- STG International (Rancho Cucamonga, CA)
- …*Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... as the point of entry into the VA health care system. *Participate in the orientation of clinical...Quality Performance Improvement Team (QPIT) strategic initiatives. *Participate in review and improvement of clinical success in… more
- UCLA Health (Santa Monica, CA)
- …risk stratification to ensure delivery of safe, high quality, efficient, and cost-effective care . You will also perform utilization review while assuring the ... skills, you will be responsible for assessing and coordinating care for a diverse group of patients. You will...We're also home to the world-class medical research and clinical education capabilities of the David Geffen School of… more
- Prime Healthcare (Inglewood, CA)
- …nationally for quality and patient safety, Centinela Hospital is a 362-bed acute- care hospital with a 24-hour STEMI certified emergency department and primary stroke ... center, orthopedic care , advanced cardiac services, critical care services,...designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a… more
- Prime Healthcare (Inglewood, CA)
- …nationally for quality and patient safety, Centinela Hospital is a 362-bed acute- care hospital with a 24-hour STEMI certified emergency department and primary stroke ... center, orthopedic care , advanced cardiac services, critical care services,...designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a… more
- LA Care Health Plan (Los Angeles, CA)
- …Procedures, in a consistent and accurate manner. This position will focus on quality review of non- clinical grievance and appeals cases for all line of business ... $87,342.00 (Mid.) - $107,498.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created...assisting the Appeal and Grievances Compliance, Training and QA Manager to develop a successful and cohesive unit with… more
- Datavant (Sacramento, CA)
- …sciences companies, government agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a high-performing, values-driven ... the pharmaceutical and life sciences space + Understanding of drug development and/or clinical trials \#LI-BC1 We are committed to building a diverse team of… more
- Stanford Health Care (Palo Alto, CA)
- … **What you will do** + Supervision + Daily interactions with assistant technical/patient care manager (s) and doctors, as well as periodic meetings with clinic ... (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** The Ophthalmic Technician II...manager . Incumbents are expected to work with minimal supervision;… more
- Prime Healthcare (Chino, CA)
- …+ Five years clinical and/or management experience in a multidisciplinary health care setting which includes a minimum of two years of Risk Management experience ... among the 100 Great Community Hospitals by Becker's Hospital Review in 2018 and as among the 100 Top...Medical Center is committed to serving the community's health care needs with top-rated emergency care as… more
- LA Care Health Plan (Los Angeles, CA)
- …of services. Duties Responsible for performing assessments and clinical review of medical records to determine appropriate care including physical ... in Nursing Experience Required: At least 3 years of clinical nursing experience in direct patient care ,...home care , palliative care , hospice care OR experience in Utilization Review or… more
- Alameda Health System (Oakland, CA)
- …planning activities for a caseload of assigned patients; develops plans of care and discharge plans, monitors all clinical activities, makes recommendations ... days and quality issues. Applies Medical necessity criteria to determine level of care . + Assures clinical interventions are appropriate for the admitting… more