499 utilization opportunities in Orange updated today
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· Page 5 / 25DescriptionThe Utilization Management (UM) Program Manager plays a vital role in driving the strategic planning, execution, and continuous enhancement of UM programs. The position ensures the delivery of clinically appropriate and cost-effective care by optimizing utilization management processes ac
Medical Director - Utilization Management Department: HS - UM Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To: Dr. Dinesh Kumar Compensation: $275000 - 325000 Description As Medical Director - Utilization (UM) at Astrana Health, you will provide c
Key Responsibilities Utilization Management (85%) Review behavioral health service requests to determine medical necessity using established clinical guidelines. Screen inpatient and outpatient requests for Medical Director review and gather required clinical documentation. Communicate authorization
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
ALOIS Healthcare 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: 05/04/2026 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel A util
Providence Health & ServiceA healthcare organization is seeking a full-time RN for Utilization Review in Irvine, CA. This role involves conducting clinical reviews and managing utilization reviews in a remote setting. Candidates must have an Associate's Degree in Nursing, California RN License, and 2 years of experience in a
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and expe
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and expe
A healthcare organization in Monterey Park, CA is seeking a Medical Director for Utilization Management. The role involves providing clinical oversight, managing the utilization process, and collaborating with interdisciplinary teams to enhance care delivery. Ideal candidates will possess a Medical
Host Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Orange, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 04/27/2026 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Host Heal
Host Healthcare is seeking a local contract nurse RN Case Management for a local contract nursing job in Orange, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 04/27/2026 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type:
TRS Healthcare is seeking an experienced Utilization Review Registered Nurse for an exciting Travel Nursing job in Orange, CA. Shift: 5x8 hr days Start Date: 05/04/2026 Duration: 13 weeks Pay: $ / Week TRS Healthcare is seeking a Registered Nurse that is licensed in CA to work in the specialty area
Host HealthcareHost Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Orange, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 04/27/2026 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel Host Healthca
Job Description Host Healthcare is seeking a local contract nurse RN Case Management for a local contract nursing job in Orange, California. Job Description & Requirements - Specialty: Case Management - Discipline: RN - Start Date: 05/04/2026 - Duration: 13 weeks - 40 hours per week - Shift: 8 hours
Description Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. Conduct clinical reviews and review medical records daily during admission for all payers, as required by the health plans. This role requires a strong clinical background combined with
Utilization Management Quality Reporting Specialist II Job Category: Administrative, HR, Business Professionals Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13014 Salary Range: $67,186.00 (Min.) - $87,342.00 (Mid.) - $107,498.00 (Ma
CalOptimaBehavioral 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
CalOptimaBehavioral 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
Description RN Utilization Review at Irvine, CA. This position is Full- time and will work Remote 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. Conduct clinical reviews and review medical records daily during admission for
Description RN Utilization Review at Irvine, CA. This position is Full- time and will work Remote 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. Conduct clinical reviews and review medical records daily during admission for
$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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