809 utilization jobs at 267 companies in Garden Grove, CA
1w
Save
Mark Applied
Hide
Utilization Review RN
Ontario, California, United States
$72k-$104k/yr OnsiteFull Time
7+ YOERequires current state RN license, BCLS/BLS (AHA), knowledge of MCG or InterQual, minimum 7 years post-graduate nursing and 3+ years utilization review experience; strong clinical judgment and computer skills.
MCG Criteria, InterQual Criteria
3w
Save
Mark Applied
Hide
Utilization Clerk
Corona, California, United States
$23-$26/hr HybridFull Time
1+ YOEHigh school/GED,1+ year admin/scheduling or data-entry experience (healthcare preferred),bilingual English/Spanish,proficient with Microsoft Office and EHR,valid driver's license and reliable transportation,HIPAA compliance and attention to detail.
Microsoft Office, WellSky, Family Room, EHR, EVV
3w
Save
Mark Applied
Hide
Utilization Review Nurse LVN
Ontario, California, United States
$72k-$100k/yr OnsiteFull Time
2+ YOEActive CA LVN license, 2+ years acute hospital case management, utilization management experience, knowledge of claims, coding and billing, high school diploma/GED, strong interpersonal skills.
3mo
Save
Mark Applied
Hide
Utilization Specialist PRN
Riverside, California, United States
$31-$50/hr OnsiteContract
2+ YOEClinical experience (2+ years preferred), high school diploma or equivalent, preferred clinical licensure (LPN/RN/LMSW/LCSW/LPC/LPC-I), CPR and de-escalation/restraint certifications.
2w
Save
Mark Applied
Hide
Utilization Management Authorization Assistant
Redlands, California, United States
$23-$29/hr OnsiteFull Time
2+ YOEHigh school diploma preferred; 2 years hospital experience in utilization review, case management or business office preferred; managed care experience and medical terminology knowledge desirable.
2mo
Save
Mark Applied
Hide
Acquisition Utilization Specialist
Los Angeles, California, United States
$72k-$75k/yr OnsiteFull Time
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
2w
Save
Mark Applied
Hide
Utilization Review Tech
Santa Ana, California, United States
$25-$37/hr OnsiteFull Time
High school diploma, strong administrative and insurance knowledge, ability to manage payer correspondence, HIPAA compliance, typing 50 WPM, Microsoft Office proficiency; healthcare experience preferred.
Microsoft Word, Microsoft Outlook, Microsoft Excel, ICD-10, CPT
2d
Save
Mark Applied
Hide
Acquisition Utilization Specialist
Smyrna or Fort Riley or Topeka or Salt Lake City or Seattle or Phoenix or Los Angeles or San Francisco or Denver or Washington or Miami or Atlanta or Chicago or Indianapolis or New Orleans or Boston or Minneapolis or Kansas City or Albuquerque or New York or Oklahoma City or Portland or Austin or Hot Springs or Waco
$75k-$123k/yr OnsiteFull Time
1+ YOERequires one year of specialized procurement experience at the next lower federal grade, U.S. citizenship, and experience with acquisition strategy, contract compliance, procurement documentation, federal regulations, stakeholder coordination, and presentations.
Defense Travel System (DTS)
1mo
Save
Mark Applied
Hide
Utilization Review Coordinator
Long Beach, California, United States
$26-$28/hr OnsiteFull Time
2+ YOEAuditing charts, managing Medi-Cal/TAR submissions and appeals, verifying insurance eligibility, maintaining patient and payer records, 2+ years behavioral health/hospital experience, EHR proficiency, strong communication and computer skills.
Electronic Health Records (EHR), LA County TAR Unit Database, Medi-Cal system
3w
Save
Mark Applied
Hide
Utilization Review Clinician (RN) - OH License Required
Long Beach or United States
$24-$51/hr RemoteFull Time
2+ YOEActive Ohio RN license required, 2+ years clinical/utilization or managed care experience, proficiency with Microsoft Office/EMR, strong communication, prioritization and critical-thinking skills.
Microsoft Office
2w
Save
Mark Applied
Hide
Medical Director Utilization Management Oncology
Cerritos or California or Nevada or Arizona or Oregon or Florida
$275k-$325k/yr RemoteFull Time
5+ YOEMedical degree (MD or DO) and oncology board certification; minimum 5 years clinical oncology experience and 2+ years utilization management experience; strong analytical and communication skills; ability to review treatment appropriateness.
3w
Save
Mark Applied
Hide
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
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
Save
Mark Applied
Hide
Utilization Review Supervisor RN
Rancho Cucamonga, California, United States
$78k-$120k/yr RemoteFull Time
3+ YOEActive RN licensure, graduate of accredited nursing program (diploma/associate required; BS/BSN preferred), 3+ years clinical experience (rehabilitation preferred), management/supervisory experience, national certification (CCM preferred), and Microsoft Office/Excel proficiency.
Microsoft Office, Microsoft Excel
2mo
Save
Mark Applied
Hide
Utilization Review (UR) Assistant
Long Beach, California, United States
$21-$26/hr OnsiteFull Time
1+ YOEHigh School graduate or GED preferred; 1 year acute care/hospital experience preferred; medical terminology knowledge required.
1w
Save
Mark Applied
Hide
ED Case Management Utilization RN, Per Diem Night
Downey, California, United States
$78-$95/hr OnsitePart Time
2+ YOECalifornia RN license, BLS, accredited RN training, and two years of combined acute care or case management experience required; utilization review, discharge planning, case management, computer literacy, and communication skills required.
1mo
Save
Mark Applied
Hide
Utilization Management Supervisor, Non-Clinical
Los Angeles, California, United States
$71k-$145k/yr HybridFull Time
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
1mo
Save
Mark Applied
Hide
Utilization Review Case Manager
San Juan Capistrano, California, United States
$30-$35/hr OnsiteFull Time
0.5+ YOEMust be 18+, high school diploma or equivalent, pass background check, at least 6 months behavioral health/substance abuse experience, able to type 40 WPM, proficient with Microsoft Office/Adobe/G Suite, knowledge of insurance criteria.
Microsoft Office, Adobe Acrobat, G Suite
2mo
Save
Mark Applied
Hide
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
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
1mo
Save
Mark Applied
Hide
Utilization Management Nurse Specialist RN II
Los Angeles, California, United States
$89k-$142k/yr OnsiteFull Time
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
5d
Save
Mark Applied
Hide
Deputy Director of Utilities (08-26)
Whittier, California, United States
$10k-$16k/mo OnsiteFull Time
5+ YOE2+ MgmtBachelor's degree in civil or environmental engineering, public administration, or related field; 5 years municipal utility or public works experience, including 2 years supervisory or management experience; California Class C license and civil engineer registration.
Microsoft Excel
Explore Jobs
Expand Your Job Search
Top Cities Near Garden Grove for Utilization
- Utilization jobs in Los Angeles, CA
- Utilization jobs in Long Beach, CA
- Utilization jobs in Anaheim, CA
- Utilization jobs in Santa Ana, CA
- Utilization jobs in Riverside, CA
- Utilization jobs in Irvine, CA
- Utilization jobs in San Bernardino, CA
- Utilization jobs in Fontana, CA
- Utilization jobs in Moreno Valley, CA
- Utilization jobs in Huntington Beach, CA
- Utilization jobs in Glendale, CA
- Utilization jobs in Rancho Cucamonga, CA
- Utilization jobs in Ontario, CA
- Utilization jobs in Corona, CA
- Utilization jobs in Pomona, CA
- Utilization jobs in Torrance, CA
- Utilization jobs in Pasadena, CA
- Utilization jobs in Orange, CA
- Utilization jobs in Fullerton, CA
- Utilization jobs in El Monte, CA