Utilization Review Jobs

3 results

All jobs posted within the past 30 days.

RN Utilization Management Specialist - FT - Los Angeles - 346

Facilitation, coordination and approval of medically necessary referrals  for direct lines of business (MCLA, Healthy Families, Healthy Kids) that meet established criteria. Assures timely and accurate determination and notification of referrals and reconsiderations based on the ...

Utilization Management Oversight Nurse Specialist - Per Diem - Los Angeles - 355

The Utilization Management Specialist Position ensures compliance of the participating physician groups (PPGs) with regulatory, contractual and LA Care requirements. The UM Specialist is responsible for performing annual and focused audits and continuous monitoring activities. This ...

Utilization Management Specialist RN - FT - 358 - Los Angeles

The Utilization Management Transition of Care Nurse Specialist, RN  is primarily responsible for the overall coordination of the planned and unplanned transitions for the L.A. Care Health Plan members.   Responsibilities include implementing the program elements ...

Robert Noakes