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Part Time Utilization Review Manager Jobs in California

Sutter Health

Care Manager II, Acute

Modesto, CA

$82.48 - $115.46/hr

The Care Management process encompasses communication and facilitates care across the continuum ... Comprehensive knowledge of Utilization Review, levels of care, and observation status. Awareness of ...

Sutter Health

Care Manager II, Acute

Modesto, CA · On-site

$82.48 - $115.46/hr

The Care Management process encompasses communication and facilitates care across the continuum ... Comprehensive knowledge of Utilization Review, levels of care, and observation status. Awareness of ...

City of Hope

Financial Counselor - OC Hospital

Irvine, CA · On-site

$20.25 - $26.25/hr

Performs all Utilization Review for all CCS inpatient admissions, and assists with discharge ... management of any problems related to this process. * Follows established City of Hope and ...

New

The Hume Center

Psychiatric Nurse Practitioner

Antioch, CA

$138K - $177K/yr

Psychiatric Nurse Practitioner (Part-Time) POSITION SUMMARY The Psychiatric Nurse Practitioner ... Current DEA registration and CURES (Controlled Substance Utilization Review and Evaluation System ...

The Hume Center

Psychiatric Nurse Practitioner

Antioch, CA · On-site

$176K - $215K/yr

Psychiatric Nurse Practitioner (Part-Time) POSITION SUMMARY The Psychiatric Nurse Practitioner ... Current DEA registration and CURES (Controlled Substance Utilization Review and Evaluation System ...

The Hume Center

Psychiatric Nurse Practitioner

Antioch, CA · On-site

$138K - $177K/yr

Psychiatric Nurse Practitioner (Part-Time) POSITION SUMMARY The Psychiatric Nurse Practitioner ... Current DEA registration and CURES (Controlled Substance Utilization Review and Evaluation System ...

Sutter Health

Care Manager, Registered Nurse

Davis, CA · On-site

$82.48 - $115.46/hr

The Care Management process encompasses communication and facilitates care across the continuum ... Comprehensive knowledge of Utilization Review, levels of care, and observation status. * Awareness ...

Sutter Health

Care Manager, Registered Nurse

Davis, CA

$82.48 - $115.46/hr

The Care Management process encompasses communication and facilitates care across the continuum ... Comprehensive knowledge of Utilization Review, levels of care, and observation status. * Awareness ...

Sutter Health

Care Manager II, Acute

Antioch, CA

$90.58 - $126.81/hr

The Care Management process encompasses communication and facilitates care across the continuum ... Comprehensive knowledge of Utilization Review, levels of care, and observation status. * Awareness ...

Sutter Health

Care Manager II, Acute

Antioch, CA · On-site

$90.58 - $126.81/hr

The Care Management process encompasses communication and facilitates care across the continuum ... Comprehensive knowledge of Utilization Review, levels of care, and observation status. * Awareness ...

Sutter Health

Care Manager II, Acute ( RN )

Novato, CA · On-site

$90.58 - $126.81/hr

The Care Management process encompasses communication and facilitates care across the continuum ... Comprehensive knowledge of Utilization Review, levels of care, and observation status. * Awareness ...

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Showing results 41-60

All JobsUtilization Review JobsPart Time Utilization Review Manager JobsPart Time Utilization Review Manager Jobs in California

Part Time Utilization Review Manager information

What is the difference between Part Time Utilization Review Manager vs Utilization Review Nurse?

AspectPart Time Utilization Review ManagerUtilization Review Nurse
CredentialsTypically requires a nursing license and management experienceRegistered Nurse (RN) license required
Work EnvironmentOversees review teams, manages processes, and collaborates with healthcare providersConducts patient chart reviews, assesses medical necessity, and communicates with providers
Industry UsageCommonly employed in healthcare organizations, insurance companies, and third-party review firmsPrimarily found in hospitals, insurance companies, and healthcare facilities

While both roles involve reviewing medical cases for insurance or healthcare purposes, the Part Time Utilization Review Manager focuses on overseeing review processes and managing teams, whereas the Utilization Review Nurse directly assesses patient cases and medical necessity. Understanding these differences helps clarify career paths and employer expectations in healthcare review roles.

What are popular job titles related to Part Time Utilization Review Manager jobs in California? For Part Time Utilization Review Manager jobs in California, the most frequently searched job titles are:
What job categories do people searching Part Time Utilization Review Manager jobs in California look for? The top searched job categories for Part Time Utilization Review Manager jobs in California are:
What cities in California are hiring for Part Time Utilization Review Manager jobs? Cities in California with the most Part Time Utilization Review Manager job openings:
Part Time Utilization Review Manager jobs near you

Care Manager II, Acute

Sutter Health

Modesto, CA

$82.48 - $115.46/hr

Part-time

Re-posted 20 days ago

Sutter Health rating

8.2

Company rating: 8.2 out of 10

Based on 326 frontline employees who took The Breakroom Quiz

54th of 887 rated healthcare providers

Job description

We are so glad you are interested in joining Sutter Health!

Organization:

SMCS-Valley Administration

Position Overview:

Responsible for Care Coordination and Care Transitions Planning throughout the acute care patient experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the timely progression and transition of patients to the appropriate level of care to prevent unnecessary admissions or readmissions. The Care Management process encompasses communication and facilitates care across the continuum through effective resource coordination. The goals of this role are to include the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self -determination while coordinating in a timely and integrated fashion. He/She collaborates with patients, families, physicians, the interdisciplinary team, nursing management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and community resources. If assigned to the Emergency Department, the Care Management process is to address complex clinical and social situations efficiently in order to avoid unnecessary admissions.

Job Description:

EDUCATION:

Graduate of an accredited school of nursing
CERTIFICATION & LICENSURE:
RN-Registered Nurse of California Upon Hire
TYPICAL EXPERIENCE:
2 years of experience in acute care case management or health plan case management/utilization management
SKILLS AND KNOWLEDGE:
A broad knowledge base of health care delivery and case management within a managed care environment.
Comprehensive knowledge of Utilization Review, levels of care, and observation status.
Awareness of healthcare reimbursement systems: HMO, PPO, PPS, CMS, value-based reimbursement models, and alternative payment systems preferred.
Working knowledge of laws, regulations, and professional standards affecting case management practice in an integrated delivery system: including but not limited to: CMS, Title 22, CHA Consent Manual, CDPH and TJC.
A broad knowledge base of post-acute levels of care and associated regulatory compliance requirements.
General understanding of coding and DRG assignment process preferred.
Must be able to effectively communicate with, and promote cooperation and collaboration between individuals including patients/families/caretakers, physicians, nurses and other ancillary partners.
Ability to work independently and exercise sound judgment in interactions with physicians, payers, and patients and their families.
Demonstrates commitment to service excellence in all patients, family and employee interactions and in performing all job responsibilities.
Functions in a manner to promote quality patient care and assure a positive patient experience.
Strong verbal and written communication skills and negotiation skills
Must have excellent time management skills to develop organized work processes in a high-volume environment with rapidly changing priorities.
Intermediate computer and technology skills.
Ability to promote teamwork and to effectively function in teams.
Ability to interact effectively with key internal and external constituents using collaboration, and customer service skills that promote excellence in the patient experience.

Job Shift:

Days

Schedule:

Short Hour

Shift Hours:

12

Days of the Week:

Variable

Weekend Requirements:

Rotating Weekends

Benefits:

No

Unions:

No

Position Status:

Non-Exempt

Weekly Hours:

12

Employee Status:

Short Hour

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $82.48 to $115.46 / hour

The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

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