- Dignity Health (Redwood City, CA)
- …to their practice. 13. Performs other duties as assigned, including utilization review as necessary. **Qualifications** **Minimum Qualifications** **Required ... and Federal and State regulations. The position's emphasis will be on care coordination, communication and collaboration with utilization management, nursing,… more
- WM (Vernon, CA)
- …in a safe, responsible, and sustainable way. **Position Purpose:** The Facility Manager is to be responsible for the overall plant, administration and transportation ... Customer Service, Accounting and Safety, and Environmental groups, the Facility Manager ensures that all regulatory compliance and safety issues are addressed.… more
- The County of Los Angeles (Los Angeles, CA)
- …of care and establishes and modifies program monitoring and review methods as necessary. Oversees audits and the implementation of audit recommendations ... MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4659662) Apply MENTAL… more
- Comerica (Los Angeles, CA)
- …Priority setting Strong verbal and written communication skills Microsoft Office Systems Utilization - understanding of Account Analysis System Utilization - ... innovative solutions. Prepare annual client relationship account structure analysis. Review account analysis statements for additional sales opportunities. Create… more
- Sharp HealthCare (San Diego, CA)
- …the completion of all clinical appeals and grievances. Collaborates with Customer Care Manager to identify trends in grievances. Supervises the process ... decisive manner. + Able to manage difficult peer situations arising from medical care review . + Appreciation of cultural diversity and sensitivity towards target… more
- Cedars-Sinai (Beverly Hills, CA)
- …+ Processes Extensions and Denial Letters, when needed. + Prepares Utilization Review Reports as necessary. + Assists the Case/ Care Managers in coordinating ... Doing** The Case Management Coordinator provides support to the utilization review process. The coordinator works collaboratively...and social supports required. + 1 year of previous utilization management or managed care experience; word… more
- UCLA Health (Santa Monica, CA)
- …safe, high quality, efficient, and cost-effective care . You will also perform utilization review while assuring the delivery of concurrent and post-hospital ... skills, you will be responsible for assessing and coordinating care for a diverse group of patients. You will...and BLS certification + Recent experience in case management, utilization management and discharge planning + Minimum of three… more
- Fresenius Medical Center (San Bernardino, CA)
- …Services departments. Collaborates with or functions as the Home Therapies Program Manager to oversee the facility's Home Therapies Program. * Maintains integrity of ... auditing activities. *Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. *Manages clinic financials… more
- VNA Health (Santa Barbara, CA)
- …Home Health care team. The RN CM plans, organizes and directs home care services. Responsibilities: + Responsible for continuous review of all aspects of ... healthcare. Join us in our mission to provide exceptional care and improve the health and dignity of those...every patient on his/her caseload to include: appropriate utilization of services; ensuring continued skilled need; monitoring of… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- …Kite and help create more tomorrows. **Job Description** + The **Senior Manager , Planisware Clinical Trial Planning, Resource Management, and Reporting** is a member ... analyzing resource data provided to Kite leadership and project teams + Review demand forecasts with cross-functional teams and project managers to gather accurate… more