Utilization Review Jobs in San Diego, CA

Pay Range: $65000 - $70000 annually depending on experienceBenefits include Medical Dental Vision 401k matchingCommunicate regularly with residents and their family about Plans of Care PT OT and other treatment protocols. Attends and participates in morning meetings/stand up to facili More...

Position: RN Case Manager Location: San Diego CA 92104 Duration: 3 Months Pay : $49 - $59/hr Shift Types Start Time : 8:30 AM End Time : 5:00 PM Position Information: Coordinates management of care and ensures optimum utilization of resources service delivery and complian More...

The San Diego Unified School District is currently accepting applications for the position of Community Schools - Site Program Coordinator. This opportunity is open to all interested candidates.This recruitment will be used to establish an Eligibility List for the current vacancy show More...

Company:Description:SummaryAt the direction of your supervisor provide underwriting support to the Employee Benefits DivisionEssential Duties & ResponsibilitiesPerform analyses within the MMA West Actuarial and Underwriting team scope of services such as: experience reporting rese More...

Become a part of our caring community and help us put health firstThe Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel.Develops plans implements analyzes and organizes clinical operations for a specific location managed.Conducts More...

We are actively recruiting for an CAL RNs to join our rapidly growing Population Health team.  The primary role of the Care Manager will be to provide our patients with on-demand telephone-based care management services through a 24/7 Nurse Advice Line (i.e. telephone triage). &# More...

DescriptionThe San Diego Unified School District is currently seeking a full-time Bilingual (English/Spanish)Community Schools - Site Program Coordinator for Ibarra Elementary. This position works under the guidance and oversight of the District Community Schools Coordinator independe More...

Overall management of the entire nursing department and staffing levels. Develop and implement nursing policies and procedures and ensure compliance. Responsible for ensuring resident safety and that all residents are treated with utmost respect. Develop and conduct in services for More...

We are actively recruiting for an CAL RNs to join our rapidly growing Population Health team.  The primary role of the Care Manager will be to provide our patients with ondemand telephonebased care management services through a 24/7 Nurse Advice Line (i.e. telephone triage). &#xa More...

The CA Associate Therapist works in a dynamic multidisciplinary team providing treatment services according to the Discovery Clinical Model. Therapist responsibilities include ensuring patient safety providing milieu interventions leading psychoeducational and processoriented the More...

Position Summary:Reporting to the HCBA Waiver RN Supervisor and as a member of the Care Management Team the Community Care RN (HCBA Waiver RN) coordinates an interdisciplinary approach to support continuity of care. This role develops and monitors the plan of treatment for a caseload More...

The Associate Therapist works in a dynamic multidisciplinary team providing treatment services according to the Discovery Clinical Model. Therapist responsibilities include ensuring patient safety providing milieu interventions leading psychoeducational and processoriented therapy gro More...

Position Summary:Reporting to the HCBA Waiver Manager and as a member of the Care Management Team the Social Worker supports the development and monitoring of the plan of treatment for a caseload of Home and Community Based Alternatives Waiver Program participants and provides communi More...

Regional Manager Quality Review for ID/DDGeorgia remote@Orchard LLC is supporting a notforprofit corporation that partners with public and private sectors to create highquality safe and efficient delivery of health care and human services programs. Our client has multiple lines of bu More...

PLNU is a Christian liberal arts university in the evangelical Wesleyan tradition offering quality undergraduate graduate and professional programs. We provide higher education in a vibrant Christian environment where minds are engaged and challenged character is modeled and formed an More...

At Amazon we believe that every day is still day one. We are working to be the most customercentric company on earth. To get there we need exceptionally talented bright and driven people. If youd like to help the Disability Leave Services (DLS) team build a bestinclass professional s More...

The Utilization Review Case Manager requires effective communication and coordination with the Director of Utilization Review insurance companies and treatment team to obtain the maximum benefits for our clients.  The Utilization Review Case Manager will submit accurate utilizati More...

Evaluate patients within twenty four 24 hours or 1 business day of physician referral. If unable to complete evaluation in 24 hours documentation in medical record clearly defines cause for delay. Develop effective treatment plan and obtain approval for services from referring physici More...

Evaluate patients within twenty four 24 hours or 1 business day of physician referral. If unable to complete evaluation in 24 hours documentation in medical record clearly defines cause for delay. Develop effective treatment plan and obtain approval for services from referring physici More...

Evaluate patients within twenty four 24 hours or 1 business day of physician referral. If unable to complete evaluation in 24 hours documentation in medical record clearly defines cause for delay. Develop effective treatment plan and obtain approval for services from referring physici More...