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Weekday Optum Utilization Review Jobs in California

American Traveler

Travel Case Manager

Apple Valley, CA · On-site

Patient ratios of 1:25 on weekdays and 1:45 on weekends * Every other weekend required to meet ... Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over ...

Imh

Physical Therapist Outpatient

West Covina, CA

$43.09 - $66.47/hr

Flexible weekday shifts - no weekends or holidays. * Location: 2900 12th Ave N Ste 10W, Billings ... Participates in utilization review audits. * Participates in patient care conferences ...

Bestica Healthcare

Enloe - RN, Care Coordinator

Chico, CA · On-site

$19.50 - $26.50/hr

The Care Coordinator promotes and evaluates the effective utilization of resources using current ... Participates in outlier review on an ongoing basis. In addition, the Care Coordinator may be ...

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Showing results 21-40

All JobsWeekday Optum Utilization Review JobsWeekday Optum Utilization Review Jobs in California

Weekday Optum Utilization Review information

What is the difference between Weekday Optum Utilization Review vs Weekday Optum Claims Reviewer?

AspectWeekday Optum Utilization ReviewWeekday Optum Claims Reviewer
Primary RoleAssess medical necessity and appropriateness of healthcare servicesReview and process insurance claims for accuracy and compliance
CredentialsTypically requires nursing or healthcare-related certificationsUsually requires insurance or claims processing experience, with some certifications preferred
Work EnvironmentOffice-based, healthcare settings, remote optionsOffice or remote, insurance company environment
Industry UsageHealthcare insurance, utilization managementInsurance claims processing, customer service

While both roles are integral to healthcare insurance operations, Weekday Optum Utilization Review focuses on evaluating the medical necessity of services, whereas Weekday Optum Claims Reviewer handles claims processing and verification. Understanding these differences helps job seekers target the right position based on their skills and credentials.

What are the most commonly searched types of Optum Utilization Review jobs in California? The most popular types of Optum Utilization Review jobs in California are:
What are popular job titles related to Weekday Optum Utilization Review jobs in California? For Weekday Optum Utilization Review jobs in California, the most frequently searched job titles are:
What job categories do people searching Weekday Optum Utilization Review jobs in California look for? The top searched job categories for Weekday Optum Utilization Review jobs in California are:
What cities in California are hiring for Weekday Optum Utilization Review jobs? Cities in California with the most Weekday Optum Utilization Review job openings:
Weekday Optum Utilization Review jobs near you
Infographic showing various Weekday Optum Utilization Review job openings in California as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

San Diego Switchboard Operator 3:00pm-11:00m Part-time Shift

Innovation At Work Inc

San Diego, CA

$16 - $20.25/hr

Part-time

Re-posted 4 days ago

Job description

Description

IAW is seeking Part- Time Coverages 


1st Part-Time Coverage Needed 

Sunday 3:00pm-11:00pm/ Fill in Coverage

Weekday/ Midday 4 hours

Works approximately 20 hours per week / 3-4 days per week



 The Candidate shall answer and process all incoming calls. 

The Candidate shall answer incoming calls politely, efficiently and in a friendly manner, even during heavy workload and crises periods. Calls shall he answered in priority order.

The Candidate shall receive incoming calls shall be routed appropriately throughout the facility.

The Candidate shall receive collect calls, only if authorized and obtain and record time and charges.

The Candidate is responsible for immediate, professional responses to and recording the following: emergency alarms, codes, bomb threats, fires and disasters. They shall also be required to receive and transmit over two-way radios.

The Candidate shall follow instruction if a bomb threat is received. Written procedures and formats for this type of reporting are currently established in the telephone office.

The Candidate is responsible for ensuring that no unauthorized long-distance calls are made, and no unauthorized collect calls are accepted.

The Candidate shall utilize the facility radio, overhead paging, pocket paging, and code-paging systems as required.

The Candidate shall assist in placing various types of outgoing calls and coordinating and patching through one or more stations when necessary.

The Candidate shall assist facility staff and patients, when necessary, in placing calls. Calls shall include, but are not limited to, commercial and Federal Telecommunication Systems (FTS) calls.

The Candidate shall Politely, efficiently and in a friendly manner explain to users why calls cannot be completed as requested, if and when a situation of this type arises.

The Candidate shall maintain a log of all telephone equipment malfunctions and/or complaints regarding telephone service.

Upon request of callers, the candidate shall verify telephone equipment malfunctions and report them to Information Resources Management Service (IRMS) via ticket

The Candidate shall create Log Sheets and monitor each for completion

The Candidate shall meet the Utilization Review Accreditation Committee (URAC) standards.

Requirements

CITIZENSHIP REQUIREMENT: US Citizenship


EDUCATION AND QUALIFICATIONS:

The Candidate should possess an high school / associate's degree or equivalent work experience


MINIMUM REQUIRED SKILLS/EXPERIENCE:

The Candidate must have 1 -2 years of experience as Telephone Operator 

The Candidate must be able to assume the responsibility for placing a variety of special long distance calls (e.g. conference calls, collect calls, appointment calls) over varied circuits or routings, or performing information operator work, which requires knowledge of the organizational units and major functions of a large multi-division organization. 

The Candidate must have the ability to meet and deal with people from a variety of backgrounds with varying levels of understanding, work under pressure and stressful conditions and adapt to changing work conditions. 

The Candidate must meet the URAC Standards for abandonment rate and speed to answer

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