reviews (QBRs) to track performance, discuss ... escalation protocols. + Oversee vendor performance against contractual commitments and lead reviews with IT leadership to address trends and improvement… more
- BrightSpring Health Services (Anaheim, CA)
- …for each given client + Conduct weekly meetings with each BCBA: + Review billable hours spreadsheets and discuss productivity + Review weekly scheduling ... of technicians + Discuss cases on caseload + Review supervision session notes + Track and ensure 5%...correct time + Ensure each client is within appropriate utilization + Participates in community activities statewide that will… more
- Colliers Engineering & Design (Irvine, CA)
- …and communicate effectively with all employees involved in the project to ensure high utilization rates (ie Project team meetings). + Review monthly man-hour and ... Business Development. + Hold team meetings ensuring procedures governing review and approval of projects are followed prior to...as one of the ways we will continue to lead our industry into the future. As part of… more
- Langan Engineering, Environmental, Surveying and Landscape… (Irvine, CA)
- …K-12, commercial, office, retail, mixed-use, and more. Job Responsibilities + Lead the planning, design and permitting of civil engineering, land development ... projects on budget; + Report and proposal writing. Write and review draft reports, including feasibility studies, stormwater management reports, technical… more