Expired Utilization Management Supervisor jobs in Riverside, CA
Riverside, CA
$80K-$98K / yr. (est.)
Job Summary: The Supervisor Utilization Management will assure compliance with Federal, State, TJC, NCQA, other regulatory agencies and internal standards and requirements and will provide oversight and direction to staff regarding utilization review, care coordination, discharge planning, and...
Riverside, CA
$31,527-$121,930/year (est.)
Responsibilities HOURS: Monday - Friday 8:30 am - 5:30 pm, Full Time SUMMARY: Ensures accuracy of eligibility, benefits, and services for the referral process as per health plan and regulatory standards. Assists Utilization Director in preparing required documentation for Health Plan audits and...
Riverside, CA
$31,527-$121,930/year (est.)
Perform duties which include case finding and abstracting for review. Compiles reports. Prepares and assigns record review for Medical Staff Committees. Performs criteria testing, data retrieval, variation analysis, assists in determining data formatting and types of indicators and studies....
Riverside, CA
$31,527-$121,930/year (est.)
Responsibilities HOURS: Monday - Friday 8:30 am - 5:30 pm, Full Time SUMMARY: Ensures accuracy of eligibility, benefits, and services for the referral process as per health plan and regulatory standards. Assists Utilization Director in preparing required documentation for Health Plan audits and...