Contra Costa College

Utilization Review Manager (Contra Costa Health Plan)

MARTINEZ, CAPosted 18 days ago

Job summary

  • Job post source

    This job is directly from Contra Costa College

  • Job overview

    The Utilization Review Manager at Contra Costa Health Plan will oversee unit staff activities, prepare for audits, and develop policies to ensure adherence to standards, contributing to effective utilization management.

  • Responsibilities and impact

    Daily responsibilities include analyzing standards, supervising staff, conducting audits, and ensuring compliance with treatment plans and policies.

  • Experience and skills

    Candidates must have a valid Registered Nurse license, a bachelor's degree in nursing, and three years of experience in a managed care organization, including supervisory experience.

  • Career development

    This role offers stability and opportunities for career growth within a dynamic organization.

  • Work environment and culture

    The work environment values creativity, learning, and support while serving a culturally diverse population.

  • Company information

    Contra Costa Health Plan is part of the Contra Costa Health Department, focusing on providing quality healthcare services in the community.

  • Job location and travel

    The position is located in Martinez, CA, within Contra Costa County.

  • Application process

    Applicants must complete a supplemental questionnaire and attach necessary documentation, including their nursing license and degree.

  • Unique job features

    The role includes unique challenges such as maintaining compliance with various regulatory requirements and working in a fast-paced environment.

Company overview

Contra Costa College is a community college located in San Pablo, California, providing accessible higher education and vocational training to students in the region. The college offers a variety of associate degree programs, certificates, and transfer opportunities to four-year universities, catering to a diverse student body with a focus on academic excellence and career readiness. Established in 1949, Contra Costa College is part of the Contra Costa Community College District and is committed to fostering an inclusive environment that supports student success and community engagement. The college generates revenue through tuition fees, government funding, and grants, which are reinvested into educational resources and campus facilities. Understanding the college's mission and its role in the community can be beneficial for candidates seeking employment, as it emphasizes the importance of education, diversity, and community service.

How to land this job

  • Position your resume to highlight your leadership experience, analytical skills, and ability to develop and implement policies, which are essential for the Utilization Review Manager role at Contra Costa College.

  • Emphasize your experience in managing teams, conducting audits, and analyzing data to improve performance standards, as these are key responsibilities outlined in the job description.

  • Apply through multiple platforms, including the Contra Costa College corporate site and LinkedIn, to maximize your chances of being noticed for this position.

  • Connect with professionals in the healthcare division at Contra Costa College on LinkedIn to ask about the position; potential ice breakers could include discussing recent healthcare initiatives or expressing interest in their team's approach to utilization management.

  • Optimize your resume for ATS by incorporating specific keywords from the job description, such as 'utilization management,' 'audits,' and 'policy development,' to ensure it gets past initial screenings.

  • Utilizing Jennie Johnson's Power Apply feature can streamline your application process, allowing you to focus your time on networking and preparing for interviews rather than administrative tasks.

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