Utilization Review Manager - Home Care jobs in Anaheim, CA

Utilization Review Manager - Home Care ensures quality and level of care for patients are up to established standards and comply with federal, state, and local regulations. Investigates and resolves reports of inappropriate care. Being a Utilization Review Manager - Home Care may require a bachelor's degree. Typically reports to a head of a unit/department. To be a Utilization Review Manager - Home Care typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)

U
Utilization Review Specialist (Behavioral Health)
  • Universal Health Services, Inc.
  • Chino, CA FULL_TIME
  • Responsibilities

    Canyon Ridge Hospital is currently seeking a compassionate and talented Utilization Review Specialist to join our team.

    At Canyon Ridge Hospital we understand that not all wounds are visible. Depression, anxiety, trauma, PTSD, addiction, and suicide affects millions of individuals and families. Our mission is to be a leader in behavioral healthcare, dedicated to excellent service in the community.

    Canyon Ridge Hospital has serviced the Greater Inland Empire since 1989. Canyon Ridge is a 157-bed acute, locked psychiatric facility offering services to adolescents ages 13-17, adults and older adults.

    POSITION SUMMARY

    Responsible for proactively monitoring utilization of continuum services and optimizing reimbursement for CRH. Acts as resource person dealing with insurance companies and review groups. Maintains good working relationship and communication with Nursing, Assessment Department, Business Office, Medical Records, and Social Services. Is a resource to CRH personnel, Administration, and professional staff in regards to all review activity.

    This opportunity provides the following:

    • Competitive Compensation
    • Canyon Ridge Hospital provides a challenging and rewarding work environment.
    • Growth and development opportunities within UHS and its subsidiaries

    Qualifications

    QUALIFICATIONS
    • Minimum Bachelor's Level Degree in nursing, social work, psychology, health information management or other healthcare related field is preferred or related experience
    • Eexperience in psychiatric setting preferred; high school-preferably college, level reading, writing, and math skills; excellent telephone usage skills and strong verbal skills
    • Knowledge of health care delivery systems and third party reimbursement
    • Knowledge of managed care environment; ability to apply and interpret admission and continued stay criteria;
    • understanding of admission and discharge function
    • Familiarity with medical terminology, diagnostic terms and treatment modalities

    For more information about Canyon Ridge Hospital, go to our website at

    EEO Statement

    All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion, and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success.

    Notice

    At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.

    Pay Transparency:

    To encourage pay transparency, promote pay equity, and proactively address regulations, UHS and all our subsidiaries will comply with all applicable state or local laws or regulations which require employers to provide wage or salary range information to job applicants and employees. A posted salary range applies to the current job posting. Salary offers may be based on key factors such as education and related experience.

     

  • 10 Days Ago

U
Utilization Review Specialist (Behavioral Health)
  • UHS
  • CHINO, CA FULL_TIME
  • Responsibilities Canyon Ridge Hospital is currently seeking a compassionate and talented Utilization Review Specialist to join our team. At Canyon Ridge Hospital we understand that not all wounds are ...
  • 11 Days Ago

H
Caregivers for in-home care
  • Home Care Providers
  • Brea, CA FULL_TIME
  • Do you want to make a difference in a senior's life? We are looking to immediately hire you to join our team! Home Care Providers is seeking to hire motivated and talented part-time and full-time Care...
  • 10 Days Ago

C
Caregivers/Home Care Aides
  • Care To Stay Home
  • Fullerton, CA FULL_TIME
  • Apply now to schedule your virtual interview! HERE’S WHY YOU’LL LOVE WORKING FOR US: Competitive pay ($16-19/hr), paid orientation, trainings, and sick time Quick and easy hiring process- Virtual inte...
  • 16 Days Ago

A
Home Care Aide
  • Ability West Home Care
  • Buena, CA OTHER,FULL_TIME,PART_TIME
  • Responsibilities:- Provide personal care and assistance to clients in their homes- Assist with activities of daily living, including bathing, dressing, grooming, and toileting- Assist with mobility an...
  • 1 Month Ago

2
Program Manager
  • 24 Hour Home Care
  • Fullerton, CA OTHER
  • Overview WHO WE ARE: 24 Hour Home Care is an innovative and trusted in-home care company committed to making a positive impact in people's lives every day. Since 2008, we have delivered high-quality a...
  • 1 Month Ago

Filters

Clear All

Filter Jobs By Location
  • Filter Jobs by companies
  • More

0 Utilization Review Manager - Home Care jobs found in Anaheim, CA area

C
Utilities Manager
  • City of Upland, CA
  • Upland, CA
  • Salary : $124,287.53 - $158,625.88 Annually Location : Public Works - 1370 N. Benson Ave Upland, CA Job Type: Full Time ...
  • 3/28/2024 12:00:00 AM

C
Utilities Manager (At-Will)
  • City of Rialto, CA
  • Rialto, CA
  • Salary : $116,448.00 - $156,060.00 Annually Location : Rialto, CA Job Type: Full-Time Job Number: 23-072 Department: RUA...
  • 3/28/2024 12:00:00 AM

K
Manager, Customer Success Utilization Manager - East
  • Karl Storz Endoscopy - America
  • Downey, CA
  • I. Job Purpose and Core Tasks The Manager, Customer Success Utilization plays a critical role in: 1) managing overall cu...
  • 3/26/2024 12:00:00 AM

M
Corporate Director of Clinical Utilization Management
  • Mission Regional Medical center
  • Ontario, CA
  • Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare opera...
  • 3/25/2024 12:00:00 AM

K
Customer Success Utilization Manager - Atlanta, GA
  • KARL STORZ Endoscopy - America
  • El Segundo, CA
  • I. Job Purpose and Core Tasks The Customer Success Utilization Manager plays a critical role in managing overall success...
  • 3/22/2024 12:00:00 AM

K
Customer Success Utilization Manager - Northern California
  • KARL STORZ Endoscopy - America
  • El Segundo, CA
  • I. Job Purpose and Core Tasks The Customer Success Utilization Manager plays a critical role in managing overall success...
  • 3/22/2024 12:00:00 AM

K
Customer Success Utilization Manager - MN/WI
  • KARL STORZ Endoscopy - America
  • El Segundo, CA
  • I. Job Purpose and Core Tasks The Customer Success Utilization Manager plays a critical role in managing overall success...
  • 3/22/2024 12:00:00 AM

K
Manager, Customer Success Utilization Manager - East
  • KARL STORZ Endoscopy - America
  • El Segundo, CA
  • I. Job Purpose and Core Tasks The Manager, Customer Success Utilization plays a critical role in: 1) managing overall cu...
  • 3/22/2024 12:00:00 AM

Anaheim (/ˈænəhaɪm/) is a city in Orange County, California, part of the Los Angeles metropolitan area. As of the 2010 United States Census, the city had a population of 336,265, making it the most populous city in Orange County and the 10th-most populous city in California. Anaheim is the second-largest city in Orange County in terms of land area, and is known for being the home of the Disneyland Resort, the Anaheim Convention Center, and two major sports teams: the Anaheim Ducks ice hockey club and the Los Angeles Angels baseball team. Anaheim was founded by fifty German families in 1857 and...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Manager - Home Care jobs
$84,973 to $108,335
Anaheim, California area prices
were up 3.2% from a year ago