Utilization Management Director jobs in Bakersfield, CA

Utilization Management Director leads and directs the utilization review staff and function for a healthcare facility. Determines policies and procedures that incorporate best practices and ensure effective utilization reviews. Being a Utilization Management Director manages and monitors both concurrent reviews to ensure that the patient is getting the right care in a timely and cost-effective way and retrospective reviews after treatment has been completed. Provides analysis and reports of significant utilization trends, patterns, and impacts to resources. Additionally, Utilization Management Director consults with physicians and other professionals to develop improved utilization of effective and appropriate services. Requires a master's degree. Typically reports to top management. Typically requires Registered Nurse(RN). The Utilization Management Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be a Utilization Management Director typically requires 5+ years of managerial experience. (Copyright 2024 Salary.com)

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Student Summer Externship - Utilization Management
  • KHS
  • Bakersfield, CA PART_TIME
  • KHS reasonably expects to pay starting compensation for the part time position of Student Summer Externship – Utilization Management $19.00 hourly.   Our Mission.. Kern Health Systems is dedicated to improving the health status of our members through an integrated managed health care delivery system.Extern Job Summary   We are seeking a dynamic and reliable extern to become a part of our expanding program. In this role, you will need to acquaint yourself with the resources available for those experiencing health challenges. Your responsibilities will include engaging with members and expand your knowledge regarding social determinants of health. In addition to office duties, the extern will have the opportunity to meet managers and executives.   Extern Duties and Responsibilities   Inventory organization, updates, and tracking Updating Tracking spreadsheets Print, Scan, and filing documents. Data entry Basic clerical duties, including answering phones and taking referrals   Extern requirements and qualifications   Must be currently enrolled in high school, college, or university. Must be minimum 16 years of age. Minimum 3.0 GPA Be available for the entire summer break, flexible hours, Monday - Friday (with the exception of planned vacation or needed days off to be discussed with department). Excellent written and verbal communication skills. Energetic and eager to tackle new projects and ideas.
  • Just Posted

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Utilization Review Nurse - Case Management
  • Kern Medical
  • Bakersfield, CA FULL_TIME
  • Kern Medical has been a community cornerstone since its founding in 1867. Today, we are an acute care teaching center with 222 beds, offering the only advanced trauma care between Fresno and Los Angel...
  • 1 Day Ago

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RN-Case Management (Utilization Review)
  • Integrated Resources, Inc
  • Bakersfield, CA FULL_TIME
  • Job Title: RN-Case Management (Utilization Review)Job Location: Bakersfield, CA 93306Job Duration: 3 Months (Possibilities of Extension)Shift: 5X8 (40 hrs./Week)Pay Range: $80/hr. on w2 (Negotiable).J...
  • Just Posted

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Director of Digital Product Management
  • Arrow Electronics
  • California, CA FULL_TIME
  • Description Arrow Electronics is a global provider of products, services, and solutions to industrial and commercial users of electronic components and enterprise computing solutions. Arrow Electronic...
  • 4 Days Ago

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Director Clinical Analytics
  • Dignity Health Management Services
  • BAKERSFIELD, CA FULL_TIME
  • Overview***This position is remote. The purpose of Dignity Health Management Services Organization (Dignity Health MSO/DHMSO) is to build a system-wide integrated physician-centric full-service manage...
  • 15 Days Ago

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Associate Director, IT Project Management
  • Kern Community College District
  • Bakersfield, CA FULL_TIME
  • Associate Director, IT Project ManagementKern Community College DistrictSalary: $114,407.04 - $150,111.96 AnnuallyJob Type: Full TimeJob Number: FY22-2300657Location: Bakersfield, CADepartment: Inform...
  • Just Posted

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0 Utilization Management Director jobs found in Bakersfield, CA area

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staff - Lead Registered Nurse (RN) - Cardiac Cath Lab - $50-74 per hour
  • PRN Healthcare
  • Bakersfield, CA
  • Adventist Health is seeking a Registered Nurse (RN) Cardiac Cath Lab Lead for a nursing job in Bakersfield, California. ...
  • 3/28/2024 12:00:00 AM

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Manager, Game Presentation
  • Oilers Entertainment Group
  • Bakersfield, CA
  • About OEG Sports & Entertainment: OEG Sports & Entertainment delivers North America's leading sports and entertainment e...
  • 3/28/2024 12:00:00 AM

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Executive Director Operations Practice Management
  • Clinical Management Consultants
  • Maricopa, CA
  • This awarded Clinic Network is actively interviewing for an Executive Director of Operations to oversee Practice Managem...
  • 3/27/2024 12:00:00 AM

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Associate Vice Chancellor, Career Education & Workforce Development (COF)
  • Kern Community College District
  • Bakersfield, CA
  • Salary: $150,145.44 - $197,003.82 Annually Location : Bakersfield, CA Job Type: Management - Educational Administrator J...
  • 3/27/2024 12:00:00 AM

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Program Director / Administrator LCSW LMFT - Mental Health 626
  • Telecare Corporation
  • Bakersfield, CA
  • "They made it easier for me to live, breathe, eat, and stay clean. Without them, I'd be waiting somewhere, waiting for s...
  • 3/27/2024 12:00:00 AM

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Program Manager, Apprenticeship (COF) (BC)
  • Kern Community College District
  • Bakersfield, CA
  • Salary: $73,871.96 - $96,926.43 Annually Location : Bakersfield, CA Job Type: Management - Classified Administrator Job ...
  • 3/26/2024 12:00:00 AM

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Solar Construction Manager
  • System One Holdings, LLC
  • Bakersfield, CA
  • Job Title: Construction Manager (Solar) Job Location: Kern County, CA Job Type: Contract (May 2024 - May 2025) Compensat...
  • 3/25/2024 12:00:00 AM

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Inside Sales Professional
  • Service Corporation International
  • Bakersfield, CA
  • Our associates celebrate lives. We celebrate our associates. Consider the possibilities of joining a Great Place to Work...
  • 3/24/2024 12:00:00 AM

Bakersfield is a city in and the county seat of Kern County, California, United States. It covers about 151 sq mi (390 km2) near the southern end of the San Joaquin Valley and the Central Valley region. Bakersfield's population is around 380,000, making it the 9th-most populous city in California and the 52nd-most populous city in the nation. The Bakersfield–Delano Metropolitan Statistical Area, which includes all of Kern County, had a 2010 census population of 839,631, making it the 62nd-largest metropolitan area in the United States. The more built-up urban area that includes Bakersfield and...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Management Director jobs
$135,256 to $182,891
Bakersfield, California area prices
were up 2.5% from a year ago

Utilization Management Director in Johnstown, PA
Prior authorization decisions are also made using Medical Management and Behavioral Health Care Management internally derived policies and procedures developed using evidence-based guidelines based on national, state and locally established standards of practice.
March 01, 2020
Utilization Management Director in Carson City, NV
The utilization management coordinator must have strong project management skills to implement various programs within the allocated budget and set time limits.
January 31, 2020
Utilization Management Director in Melbourne, FL
Develops and administers polices and procedures for utilization control of inpatient and outside referral services countywide and for in a variety of categorical programs including the Medically Indigent Adult (MIA) Program.
January 08, 2020