Talent.com
Utilization Management Representative

Utilization Management Representative

VirtualVocationsWhittier, California, United States
30+ days ago
Job type
  • Full-time
Job description

A company is looking for a Utilization Management Representative - DME - Remote.

Key Responsibilities

Coordinate prior authorization reviews and ensure compliance with requirements

Verify insurance for DME supplies and process orders for shipment

Maintain positive customer relations and communicate with members, providers, and internal departments

Required Qualifications

Minimum of 2 years of DME and / or Utilization Management experience

High school diploma or GED required

Proficient with Microsoft Office Suite

Excellent organizational skills

Ability to prioritize tasks effectively

Create a job alert for this search

Utilization Management Representative • Whittier, California, United States

Related jobs
  • Promoted
  • New!
Utilization Management Denials Specialist, RN

Utilization Management Denials Specialist, RN

Imperial Health Plan of California, Inc.Pasadena, CA, United States
Full-time
We are currently seeking a Registered Nurse with 2 to 3 years of clinical nursing background and 2 to 3 years of Utilization Review experience. The ideal nurse for this role would also be proficient...Show moreLast updated: 6 hours ago
  • Promoted
Employee Relations Manager

Employee Relations Manager

Vaco by HighspringAltadena, California, United States
Full-time
Employee Relations Manager (Temp-to-Hire).Mid-City Los Angeles, CA (Hybrid – 3 days onsite).Our nonprofit client is seeking a bilingual. This hybrid role, requiring two days per week onsite in the M...Show moreLast updated: 3 days ago
  • Promoted
Outpatient Director of Operations

Outpatient Director of Operations

VirtualVocationsCorona, California, United States
Full-time
A company is looking for a Remote Outpatient Director of Growth & Operations in Telehealth Behavioral Health.Key Responsibilities : Design and execute referral growth strategies to expand session ...Show moreLast updated: 2 days ago
Utilization Management RN

Utilization Management RN

Your IT RecruiterLos Angeles, CA, us
Full-time
Quick Apply
The Utilization Management (UM) Nurse is responsible for conducting clinical reviews and assessing the medical necessity, appropriateness, and efficiency of healthcare services requested by provide...Show moreLast updated: 1 day ago
  • Promoted
  • New!
Seasonal Tax Expert - Local

Seasonal Tax Expert - Local

IntuitPhelan, CA, US
Full-time
Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Experts in one of our new TurboTax locations across the United States on a ...Show moreLast updated: 4 hours ago
  • Promoted
Compact RN Utilization Management Nurse

Compact RN Utilization Management Nurse

VirtualVocationsSanta Ana, California, United States
Full-time
A company is looking for a Utilization Management Nurse RN - Remote.Key Responsibilities Conduct prior authorization reviews for skilled nursing facilities, acute inpatient rehabilitation, and lo...Show moreLast updated: 30+ days ago
  • Promoted
Utilization Management Representative

Utilization Management Representative

VirtualVocationsSanta Ana, California, United States
Full-time
A company is looking for a Utilization Management Representative - DME - Remote.Key Responsibilities Coordinate prior authorization reviews and ensure compliance with requirements Verify insuran...Show moreLast updated: 30+ days ago
  • Promoted
Project Management Specialist

Project Management Specialist

VirtualVocationsGarden Grove, California, United States
Full-time
A company is looking for an AP Support Specialist.Key Responsibilities Manage the intake cycle for escalations and ensure proper cataloging in Smartsheet Monitor and track the escalation process...Show moreLast updated: 30+ days ago
  • Promoted
Manager - Care Management Full- time Day

Manager - Care Management Full- time Day

ProvidenceOrange, CA, US
Full-time
Manager - Care Management at Providence St.Joseph Hospital Orange in Orange, CA.This position is Full- time and will work 8-hour, Day shifts. Joseph Hospital is four-time designated for Magnet statu...Show moreLast updated: 2 days ago
  • Promoted
Manager of Medicare Operations

Manager of Medicare Operations

VirtualVocationsPasadena, California, United States
Full-time
A company is looking for a Manager of Medicare Complaints Operations - Technical.Key Responsibilities Manage business operations and system initiatives to streamline complaint processes and maint...Show moreLast updated: 3 days ago
  • Promoted
RN Licensed Utilization Management Supervisor

RN Licensed Utilization Management Supervisor

VirtualVocationsFullerton, California, United States
Full-time
A company is looking for a Supervisor of Utilization Management to oversee a clinical review team ensuring appropriate care for members. Key Responsibilities Supervises day-to-day activities of th...Show moreLast updated: 2 days ago
  • Promoted
Restaurant Delivery - Sign Up in Minutes

Restaurant Delivery - Sign Up in Minutes

DoorDashChino, CA, United States
Full-time +1
DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day. As a Dasher, you’ll stay busy with a variety o...Show moreLast updated: 9 days ago
  • Promoted
Licensed Mental Health Therapist (LMFT, LCSW, LPCC) - Mt Baldy, CA

Licensed Mental Health Therapist (LMFT, LCSW, LPCC) - Mt Baldy, CA

LifeStance HealthMount Baldy, CA, US
Full-time
At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives...Show moreLast updated: 30+ days ago
  • Promoted
Multifamily Implementation Specialist

Multifamily Implementation Specialist

VirtualVocationsWhittier, California, United States
Full-time
A company is looking for a Multifamily Implementation Specialist to drive the successful deployment and integration of solutions within the multifamily customer base. Key Responsibilities Collabor...Show moreLast updated: 3 days ago
  • Promoted
Director of Case Management - Utilization Management

Director of Case Management - Utilization Management

Prime HealthcareInglewood, CA, US
Full-time +1
Centinela Hospital Medical Center.At Centinela Hospital Medical Center, our dedicated team of professionals are committed to our core values of quality, compassion, and community.As a member of Pri...Show moreLast updated: 30+ days ago
  • Promoted
Case Management Utilization RN-PD Day

Case Management Utilization RN-PD Day

Kaiser PermanenteLos Angeles, CA, United States
Full-time
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 pat...Show moreLast updated: 4 days ago
  • Promoted
  • New!
Tax Expert - Onsite

Tax Expert - Onsite

IntuitPhelan, CA, US
Full-time
Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Experts in one of our new TurboTax locations across the United States on a ...Show moreLast updated: 4 hours ago
  • Promoted
Massachusetts RN Utilization Management

Massachusetts RN Utilization Management

VirtualVocationsOrange, California, United States
Full-time
A company is looking for an Inpatient Utilization Management Clinician.Key Responsibilities : Perform utilization review activities for inpatient cases, applying evidence-based criteria Monitor i...Show moreLast updated: 1 day ago
  • Promoted
CLO Portfolio Management Director

CLO Portfolio Management Director

Pacific LifeNewport Beach, CA, US
Full-time
Providing for loved ones, planning rewarding retirements, saving enough for whatever lies ahead – our policyholders count on us to be there when it matters most.It’s a big ask, but it&r...Show moreLast updated: 18 days ago
  • Promoted
Delivery Driver - Sign Up in Minutes

Delivery Driver - Sign Up in Minutes

DoorDashChino, CA, United States
Full-time +1
DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day. As a Dasher, you’ll stay busy with a variety o...Show moreLast updated: 9 days ago