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
3w
Save
Mark Applied
Hide
Utilization Analyst PT36 Nights
Downey, California, United States
$31-$33/hr OnsitePart Time
Coordinate and supervise utilization data collection, analysis and reporting; strong analytic, verbal and computer skills; knowledge of health plan benefits and hospital operations; high school diploma required.
Health Connect, Mainframe
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.
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
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.
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 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
2d
Save
Mark Applied
Hide
Discharge Planner - Utilization Management
Montclair, California, United States
$23/hr OnsiteFull Time
Knowledge of discharge planning/utilization/case management, high school diploma, basic-intermediate computer skills, current BCLS required; hospital experience preferred.
1d
Save
Mark Applied
Hide
Discharge Planner - Utilization Management
Montclair, California, United States
$23/hr OnsiteFull Time
Knowledge of discharge planning/utilization management, basic-intermediate computer skills, high school diploma required; BCLS required upon hire; associates or LVN and hospital experience preferred.
2d
Save
Mark Applied
Hide
Welder II
San Bernardino, California, United States
$84k-$108k/yr OnsiteFull Time
5+ YOEFive years journey-level welding experience with water pipeline knowledge, HS/GED, SWRCB Water Distribution Operator Grade 1, valid CA Class C driver’s license, AWS 6G pipe welding cert within 12 months, respirator fit and physical ability.
1w
Save
Mark Applied
Hide
WATER TREATMENT PLANT OPERATOR I
Rancho Cucamonga, California, United States
$7k-$9k/mo OnsiteFull Time
1+ YOERequires 1+ year water treatment experience, high school diploma or equivalent, possession of D1 and T2 CA-SWRCB certificates (T3 exam and comprehensive training within one year), valid California Class C driver’s license, and ability to perform plant operations and maintenance.
Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft Access
1mo
Save
Mark Applied
Hide
Registered Nurse - Utilization and Care Transitions
Riverside, California, United States
$50-$75/hr OnsiteFull Time
3+ YOEBachelor's in nursing, active CA RN license, current AHA BLS (hands-on) required, 3+ years clinical nursing with 1+ year in transitional care/case management or utilization review, valid CA driver's license and auto insurance, ability to travel locally.
EMR
4w
Save
Mark Applied
Hide
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
1mo
Save
Mark Applied
Hide
UM Review Nurse
Monterey Park or California
$34-$47/hr RemoteFull Time
1+ YOEActive CA LVN license, 1+ year outpatient utilization management experience, proficiency with Microsoft Word/Excel/Outlook, open availability 8AM-8PM (M-Su), ability to follow medical necessity criteria and internal policies.
Microsoft Word, Microsoft Excel, Microsoft Outlook
14h
Save
Mark Applied
Hide
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
2w
Save
Mark Applied
Hide
Coordinator, Office Utilization Review (FT, Days) Monterey Park Hospital
Monterey Park, California, United States
OnsiteFull Time
2+ YOE2 years acute care experience preferred; knowledge of Google Workspace preferred; experience with admissions, medical records, or business office; clerical, documentation, and communication skills; ability to prepare TARs and process admissions.
Google Workspace
2mo
Save
Mark Applied
Hide
Product Engineer II – Utility Solutions
Denver or Philadelphia or Redlands or Remote Eligible
$80k-$133k/yr RemoteFull Time
2+ YOE2+ years in utilities/telecommunications with ArcGIS; ArcGIS Utility Networks; GIS workflows; strong communication; Bachelor in geography or related field.
Python, Arcade, ArcGIS Pro
Explore Jobs
Expand Your Job Search
Top Cities Near Rialto for Utilization
- 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 Garden Grove, CA
- Utilization jobs in Rancho Cucamonga, CA
- Utilization jobs in Ontario, CA
- Utilization jobs in Corona, CA
- Utilization jobs in Pomona, CA
- Utilization jobs in Pasadena, CA
- Utilization jobs in Orange, CA
- Utilization jobs in Fullerton, CA
- Utilization jobs in Victorville, CA
- Utilization jobs in El Monte, CA
- Utilization jobs in Downey, CA
- Utilization jobs in Costa Mesa, CA