499 utilization opportunities in Orange updated today
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· Page 1 / 25Akido builds AI-powered doctors . Akido is the first AI-native care provider, combining cutting-edge technology with a nationwide medical network to address America's physician shortage and make exceptional healthcare universal. Its AI empowers doctors to deliver faster, more accurate, and more comp
WHO WE ARE NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all popul
WHO WE ARE NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all popul
Molina Healthcare is hiring for a remote Pharmacist, UM/Prior Auth. Essential Job Duties Provides support and subject matter expertise for pharmacy formulary liaison activities between the business and its customers (members, providers and pharmacies) to determine coverage and informative drug use.
Under the supervision of the Utilization Review Manager, the Utilization Review Assistant provides support to ensure that all utilization management documentation and information requirements, including electronic communication, are met. Work areas include payer notification, authorization managemen
Description Under the supervision of the Utilization Review Manager, the Utilization Review Assistant provides support to ensure that all utilization management documentation and information requirements, including electronic communication, are met. Work areas include payer notification, authorizati
WHO WE ARE NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all popul
Overview Montclair Hospital Medical Center is a 106-bed acute care, not-for-profit community hospital, received the “100 Top Hospital” in the nation award from IBM Watson Health, the Patient Safety Excellence award from Healthgrades®, and the Women's Choice Award® for America's Best Emergency Care.
Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated
JOB DESCRIPTION This role provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through i
Under the supervision of the Utilization Review Manager, the Utilization Review Assistant provides support to ensure that all utilization management documentation and information requirements, including electronic communication, are met. Work areas include payer notification, authorization managemen
We are hiring a Travel Nurse - RN in the Utilization Review (UR) department located in Orange, California. This position offers competitive pay of $2,747 per week. Responsibilities Include Conducting comprehensive utilization reviews to ensure appropriate patient care and resource allocation Assessi
Behavioral Health Utilization Management Medical Case Manager CalOptima Join Us in this Amazing Opportunity The Team You'll Join We are a mission driven community‐based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready
Behavioral Health Utilization Management Medical Case ManagerCalOptimaJoin Us in this Amazing OpportunityThe Team You'll JoinWe are a mission driven community‐based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to
Department: HS - UM Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Description About the Role The Part‑Time Medical Director – Utilization Management, Outpatient Services provides physician oversight for medical necessity, appropriateness, and utilization decisions across Astrana Healt
Medical Director - Utilization Management (Part Time) Department: HS - UM Employment Type: Part Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To: Dr. Dinesh Kumar Description About the Role The Part‑Time Medical Director – Utilization Management, Outpatient Services pro
eTeam Inc is seeking a travel nurse RN Utilization Review for a travel nursing job in Orange, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 04/27/2026 Duration: 12 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Must be h
Prime Staffing is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Orange, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 05/11/2026 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: T
Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members. Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Medical Foundation and thrive
Responsibilities Come and join the RMC Family! We have been in the community since 1935. Our mission is to provide comprehensive multi-specialty medical services in the greater Riverside region. Your passion, inspiration, and talents are invaluable to us and our mission to serve others. Our facility
Cambrian HomecareOverview Cambrian Homecare LLC is seeking detail-oriented individuals to join our Utilization Team . As a member of this team, you will build and maintain strong relationships with clients and providers by offering one-on-one support. Your primary responsibilities will include assisting with schedul
Cambrian HomecareOverview Cambrian Homecare LLC is seeking detail-oriented individuals to join our **Utilization Team**. As a member of this team, you will build and maintain strong relationships with clients and providers by offering one-on-one support. Your primary responsibilities will include assisting with sche
A company is looking for a Utilization Review Coordinator. Key Responsibilities Accesses, triages, and assigns cases for utilization review Enters demographics and utilization review information into claims or clinical management systems Obtains necessary information for utilization review processin
Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmploy
Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members. Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Medical Foundation and thrive
APR Consulting, Inc. has been engaged to identify a Utilization Management Technician Location : Los Angeles, CA 90045 (100% Remote) Position: Utilization Management Technician Pay Rate: $28/hr Duration: 13 weeks Expected Shift: M-F 8-5 PST Job Description: You will receive urgent, routine, pre-serv
At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option to the most vulnerable senior population, functioning as both a care provider and care plan to those individuals we serve. Our Health Plan Services team plays a critical role in our partici
Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members. Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Medical Foundation and thrive
The Utilization Review Specialist (URS) exercises independent judgment and professional discretion in the practice of case management to a select group of patients. The URS collaborates with physicians to ensure that patients are at the appropriate level of care with use of clinical based guidelines
$40,000 – $63,000/year
Estimation confidence: Low
Estimate based on market data for Orange. Actual salaries may vary depending on experience, company, and area.
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