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Utilization Management Director (RN) at Central California Alliance for Health - ApplyBlast

Utilization Management Director (RN)

Central California Alliance for Health

6 months ago

3.9 on Glassdoor

California

Hybrid

Full Time

Director

0 applicants

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About this role

The Alliance is hiring a Utilization Management Director (RN) to lead the Utilization Management Department in a hybrid role serving our Central California service area. The position reports to the Health Services Executive Director and focuses on shaping UM strategy, guiding operations, and overseeing a team to improve member health outcomes within a Medi-Cal managed care context. This role emphasizes collaboration with providers, community partners, and internal stakeholders in a mission-driven health plan.

Skills

Qualifications

California RN LicenseBachelor of Science in Nursing

About Central California Alliance for Health

thealliance.health

Headquarters

Scotts Valley, California, United States

Company Size

501-1000 employees

Founded

1996

View Profile

Central California Alliance for Health is a state‑funded Medi‑Cal managed care plan that provides health coverage to residents of Mariposa, Merced, Monterey, San Benito, and Santa Cruz counties. The Alliance coordinates and finances medical, behavioral health, and preventive services through a network of local providers to improve access and health outcomes for its members. It also partners with community organizations and programs to support enrollment, member education, and efforts addressing social determinants of health.