975 Remote Utilization Review Position jobs in California

Social Care Manager - Remote

UnitedHealth Group

Anaheim, CA 92899

$60,200-$107,400/yr

RemoteRetirement Benefit

Master's degree from a CSWE-accredited School of Social Work, or a in a Behavioral Science-related field.
1+ years of clinical experience in a healthcare setting, or successful completion of a relevant internship
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
The salary for this role will range from $60,200 - $107,400 annually based on full-time employment.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

SmartExplore AI is experimental.

New, Posted 4 hours ago

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Benefits Sales Representative - work from home

Lyse Agency

San Jose, CA 95123

Remote

New, Posted 6 hours ago

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Social Care Manager - Remote

UnitedHealth Group

Long Beach, CA 90833

$60,200-$107,400/yr

RemoteRetirement Benefit

Master's degree from a CSWE-accredited School of Social Work, or a in a Behavioral Science-related field.
1+ years of clinical experience in a healthcare setting, or successful completion of a relevant internship
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
The salary for this role will range from $60,200 - $107,400 annually based on full-time employment.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

SmartExplore AI is experimental.

Recommended

Manager, Healthcare Services - Remote (Must Reside in California)

Molina Healthcare

Lemon Grove, CA 91945

$84,067-$163,931/yr

Remote

At least 7 years experience in health care, and at least 3 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience.
At least 1 year of health care management/leadership experience.
Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW).
Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
Experience working within applicable state, federal, and third party regulations.
Demonstrated knowledge of community resources.
Proactive and detail-oriented.
Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
Ability to work independently, with minimal supervision and demonstrate self-motivation.
Responsive in all forms of communication, and ability to remain calm in high-pressure situations.
Ability to develop and maintain professional relationships.
Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
Excellent problem-solving and critical-thinking skills.
Excellent verbal and written communication skills.
Microsoft Office suite/applicable software program(s) proficiency.

SmartExplore AI is experimental.

New, Posted 4 hours ago

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Benefits Sales Representative - work from home

Lyse Agency

San Diego, CA 92154

Remote

New, Posted 1 day ago

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Inside Senior Property Adjuster - Sacramento, CA

USAA

Sacramento, CA 95816

RemoteHealth InsurancePaid Time OffRetirement Benefit

High School Diploma or General Equivalency Diploma.
2 years relevant property adjusting and/or claims adjusting experience handling moderately complex claims or construction related industry/insurance experience.
Developing knowledge of residential construction.
Working knowledge of estimating losses using Xactimate or similar tools and platforms.
Demonstrated negotiation, investigation, communication, and conflict resolution skills.
Working knowledge of property claims contracts and interpretation of case law and state laws and regulations.
Proficient in prioritizing and multi-tasking, including navigating through multiple business applications.
Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.

SmartExplore AI is experimental.

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Manager, Healthcare Services - Remote (Must Reside in California)

Molina Healthcare

Chula Vista, CA 91912

$84,067-$163,931/yr

Remote

At least 7 years experience in health care, and at least 3 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience.
At least 1 year of health care management/leadership experience.
Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW).
Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
Experience working within applicable state, federal, and third party regulations.
Demonstrated knowledge of community resources.
Proactive and detail-oriented.
Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
Ability to work independently, with minimal supervision and demonstrate self-motivation.
Responsive in all forms of communication, and ability to remain calm in high-pressure situations.
Ability to develop and maintain professional relationships.
Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
Excellent problem-solving and critical-thinking skills.
Excellent verbal and written communication skills.
Microsoft Office suite/applicable software program(s) proficiency.

SmartExplore AI is experimental.

New, Posted 1 day ago

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General Job Application (All Offices)

4LEAF

Pleasanton, CA 94588

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Threadroll Machinist

Howmet Aerospace

Brea, CA 92821

Onsite

Demonstrated experience running thread roll production machinery (waterbury, reed, hartford, automatic, and hand feed)
Proficient use of precision measurement tools (mics, calipers, gages, etc.)
Ability to read blueprints and work orders
Must be able to read/write in English
Must have the ability to stand, lift, bend, kneel for duration of shift
Must be able to work in non-temperature controlled environment
Must have the ability to work with and around heavy metal materials

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Caregiver / Home Care Aide

Home Instead

Redwood City, CA 94061

$20.50-$21.25/hr

OnsiteBilingual PreferredEducation AssistanceHealth InsurancePaid Time OffRetirement Benefit

Willing and able to work at least two weekly shifts with the same client(s) to provide consistent care and build strong relationships
Have basic English speaking, reading, and writing abilities
Complete any necessary compliance, license, or registration requirements
Reliable transportation

SmartExplore AI is experimental.