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755 utilization jobs at 263 companies in Los Angeles, CA

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Utilization Clerk
Corona, California, United States
$23-$26/hr HybridFull Time
A&S Management
A&S Management: Operates social service programs and real estate for developmental disabilities.
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
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Utilization Review RN
Ontario, California, United States
$72k-$104k/yr OnsiteFull Time
Prime Healthcare
Prime Healthcare: Operates acute care hospitals and outpatient facilities in the US.
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
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Utilization Review Nurse LVN
Ontario, California, United States
$72k-$100k/yr OnsiteFull Time
Prime Healthcare Services
Prime Healthcare Services: Operates a nationwide network of acute care hospitals.
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.
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Utilization Specialist PRN
Riverside, California, United States
$31-$50/hr OnsiteContract
Acadia Healthcare
Acadia HealthcareNasdaq: ACHC: Operates specialized psychiatric and addiction treatment centers.
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.
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4w
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Utilization Management Lead
Lancaster, California, United States
$27-$37/hr OnsiteFull Time
High Desert Medical Group
High Desert Medical Group: Multi-specialty medical group providing primary and urgent care services.
High school diploma or equivalency; effective verbal/written communication; proficiency with Microsoft Word, Excel, PowerPoint, EZ-Cap, Medic, Report Riter, and NextGen EHR; ability to supervise staff and analyze reports; knowledge of Medicare/Medicaid and managed care regulations.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, EZ-Cap, Medic, Report Riter, NextGen EHR
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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
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Utilization Review Tech
Santa Ana, California, United States
$25-$37/hr OnsiteFull Time
KPC Health
KPC Health: Operates a network of hospitals and diagnostic laboratories.
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
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Utilization Review Coordinator
Long Beach, California, United States
$26-$28/hr OnsiteFull Time
View Behavioral Health
View Behavioral Health: Provides inpatient and outpatient psychiatric and behavioral health care.
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
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Utilization Review Clinician (RN) - OH License Required
Long Beach or United States
$24-$51/hr RemoteFull Time
Molina Healthcare
Molina HealthcareNYSE: MOH: Provides managed health insurance through government-sponsored benefit programs.
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
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Medical Director Utilization Management Oncology
Cerritos or California or Nevada or Arizona or Oregon or Florida
$275k-$325k/yr RemoteFull Time
The Oncology Institute
The Oncology InstituteNASDAQ: TOI: Provides medical oncology, hematology, and clinical trial services.
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.
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Utilization Review Supervisor RN
Rancho Cucamonga, California, United States
$78k-$120k/yr RemoteFull Time
CorVel
CorVelNASDAQ: CRVL: Provides technology-driven risk management and healthcare cost containment services.
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
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2mo
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Utilization Review (UR) Assistant
Long Beach, California, United States
$21-$26/hr OnsiteFull Time
College Medical Center
College Medical Center: Community hospital providing acute care and behavioral health services.
1+ YOEHigh School graduate or GED preferred; 1 year acute care/hospital experience preferred; medical terminology knowledge required.
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Utilization Management Nurse, Senior
El Dorado Hills or California or Long Beach or Lodi or Oakland or Rancho Cordova or Redding or San Diego or Woodland Hills
$91k-$154k/yr HybridFull Time
Ascendiun
Ascendiun: Nonprofit parent overseeing health insurance and clinical service organizations.
5+ YOEAssociate Degree in Nursing required, active unrestricted RN license (or ability to obtain additional state licenses within 90 days), 5+ years relevant experience in managed care or clinical setting, BLS preferred, ability to work rotating on-call/evening/weekend schedule.
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2d
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ED Case Management Utilization RN, Per Diem Night
Downey, California, United States
$78-$95/hr OnsitePart Time
Kaiser Permanente
Kaiser Permanente: Provides integrated medical care and health insurance plans.
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.
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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
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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
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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
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Deputy Director of Utilities (08-26)
Whittier, California, United States
$10k-$16k/mo OnsiteFull Time
City of Whittier
City of Whittier: Provides municipal services to the residents of Whittier, California.
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
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Water Service Worker I/II
La Palma, California, United States
$55k-$74k/yr OnsiteFull Time
City of La Palma
City of La Palma: Municipal government providing public services to the La Palma community.
1+ YOEHigh school diploma or equivalent, relevant water utility or equipment maintenance experience, California driver's license, and required SWRCB water distribution and treatment certifications based on classification.
SCADA, pumps, pump motors, valves, electrical panels, automatic control systems, water meters, backflow devices, chlorine/chemical feed equipment
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Water Distribution Operator I or II (61.26)
San Gabriel, California, United States
$24-$40/hr OnsiteFull Time
Golden State Water Company
Golden State Water CompanyNYSE: AWR: Distributes regulated water to residential and commercial customers.
2+ YOEHigh school diploma or equivalent, California driver's license, PC skills, communication and organizational skills. Level II requires SWRCB Grade 1 certificate and two years of operator or equivalent utility experience.
PC
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