1w
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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
5d
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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
2mo
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Utilization Management Clinical Trainer (Hybrid Remote)
Orange or United States
$78k-$117k/yr HybridFull Time
5+ YOE5+ years nursing in managed care/utilization review; RN or LPN license; Bachelor’s in Nursing/Health or Education; experience in clinical training.
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
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.
1w
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Utilization Review Quality Improvement Specialist-26431407
San Diego, California, United States
$114k-$140k/yr OnsiteFull Time
1+ YOECurrent California RN/LCSW/LMFT/LPCC/Clinical Psych license, 1+ year recent licensed clinical experience with charting and utilization review; knowledge of EHR, Medi-Cal/regulatory standards, quality improvement practices.
Electronic Health Record (EHR)
1w
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(RN) Manager - Utilization Management - 140306
San Diego, California, United States
$133k-$260k/yr HybridFull Time
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.
MCG, Epic, EPC
1mo
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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
2w
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Utility Worker I/II
Rancho Santa Fe, California, United States
$68k-$103k/yr OnsiteFull Time
Construction or water-utility experience; safety awareness; ability to perform physical outdoor labor; California Water Distribution Operator certificate (D1 within 12 months for Utility Worker I; D2 for Utility Worker II).
3w
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Discharge Planner - Utilization Management
National City, California, United States
$24-$27/hr OnsiteAll Commitments Available
Knowledge of discharge planning, utilization/case management terminology, basic to intermediate computer skills, high school diploma, BCLS required upon hire (LVN preferred), hospital experience preferred.
3w
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Discharge Planner - Utilization Management
National City, California, United States
$24-$27/hr OnsitePart Time
Knowledge of discharge planning, utilization management, and case management; basic to intermediate computer skills; high school diploma required; BCLS certificate required upon hire; associates degree or LVN preferred; hospital experience preferred.
4w
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Medical Case Manager, BHI Utilization Management - Covered California
Orange or California
$91k-$145k/yr RemoteFull Time
3+ YOECurrent California unrestricted license (LCSW, LPCC, LMFT, or RN), 3+ years clinical experience, utilization management reviewer experience, knowledge of ICD-10/CPT-4/HCPCS, and proficiency with Microsoft Office.
Microsoft Word, Microsoft Outlook, Microsoft Excel, Microsoft PowerPoint, ICD-10, CPT-4, HCPCS
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
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.
1w
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Supervisory Acquisition & Util
San Diego, California, United States
$102k-$133k/yr OnsiteFull Time
1+ YOEOne year specialized experience equivalent to GS-11 in acquisition/procurement in healthcare, supervisory experience, must be U.S. citizen and meet federal hiring requirements.
19h
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Case Manager EX - Utilization Management-Days - Remote - Irvine
Irvine, California, United States
$69-$100/hr RemoteFull Time
5+ YOECurrent RN license and BLS; BSN required for external candidates; minimum 5 years clinical experience and 1 year case management; familiarity with InterQual, Joint Commission/CMS/CDPH/CCS; strong communication and computer skills.
Microsoft Windows, Microsoft Excel, Microsoft Access, Microsoft Word, Microsoft PowerPoint, internet, e-mail
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
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
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
2mo
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UTILITIES SPECIALIST - FT/PT
Newport Beach, California, United States
$30-$44/hr OnsiteFull Time, Part Time
1+ YOEPart-time/full-time Utilities Specialist with 1 year in water/wastewater utilities; high school diploma; California driver license; relevant certifications; pass background check.
3mo
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Dishwasher/Utility
Temecula, California, United States
$17-$21/hr OnsiteAll Commitments Available
Dishwasher/Utility role for cleaning, sanitizing, and stocking; no formal education or experience details provided.
2mo
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Dishwasher/Utility
Santee, California, United States
$20/hr OnsitePart Time
Part-time dishwasher/utility with flexible schedule; strong teamwork and ability to maintain a clean kitchen.
1mo
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Experienced Damage Prevention Technician / Utility Locator
San Diego, California, United States
FieldFull Time
2+ YOE2+ years utility locating experience preferred, knowledge of APWA marking standards, ability to read utility maps, valid driver’s license, operate locating and GPR equipment, work outdoors, and maintain documentation.
Electromagnetic locators, Ground penetrating radar (GPR), GPS/GIS devices, Signal transmitters and receivers, GIS systems
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