310 utilization jobs at 132 companies in Camarillo, CA

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Utilization Management Assistant - Utilization Management
Mission Hills, California, United States
$25-$34/hr OnsiteFull Time
Providence
Providence: Provides comprehensive healthcare services through hospitals, clinics, and health plans.
1+ YOE1 year experience in hospital, insurance, or medical office; familiarity with utilization/case management, medical terminology and coding; CMA upon hire preferred; college coursework or associate degree preferred.
1mo
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LVN Utilization Review Coordinator
Ventura, California, United States
OnsiteFull Time
Vista del Mar Hospital
Vista del Mar Hospital: Provides inpatient and outpatient psychiatric and behavioral health services.
Associate or equivalent training; LVN and LPT required; one year utilization/chart review experience preferred; computer, data entry and filing skills; performs data collection, non-medical analysis, recordkeeping and clerical support.
2mo
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RN Utilization Mgmt, Full-Time Day
Los Angeles, California, United States
$52-$81/hr OnsiteFull Time
Martin Luther King, Jr. Community Hospital
Martin Luther King, Jr. Community Hospital: Provides acute inpatient and emergency healthcare in South Los Angeles.
3+ YOEAssociates Degree in Nursing; CA RN license; 3-5 years in Case/Utilization Management; UM/CM certification preferred; bilingual Spanish preferred; BLS; CCM preferred.
MEDICAL RECORDS, Cerner, e-TAR, InterQual, MCG
1mo
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Acquisition Utilization Specialist
Los Angeles, California, United States
$72k-$75k/yr OnsiteFull Time
BDR Solutions
BDR Solutions: Provider of IT, engineering, and consulting for federal agencies.
3+ YOE3–5+ years federal acquisitions or healthcare procurement experience; bachelor’s in related field or equivalent; U.S. citizenship and ability to obtain Public Trust; experience with eCMS and procurement docs; strong Microsoft Office skills.
Electronic Contract Management System (eCMS), Microsoft Excel, Microsoft PowerPoint, Microsoft Word
1w
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Manager, Behavioral Health Utilization Management
El Dorado Hills or California or Long Beach or Lodi or Oakland or Rancho Cordova or Redding or San Diego or Woodland Hills
$112k-$167k/yr HybridFull Time
Ascendiun
Ascendiun: Nonprofit parent overseeing health insurance and clinical service organizations.
7+ YOE3+ MgmtCurrent unrestricted CA LMFT, LCSW, LPCC, PhD/PsyD or RN license; doctoral/master/associate degree requirements by license; 7+ years relevant experience; 3 years management; utilization management experience preferred.
1mo
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Utilization Management Supervisor, Non-Clinical
Los Angeles, California, United States
$71k-$145k/yr HybridFull Time
UCLA Health
UCLA Health: Provides comprehensive hospital services and academic medical research.
4+ YOE3+ MgmtHigh school diploma/GED or equivalent; 4+ years in managed care case management/care coordination, 3+ years in inpatient and ambulatory managed care referrals, 3+ years supervisory experience; experience with Epic/CareConnect and Microsoft Office.
Epic, CareConnect, Microsoft Excel, Microsoft Visio, Microsoft PowerPoint, Microsoft Word
1w
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Customer Success Utilization Manager
Los Angeles, California, United States
$91k-$118k/yr FieldFull Time
KARL STORZ
KARL STORZ: Developer and manufacturer of endoscopic medical equipment.
1+ YOE2+ years OR/technical or KARL STORZ-specific experience preferred, Bachelor's degree or equivalent experience, strong technical acumen with OR1 and video integration, willingness to travel up to 80%, hospital credentialing may be required.
OR1, Salesforce
3mo
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Utilization Management Case Manager
Santa Barbara, California, United States
OnsiteFull Time
Cottage Health
Cottage Health: Operates a non-profit acute care hospital system in California.
2+ YOE2+ years direct patient care in acute care; ADN required, BSN preferred; California RN license needed; Case Management certification preferred.
2mo
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RN Utilization Mgmt, Full-Time Day
Los Angeles, California, United States
$52-$81/hr OnsiteFull Time
Martin Luther King, Jr. Community Hospital
Martin Luther King, Jr. Community Hospital: Operates a community hospital and emergency care center.
3+ YOEAssociates degree in nursing; CA RN license; 3-5 years UM/CM experience; BLS; CCM preferred; bilingual Spanish preferred.
1mo
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CSMC 8750000 Utilization Management Utilization Review Case Manager CS_PER_DIEM 48010 Allen PD68 0.01
Los Angeles, California, United States
$68-$75/hr RemotePart Time
Cedars-Sinai
Cedars-Sinai: Provides academic medical care, specialized treatment, and biomedical research.
3+ YOEGraduate of accredited nursing program and current CA RN license required; BLS required; 3+ years acute care nursing experience; 2+ years case management preferred; knowledge of reimbursement and medical literature; flu vaccine required.
InterQual, MCG
3w
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Utilization Management Nurse Specialist RN II
Los Angeles, California, United States
$89k-$142k/yr OnsiteFull Time
L.A. Care Health Plan
L.A. Care Health Plan: Public health plan providing coverage to Los Angeles residents.
5+ YOEActive California RN license, 5+ years varied acute hospital RN experience, 2+ years UM/CM experience, managed care knowledge preferred, strong computer and communication skills, NCQA/DHCS/CMS knowledge preferred, HIPAA compliance.
Outlook, Word, Excel, PowerPoint, L.A. Care Information System
2w
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Registered Nurse - Utilization Management
Los Angeles or Los Angeles
$53-$58/yr OnsiteFull Time
myPlace Health
myPlace Health: A PACE organization backed by a larger health plan that provides participant-centered care to help older adults live safely and independently in their communities.
3+ YOEActive unrestricted RN license, minimum 3 years nursing experience, knowledge of Medicare/Medicaid and utilization review, strong clinical judgment, EMR proficiency, and relevant certifications (CCM/CPUR/CPHM) preferred.
Electronic Medical Records (EMR)
2mo
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Director of Case Management - Utilization Management
Inglewood, California, United States
$108k-$164k/yr OnsiteFull Time
Prime Healthcare
Prime Healthcare: Operates community hospitals and provides healthcare services.
5+ YOEDirector-level nursing leader with RN, BSN, 5+ years in case management and utilization review; LCSW preferred; strong analytical and computer skills.
Milliman Criteria, InterQual Criteria
1mo
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Outpatient UM Clinician
Sherman Oaks or United States
$36-$48/hr RemoteFull Time
MedPOINT Management
MedPOINT Management: Provides administrative and management services for healthcare networks and hospitals.
2+ YOELicensed clinician (nursing, social work, or related), 2+ years utilization or case management experience, proficient with electronic health records, strong communication and regulatory knowledge.
Electronic Health Records (EHR)
2mo
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Utilization Management Medical Director - Medical Oncology - Remote anywhere in US
Houston or Chicago or Atlanta or Phoenix or Los Angeles or Saint Louis or San Diego or Dallas or Philadelphia or Seattle
$249k-$373k/yr RemoteFull Time
UnitedHealth Group
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
5+ YOEMD or DO with current medical license; Board Certification in Oncology; 5+ years clinical experience in oncology; NCCN guideline experience; able to support utilization review and case/disease management.
2mo
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Director of Case Management - Utilization Management
Inglewood, California, United States
$108k-$164k/yr OnsiteFull Time
Prime Healthcare Services
Prime Healthcare Services: Operates a nationwide network of acute care hospitals.
5+ YOERN with BSN; Licensed Clinical Social Worker; 5+ years case management; strong data analysis; basic computer skills; preferred BCLS; Milliman/InterQual knowledge.
Milliman Criteria, InterQual Criteria, Basic computer skills
1mo
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Gastroenterology (MD/DO) Utilization Review - Remote - Contract (1099)
Los Angeles or Oregon or United States
RemoteContract
Medical Review Institute of America
Medical Review Institute of America: Provides independent clinical and utilization review services for healthcare.
5+ YOEMD or DO, Oregon medical license, board certification in Gastroenterology, minimum 5 years clinical experience, daytime availability for peer conversations, must adhere to HIPAA; remote US-based independent contractor.
3w
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Per Diem Registered Nurse II/III - Utilization Management VCMC
Ventura or Santa Paula
$55-$93/hr OnsitePart Time, Temporary
Ventura County
Ventura County: Provides essential public services and regional governance to residents.
0.5+ YOECalifornia RN license, BLS/CPR, graduation from an accredited school of nursing, pharmacology exam within 3 months; Per Diem RN II requires 6 months acute care experience; RN III requires 5 years acute care experience.
1mo
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RN- Care Review Clinician- Utilization Review (Remote- CA License Req)
San Francisco or Los Angeles or San Jose or San Diego or Sacramento or Long Beach or California
$30-$59/hr RemoteFull Time
Molina Healthcare
Molina HealthcareNYSE: MOH: Provides managed health insurance through government-sponsored benefit programs.
2+ YOEActive unrestricted RN license in state of practice (CA required for this posting), 2+ years clinical experience (acute care/prior authorization/managed care), UM/prior authorization experience preferred, Microsoft Office proficiency, strong communication and critical-thinking skills.
Microsoft Office, MCG
1mo
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ArcGIS Utilities Industry Principal Director
New York City or Milwaukee or Herndon or Dallas or Columbus or Kirkland or Irvine or Cincinnati or Cleveland or Oklahoma City or Austin or Albany or Chicago or Arlington or St. Petersburg or Hartford or Pittsburgh or St. Louis or Miami or Sacramento or Raleigh or Minneapolis or Mountain View or Scottsdale or Morristown or San Francisco or Denver or Boston or Philadelphia or Des Moines or Overland Park or Los Angeles or Charlotte or Walnut Creek or Carmel or Seattle or Houston or Arlington or Atlanta or Redmond or Bentonville or Beaverton or Nashville or Detroit or San Diego
$139k-$434k/yr HybridFull Time
Accenture
AccentureNYSE: ACN: Global provider of management consulting and technology services.
10+ YOE10+ years in utility GIS solution architecture with full‑lifecycle ArcGIS Utility Network implementations; experience advising utility executives, defining enterprise GIS architecture, and leading large transformation programs; must be eligible to work in the US and willing to travel.
ArcGIS Utility Network, ArcGIS Enterprise, ArcGIS Pro, Esri