638 utilization jobs at 244 companies in Palo Alto, CA
1mo
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Director of Utilization
San Rafael, California, United States
$105k-$130k/yr OnsiteFull Time
4+ YOE3+ MgmtLead utilization review operations, conduct concurrent/retrospective reviews, ensure regulatory compliance, manage staff, liaise with payers, and optimize reimbursement; requires 4+ years utilization management and 3+ years supervisory experience.
2d
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Utilization Review Coordinator
San Jose, California, United States
$195k-$249k/yr FieldTemporary
2+ YOECurrent unrestricted California RN license and two years of recent acute-care hospital nursing experience; utilization review experience is desirable.
InterQual, Milliman Care Guidelines (MCG)
2w
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Utilization Specialist - Full Time
San Jose, California, United States
$33-$60/hr OnsiteFull Time
Associate degree in nursing required (LPN/LVN/RN) or relevant behavioral health degree preferred; clinical license (LMFT/LMSW/LCSW/LPC/LPC-I) or equivalent; CPR and de-escalation/restraint certification; utilization management experience preferred.
1w
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Utilization Review Liaison
Fremont, California, United States
$32-$44/hr OnsiteFull Time
Coordinates insurance reviews and authorizations, submits clinical information, supports case management, obtains medical records, performs data entry, and tracks claims and denials.
5d
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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
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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
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.
5d
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Utilization Review RN II, Care Coordination, Full-Time, Days
Greenbrae, California, United States
$66-$99/hr OnsiteFull Time
3+ YOERequires RN and BLS credentials, 3+ years acute-care experience, clinical utilization review or discharge planning expertise, evidence-based criteria application, case management software, EHR, and Microsoft Office skills.
Electronic Health Record, Microsoft Office Suite, case management software
1w
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Wound Care Utilization Management RN
Indianapolis or Iselin or Tampa or Miami or Wilmington or Cincinnati or St. Louis or Walnut Creek or Las Vegas or Woburn or Grand Prairie or Chicago or California or Illinois or Massachusetts or Nevada or New Jersey
$39-$56/hr RemoteFull Time
3+ YOERequires an associate degree in nursing or equivalent background, 3+ years of healthcare experience, active unrestricted RN license, and wound-care certification such as WOCN or CWS.
medical records
2w
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Manager, Clinical Workforce Utilization (Scheduling Manager)
Oakland, California, United States
HybridFull Time
3+ YOE3+ years staffing/scheduling or clinical operations experience; strong analytics; Excel/Google Sheets; coordination with recruiting, clinical, and operations; knowledge of home health staffing and EMR/scheduling systems preferred.
Microsoft Excel, Google Sheets, Homecare Homebase, WellSky, MatrixCare, EMR
1mo
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Utilization Management Business Analyst II - 26-75
San Ramon, California, United States
$100k-$127k/yr OnsiteFull Time
3+ YOEEpic Tapestry UM/CM certification required, 3+ years as business/systems analyst and 3+ years with Epic Reporting Workbench, strong requirements gathering, testing, reporting, and stakeholder collaboration skills.
Epic Tapestry, Epic Reporting Workbench (RWB), Microsoft Excel, Microsoft Outlook, Microsoft Word, Microsoft Teams, Microsoft PowerPoint
4d
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Director, Power Utilization and Infrastructure Efficiency
Menlo Park, California, United States
$347k-$403k/yr OnsiteFull Time
12+ YOE8+ MgmtRequires 12+ years in technical infrastructure or related fields, 8+ years managing people, and experience leading multidisciplinary teams, optimization systems, forecasting, infrastructure planning, and cross-functional execution.
1w
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Water Systems Operator I/II/III – Environmental Services
San Jose, California, United States
$93k-$134k/yr FieldFull Time
1+ YOERequires one year of relevant water utility or industrial experience, California water operator certifications, and a California driver's license; requires physical work, standby response, shift, weekend, holiday, and overtime availability.
Microsoft Outlook, Microsoft Word, Microsoft PowerPoint, Microsoft Access, Microsoft Excel, Self-Contained Breathing Apparatus (SCBA), Supervisory Control and Data Acquisition (SCADA)
2mo
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Distinguished Technologist - Memory/Storage Utilization & Data Placement Architect
Spring or Palo Alto or Houston
$190k-$274k/yr OnsiteFull Time
12+ YOETypically 12+ years experience in electrical/hardware design or related fields; recommended BS/MS in electrical engineering or related; expertise in memory design, hardware architecture, FPGA, MATLAB, PCB and schematic capture; strong communication and leadership skills.
MATLAB, Oscilloscope, Field-Programmable Gate Array (FPGA), Schematic Capture
2w
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Drug Utilization Management Specialist - Pharmacy 500P (Full-Time, 8-Hour Day Shifts)
Palo Alto, California, United States
$84-$111/hr HybridFull Time
5+ YOEPharmD and ASHP residency or equivalent,5+ years clinical pharmacy in health system,CA-RPH required,leadership and analytical skills,experience with EHR and performance monitoring.
Electronic Health Records
1mo
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Utilization Management and Discharge Planning RN
San Jose, California, United States
$99k-$148k/yr OnsiteFull Time
1+ YOEActive California RN license, 1+ year licensed healthcare experience, knowledge of utilization management and discharge planning, proficiency with Outlook/Word/Excel, strong clinical judgment and communication.
Outlook, Word, Excel
1w
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Water Plant Operator
San Jose, California, United States
$118k-$151k/yr OnsiteFull Time
3+ YOERequires a valid California T3 Water Treatment Operator certificate, high school completion, chemistry and math coursework, three years operating a T4+ plant preferred, and a valid California driver's license.
Supervisory Control and Data Acquisition (SCADA), Microsoft Word, Microsoft Excel, Microsoft Outlook, Maximo, spreadsheets, database programs
4d
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Plant Operator
Richmond, California, United States
$102k-$124k/yr OnsiteFull Time
1+ YOERequires one year of wastewater plant equipment operation, repair, and maintenance experience, high school completion, Grade I California wastewater operator certificate, and valid California driver's license.
control panels
4d
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Control Operator
Byron, California, United States
$131k/yr OnsiteFull Time
3+ YOEHigh school education or equivalent plus three years as an apprentice control or plant operator; California Class C license may be required; T2 and D1 licenses required within 18 months; SCADA and plant operations expertise required.
Wonderware, AVEVA, SCADA, programmable logic controllers, Microsoft Word, Microsoft Excel, Fax
2w
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Associate Civil Engineer (Process Engineering)
Oakland, California, United States
$157k-$191k/yr OnsiteFull Time
4+ YOEABET-accredited bachelor's in civil engineering or CA EIT, CA registration as Professional Civil Engineer, four years post-degree civil engineering experience, ability to perform office and field duties, valid CA driver’s license, Live Scan background screening.
3d
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Power Plant Operator
Pittsburg, California, United States
$34-$49/hr OnsiteFull Time
2+ YOEHigh school diploma, GED, or equivalent experience; 2+ years equipment operations experience; valid driver's license; mechanical, electrical, instrumentation, or controls skills; ability to lift 75 lbs.
PLC, HMI, SCADA, Microsoft Outlook, Microsoft Word, Microsoft Excel
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