147 utilization management jobs at 58 companies in San Diego, CA
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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/yrHybridFull Time
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.
University of California, San Diego: A public research university providing higher education and healthcare.
5+ YOEBachelor's in nursing, active California RN, 5+ years relevant experience including IPA/MSO or Health Plan/HMO experience, prior authorization and UM knowledge, supervisory experience, strong communication and analytical skills.
Construction Management Representative (Paicines, CA)
San Diego or Paicines
OnsiteFull Time
Planate Management Group: Engineering and facilities management services for global government infrastructure.
5+ YOEBachelor's or construction management certification or 5+ years construction management experience; OSHA 30; Microsoft Project proficiency; experience with onsite quality control, sitework, paving, utilities, and federal resource protection measures.
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/yrRemoteFull Time
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.
Palomar Health: Public healthcare district providing comprehensive hospital and medical services.
1+ YOEHigh school diploma or equivalent, 1+ year case management or utilization review experience, BLS within 3 months, proficiency with Microsoft Windows and Office, strong English communication skills.
Microsoft Windows, Microsoft Excel, Microsoft Access, Microsoft Word, Microsoft PowerPoint, Internet, Email
Ramona Municipal Water District: Provides water, sewer, and park services to Ramona, California.
5+ YOERequires five years operating and maintaining a tertiary wastewater treatment plant, supervisory coursework, California Class C driver's license, and Grade III wastewater treatment operator certificate.
information systems, log books, blueprints, front-end loaders, skiploaders, backhoes, hand tools, power tools, respirator
Oracle Utilities Meter Data Management (MDM) Functional Lead
Albany or Arlington or Atlanta or Austin or Beaverton or Bentonville or Boston or Carmel or Charlotte or Chicago or Cincinnati or Cleveland or Columbus or Culver City or Denver or Des Moines or Detroit or Hartford or Houston or Irving or Kirkland or Miami or Milwaukee or Minneapolis or Morristown or Mountain View or Nashville or New York City or Oklahoma City or Overland Park or Philadelphia or Pittsburgh or Raleigh or Redmond or Sacramento or San Diego or San Francisco or Scottsdale or Seattle or St. Louis or St. Petersburg or Walnut Creek or United States
$59k-$196k/yrOnsiteFull Time
AccentureNYSE: ACN: Global professional services firm providing consulting and technology solutions.
3+ YOERequires 3+ years with Oracle Utilities CCS/MDM in U.S. utilities, VEE configuration experience, utility project experience, and a bachelor's degree or equivalent work experience.
Oracle Customer Cloud Service (CCS), Oracle Utilities Meter Data Management (MDM), Oracle Utilities Customer Care and Billing (CC&B), Oracle Integration Cloud (OIC), Oracle Analytics Cloud (OAC), Oracle, AMI, VEE, HES, GIS, OMS, SCADA, ISO, FERC, ANSI C12, Green Button, NAESB, AMI 2.0, Itron, Landis+Gyr, Sensus, Honeywell, Time-of-Use (TOU), Critical Peak Pricing (CPP), Net Energy Metering (NEM), Distributed Energy Resources (DER), BI
Utilities Transmission & Distribution Field Service/EAM Manager or Senior Manager
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 Atlanta or Redmond or Bentonville or Beaverton or Nashville or Detroit or San Diego
$113k-$338k/yrHybridFull Time
AccentureNYSE: ACN: Global provider of management consulting and technology services.
5+ YOERequires 5+ years in gas or electric utilities, 5+ years in utility EAM and field scheduling or mobility systems and processes, team or workstream leadership, client management, and a bachelor's degree or equivalent experience.
IBM Maximo, SAP PM, IFS MWM, CGI PCAD, Salesforce, Artificial intelligence (AI)
7+ YOEBachelor’s degree in engineering, 7+ years managing power distribution or utility engineering projects, utility and power systems knowledge, project management tools experience, and multidisciplinary team leadership.
Microsoft Project, Primavera P6, NERC, IEEE, NEC, EPC, Work Breakdown Structure (WBS), Quality Assurance/Quality Control (QA/QC), Earned Value Management (EVM), Distributed Energy Resources (DER), OSHA
Rady Children's Hospital-San Diego: Non-profit pediatric hospital providing specialized medical and surgical care.
2+ YOEActive California RN license, BLS (AHA), Bachelor's in Nursing, 4 years acute nursing or 2 years case management/utilization review, planning experience, familiarity with Interqual/Milliman and Epic.
San Diego County or Washington or Jacksonville or Norfolk or Silverdale
$126k-$187k/yrOnsiteFull Time
Department of the Navy: Protects the United States through naval and marine operations.
1+ YOEOne year of specialized experience equivalent to GS-14 managing DoD utility and energy programs, financial management, utility commodities, cost recovery, policy, investment portfolios, and senior stakeholder coordination.
Planning, Programming, Budgeting, and Execution (PPBE), USA Hire, Resume Builder, USAJOBS
NV5NASDAQ: NVEE: Technical engineering and consulting for infrastructure and energy projects.
5+ YOE5-7+ years project management in energy/utility or infrastructure, proven account growth and portfolio management, bachelor\u0002s degree, CA driver\u0002s license, experience with project controls and client development; PMP/PE preferred.
Smartsheet, Microsoft Project, Primavera P6, Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Microsoft Teams, Microsoft SharePoint
Chatsworth or Ontario or Santa Ana or Los Angeles or San Francisco or Sacramento or San Ramon or San Diego
$50-$70/hrHybridPart Time
Cordoba Corporation: Civil engineering and construction management firm for infrastructure projects.
20+ YOE20–30 years gas utility program management experience required; knowledge of pipeline design, utility construction, CPUC rules; bachelor's in engineering or construction management preferred; strong leadership, communication, and Microsoft Office skills.
Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft Teams
San Ysidro Health: Provides primary medical and social services in San Diego.
3+ YOERequires 3+ years of RN experience, current California RN license, BLS and First Aid, accredited nursing-program graduation, PACE and healthcare utilization knowledge, clinical judgment, communication, and computer skills.
InterQual, Electronic Health Records (EHR), EPIC, QuickCap, Microsoft Office
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/hrRemoteFull Time
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.
EPC Regional Manager, Utility Scale Solar (West Region)
San Diego or California or Nevada or Washington or United States
$195k-$243k/yrHybridFull Time
SOLV EnergyNasdaq: MWH: Builds and maintains utility-scale solar and energy storage infrastructure.
5+ YOEBachelor's in construction management or electrical engineering, 5+ years utility interconnection/PV solar/BESS construction experience, proven construction project and budget/P&L management, leadership and union experience, travel required.
Avantus: Develops and operates utility-scale solar and energy storage projects.
5+ YOEBachelor's degree in engineering, business, or construction management; 5 years of EPC management and contracting experience; 3 years with a utility-scale solar developer or IPP; strong communication and analytical skills.
Microsoft Office Suite, Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Primavera, Project
Development Manager, Ground Charging Infrastructure
Atlanta or Boston or Chicago or Dallas or Los Angeles or New York City or Phoenix or San Diego or Seattle or South San Francisco
FieldFull Time
Zipline: Operates an autonomous drone delivery system for medical supplies.
5+ YOE5+ years leading land/infrastructure development from due diligence through permitting; technical background in civil/structural/electrical infrastructure; experience with utilities, regulatory agencies, and managing consultants.
TRC Companies: Engineering and environmental consulting for infrastructure and energy projects.
10+ YOE10+ years project management in the utility domain, experience leading large enterprise OT/IT/GIS implementations, PMBOK proficiency, MS-Project and MS Office skills, ability to travel up to 50%.
ESRI, Small world, Hexagon, SCADA, Outage Management System (OMS), Distribution Management System (DMS), Automated Metering Infrastructure (AMI), Microsoft Project, Microsoft Excel, Microsoft PowerPoint, Microsoft Word