Medical Case Manager (LVN) (Concurrent Review) Job Description Department(s): Utilization Management (Concurrent Review) Reports to: Supervisor, Utilization Management (Concurrent Review) FLSA status: Non-Exempt Salary Grade: K - $70,000 - $114,268 Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is on Thursday, February 15, 2024 at 11:59 PM. Applicants are encouraged to a
Medical Case Manager (LVN) (Concurrent Review) Job Description Department(s): Utilization Management (Concurrent Review) Reports to: Supervisor, Utilization Management (Concurrent Review) FLSA status: Non-Exempt Salary Grade: K - $70,000 - $114,268 Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is on Thursday, February 15, 2024 at 11:59 PM. Applicants are encouraged to a
Medical Case Manager (LVN) (Pre-Authorization Nurse Reviewer) Job Description Department(s): Utilization Management (Prior Authorization) Reports to: Manager, Utilization Management FLSA status: Non-Exempt Salary Grade: K - $70,000 - $114,268 Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is on Thursday, April 03, 2024 at 11:59 PM. Applicants are encouraged to apply earl
Grievance & Appeals Nurse Specialist CalOptima CalOptima Health is seeking a highly motivated an experienced Grievance & Appeals Nurse Specialist to join our team. The Grievance and Appeals Nurse Specialist participates in managing CalOptima Health's medical appeals and state hearing reviews for all lines of business, including handling expedited and standard requests. The incumbent will ensure appeals and state hearing requests are processed in accordance with regulations, compliance standards
Manager, Utilization Management (UM Oversight & Clinical Administration) Job Description Department(s): Utilization Management (Delegate Monitoring) Reports to: Director, Utilization Management FLSA status: Exempt Salary Grade: P - $117,000 - $192,390 Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is on Tuesday, March 5, 2024 at 11:59 PM. Applicants are encouraged to app
Sr. Manager, Utilization Management (Sr. Manager II) CalOptima CalOptima Health is seeking a highly motivated an experienced Sr. Manager, Utilization Management (Sr. Manager II) to join our team. The Sr Manager II (Utilization Management) will be responsible for providing oversight of clinical team treatment authorization compliance and oversight of internal and external health network partners. The incumbent will lead inventory management process improvements for all clinical operation Utilizat
Sr Director, Hospital Relations and Inpatient Clinical Support CalOptima CalOptima Health is seeking a highly motivated an experienced Sr Director, Hospital Relations and Inpatient Clinical Support to join our team. The Sr Director (Hospital Relations and Inpatient Clinical Support) will be responsible for leading operational effectiveness between hospitals and all CalOptima Health and health network partners. The incumbent will work collaboratively with the Executive Director, Clinical Operatio
Sr Director, Hospital Relations and Inpatient Clinical Support CalOptima Health is seeking a highly motivated an experienced Sr Director, Hospital Relations and Inpatient Clinical Support to join our team. The Sr Director (Hospital Relations and Inpatient Clinical Support) will be responsible for leading operational effectiveness between hospitals and all CalOptima Health and health network partners. The incumbent will work collaboratively with the Executive Director, Clinical Operations and De
