2mo
Save
Mark Applied
Hide
Utilization Specialist PRN
Riverside, California, United States
$31-$50/hr OnsiteAll Commitments Available
2+ YOEUR utilization management role in behavioral health; monitor utilization; coordinate with managed care; review medical necessity; respond to denials; requires high school diploma; clinical experience; licensure/certifications preferred.
Electronic Medical Records, Managed Care Systems, Reimbursement Systems
1d
Save
Mark Applied
Hide
Utilization Management Assistant - Utilization Management
Mission Hills, California, United States
$25-$34/hr OnsiteFull Time
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.
1w
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
1w
Save
Mark Applied
Hide
Coordinator II, Utilization Management
Montebello, California, United States
$27-$34/hr HybridFull Time
2+ YOEHigh school diploma required; 2+ years medical billing or utilization management experience with pre-authorizations and government program knowledge (Medi-Cal, CCS); MA or medical billing certificate preferred; prior lead experience preferred.
6d
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
RN Utilization Mgmt, Full-Time Day
Los Angeles, California, United States
$52-$81/hr OnsiteFull Time
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
5d
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
3w
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
1mo
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
1w
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
2mo
Save
Mark Applied
Hide
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.
6d
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.
1w
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.
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.
4w
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
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
1w
Save
Mark Applied
Hide
Customer Success Utilization Manager
Los Angeles, California, United States
$91k-$118k/yr FieldFull Time
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
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
1d
Save
Mark Applied
Hide
ED Case Management Utilization RN, 32/hr Night
Baldwin Park, California, United States
$65-$79/hr OnsitePart Time
2+ YOEActive California RN license, BLS, 2+ years acute care or case management RN experience, knowledge of utilization review/discharge planning, regulatory standards, strong communication and computer skills.
2mo
Save
Mark Applied
Hide
RN Utilization Mgmt, Full-Time Day
Los Angeles, California, United States
$52-$81/hr OnsiteFull Time
3+ YOEAssociates degree in nursing; CA RN license; 3-5 years UM/CM experience; BLS; CCM preferred; bilingual Spanish preferred.
Explore Jobs
Expand Your Job Search
Top Cities Near Ontario 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 Garden Grove, CA
- Utilization jobs in Rancho Cucamonga, CA
- Utilization jobs in Corona, CA
- Utilization jobs in Palmdale, 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