
Utilization Management Nurse, Senior
Woodland Hills, California
Your Role The Facility Compliance Review (FCR) team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events. The Utilization Manage...
24h
Job Type | Full Time |

Utilization Management Nurse, Senior
Oakland, California
Your Role The Facility Compliance Review (FCR) team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events. The Utilization Manage...
24h
Job Type | Full Time |

Manager, Program Management Clinical
Woodland Hills, California
Your Role The Behavioral Health Utilization Management (UM) team performs prior authorization and concurrent reviews for members by applying evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple l...
24h
Job Type | Full Time |

Manager, Program Management Clinical
El Dorado Hills, California
Your Role The Behavioral Health Utilization Management (UM) team performs prior authorization and concurrent reviews for members by applying evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple l...
24h
Job Type | Full Time |

Manager, Program Management Clinical
Sacramento, California
Your Role The Behavioral Health Utilization Management (UM) team performs prior authorization and concurrent reviews for members by applying evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple l...
24h
Job Type | Full Time |

Utilization Management Nurse, Senior
El Dorado Hills, California
Your Role The Facility Compliance Review (FCR) team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events. The Utilization Manage...
24h
Job Type | Full Time |

Utilization Management Nurse, Senior
Long Beach, California
Your Role The Facility Compliance Review (FCR) team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events. The Utilization Manage...
24h
Job Type | Full Time |

Utilization Management Nurse, Senior
San Diego, California
Your Role The Facility Compliance Review (FCR) team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events. The Utilization Manage...
24h
Job Type | Full Time |

Manager, Program Management Clinical
Lodi, California
Your Role The Behavioral Health Utilization Management (UM) team performs prior authorization and concurrent reviews for members by applying evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple l...
24h
Job Type | Full Time |

Manager, Program Management Clinical
Long Beach, California
Your Role The Behavioral Health Utilization Management (UM) team performs prior authorization and concurrent reviews for members by applying evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple l...
24h
Job Type | Full Time |