Expired Utilization Management Nurse jobs in Anaheim, CA
Anaheim, CA
$26-$38 / hr.
Back to Career Site Our mission is to make healthcare right. Together. We are a value-driven healthcare company committed to providing personalized care to aging and underserved populations. We do this by aligning stakeholders across the healthcare ecosystem. Together, we can improve consumer...
Anaheim, CA
$19,395-$164,880/year (est.)
TheTwo RN resources will be doing the following: 1)Be the hand-off from health plans as they contact our members to determine whether they were impacted by incorrect UM practices. 2)Pull UM cases done in CORE to verify that the appropriate UM process and program is being applied.Education: Graduate...
Anaheim, CA
$49,761-$82,935/year (est.)
Your Role The Utilization Management team facilitates the review of requests for medical necessity to assure that care is provided to our members timely, at the correct level of care with quality and cost effectiveness standards. The Utilization Management Nurse Consultant will report to the...
Anaheim, CA
$19,428-$164,880/year (est.)
Company or Affiliated Company: AHI agilon health, inc. Location: Anaheim Job Title: Lead UM Nurse Job Description: Position Summary: Responsible for utilization management functions assigned and including specific specialty areas, communications with providers and other organizational departments...
Anaheim, CA
$19,428-$164,880/year (est.)
Description SHIFT: Day Job SCHEDULE: Full-time Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we...
Anaheim, CA
$19,395-$164,880/year (est.)
We are looking for Utilization Management RN Coordinator with a $5,000 Sign-On Bonus for the Ambulatory Department at Providence Medical Foundation. $5,000 Sign-On Bonus for eligible external candidates who meet all conditions for payment - this is in addition to the fantastic benefits and...
Anaheim, CA
$19,395-$164,880/year (est.)
Company or Affiliated Company: PPMC Primary Provider Management Co. , Inc. Location: Anaheim Job Title: UM Nurse (CCS) Job Description: Position Summary: The Utilization Management (UM) Nurse is responsible for general, precertification, concurrent and/or retrospective review of inpatient and/or...
Anaheim, CA
$19,395-$164,880/year (est.)
Monarch HealthCare is one of the largest associations of physicians and health care professionals in Orange County and Long Beach. Our network gives you lots of access to specialists, hospitals, skilled nursing, urgent care and more so you have the perfect fit for good health. Monarch is part of...
Anaheim, CA
$49,761-$82,935/year (est.)
Position is 100% remoteHours: 8am - 5pm PST (must work in PST)Holidays: Required per business needsUtilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitateappropriate healthcare services/benefits for...