Utilization Review Manager Salary at Sovereign Health Group BETA

Job Title: Utilization Management (UM) Coordinator Target Compensation Range: $26.00 - $36.00/hour, depending on the level of relevant qualifications and experience. About Us: Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following: Understands and follows Utilization Management Policies and Procedures pertaining to the referral process. Processes Prior Authorization-Referral requests that are received from PCPs and-or Specialty Providers Responds to all incoming calls and/or follows up calls in a timely manner. Performs the necessary research for determining a satisfact

$24.00 - $35.00 (est. hourly pay rate) Job Summary: Our client is seeking a Project Coordinator who will provide electric overhead and underground corrective maintenance coordination. This opportunity is located in San Clemente, CA! Duties: Provide support in compliance with overhead and underground maintenance as required by CPUC regulations Process work requests in SAP and CPD for work status, scheduling and monitoring job progress Coordinate job prerequisites GO Forms, foreign utility requests, prepares maps, electronic field memos and job packages for supervision and operating personnel Coordinate miscellaneous work, e.g. land management, permitting, vegetation management, bee and rodent extermination, joint meets and customer access issues Compile SAP reports for field review, quality assurance audits, work backlog, pending and completed inspections Support internal and external compliance audits Coordinate compliance work with C&O planners and construction supervisors to ensure w

Sign On Bonus for Eligible External Hires Job Summary: Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for Inpatient hospitalization. Interacts with the family, patient and other disciplines to coordinate a safe and acceptable discharge plan. Functions as an indirect caregiver, patient advocate and manages patients in the most cost effective way without compromising quality. Transfers stable non-members to planned Health care facilities. Responsible for complying with AB 1203, Post Stabilization notification. Complies with other duties as described. Must be able to work collaboratively with the Multidisciplinary team, multitask and in a fast pace environment. Essential Responsibilities: Plans, develops, assesses and evaluates care provided to members. Collaborates with physicians, other members of

Kaiser Permanente is seeking a Registered Nurse (RN) Case Management for a nursing job in Riverside, California. Job Description & Requirements Specialty: Case Management Discipline: RN Duration: Ongoing 1 hours per week Shift: 8 hours, nights Employment Type: Staff Job Summary: Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for Inpatient hospitalization. Interacts with the family, patient and other disciplines to coordinate a safe and acceptable discharge plan. Functions as an indirect caregiver, patient advocate and manages patients in the most cost effective way without compromising quality. Transfers stable non-members to planned Health care facilities. Responsible for complying with AB 1203, Post Stabilization notification. Complies with other duties as described. Must be able to work collabo

Company Description Job Description Assistant Manager Born to Lead Being a Domino's Assistant Manager is more than just a job - it's a career. We're all about fun, but we take your career ambitions very seriously. As someone that likes a challenge, you'll love sinking your teeth into life as a Domino's manager. We want our people to enjoy coming to work, and Domino's managers are no different. Yes, you're responsible for the success of the store and its staff, but we still want you to enjoy achieving it. Chances are if you're having fun, everyone is. Domino's Pizza loves Domino's people Our mission is to recognize, appreciate, value and utilize the unique talents and contributions of all individuals. To create an environment where all team members, because of their differences, can reach their highest potential. In other words, we want you to be yourself, and as a Domino's Asst Manager that's exactly what you can be. You'll get to flex your creative muscles, thinking up new ways to dri

Job Description Job Description Grocery Outlet is one of the fastest growing discount grocery chains in America. We're seeking hard-working candidates with retail leadership or multi-unit restaurant management experience to manage Grocery Outlet locations and grow their career with us. We offer our store managers on the job training with experienced store leaders to help you learn the unique Grocery Outlet systems and develop the tools to be a successful store leader. Successful store managers looking for growth are given the option to become independent store operators with more autonomy and a share of store profits. Requirements Strong decision-making to do what is right for your store (ordering, merchandising, staffing, etc.) Responsibility for total store operations including complete management of the P&L preferred Creating staffing models, hire, train and retain employees Utilizing an existing distribution channel to customize your product offering for your community Local organi

Job Description Job Description Position Overview: This position is responsible for technical operations related to relationships and engineering oversight at contract manufacturers (co-mans), relevant suppliers, and SAMBAZON lab also supporting product development. Concurrently, this position will oversee manufacturing operations at multiple co-man facilities. This includes supervision of co-man processes, start-up process, trials, and staff especially related to technical knowhow and problem solving and continuous improvement between the co-man and SAMBAZON. Additional responsibilities include, working with co-mans to optimize processes, improve efficiency, as well as searching and sourcing new co-mans & commercializing new products. The ideal candidate have strong skills in manufacturing, communication, technical and food safety understanding, problem-solving skills, and be willing to travel to these facilities where required. This is an individual contributor role. This role offers

Kaiser Permanente is seeking a Registered Nurse (RN) Case Management for a nursing job in Orange, California. Job Description & Requirements Specialty: Case Management Discipline: RN Duration: Ongoing 40 hours per week Shift: 8 hours, days Employment Type: Staff Job Summary: Works collaboratively with an assigned panel of physicians to manage the patients specialized needs. The managing team does differ according to the chronic disease. Duties include assessment to identify member needs and development of specific care management plan to address needs. In conjunction with the Physician, implements care/treatment plan by coordinating access to health services across multiple providers/ disciplines, monitors care, makes determination to arrange transportation and transfer patient if indicated, identifies cost-effective measures, makes recommendations for alternative levels of care and utilization of resources, promotes self-care management and ensures paper work is completed. Is an indir