- Elevance Health (Los Angeles, CA)
- … management or case management experience and requires a minimum of 2 years clinical , utilization review , or managed care experience; or any combination ... this position includes weekends. The Med Mgmt Nurse CA is responsible for review of the most complex or challenging cases that require nursing judgment, critical… more
- Veterans Affairs, Veterans Health Administration (Eureka, CA)
- …healthcare providers. Psychosocial assessment and intervention are integrated into a complex treatment plan . Continuity of care is key. The Senior Social Worker ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- Elevance Health (Walnut Creek, CA)
- …and patients' office visits with providers and external physicians. + Applies clinical knowledge and skills to utilization review processes. + Adheres ... + As assigned, engage in clinical and non- clinical activities that impact health care quality...or territory of the United States when conducting utilization review or an appeals consideration and cannot be located… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- …liaising with key opinion leaders and healthcare professionals in academic and clinical centers for scientific exchange and data generation to ensure appropriate use ... teams to ensure the successful integration of scientific and clinical insights into the company's development programs and commercialization...the aim to integrate + Develop the local medical plan of action (POA) in line with global strategic… more
- The County of Los Angeles (Los Angeles, CA)
- …Do you have experience in clinical leadership that influences and progresses clinical care , policy and collaboration in a multidisciplinary setting? + No ... health system, operating 25 health centers and 4 acute care hospitals, in addition to providing health care...County jails. Across the network of DHS' directly operated clinical sites and through partnerships with community-based clinics, DHS… more
- Sharp HealthCare (San Diego, CA)
- …pertinent to departmental operations.Completes all documentation elements as appropriate (Interdisciplinary Plan of Care , Education record, billing, discharge ... environment that optimizes patient safety and reduces the likelihood of medical/health care errors.Formulates a teaching plan based upon identified learning… more
- Cedars-Sinai (Marina Del Rey, CA)
- …performance standards and accredits programs for hospitals and other healthcare-related organizations), the Plan for Provision of Nursing Care and the Plan ... nurse educators do. They have a strong combination of clinical skills, management abilities and integrity, and as a...for patients, staff and the community across the health care continuum in conjunction with the Education Department team… more
- ERP International (San Diego, CA)
- …healthcare professionals. Facilitate the achievement of optimal outcomes in relation to clinical care , quality, and cost effectiveness. Ensure compliance with ... care , and numerous other personalized interventions. May provide clinical direction or assist in the instruction of ...the command's Performance Improvement Program. Participate in meetings to review and evaluate the care provided to… more
- UCLA Fielding School of Public Health (Los Angeles, CA)
- …membership in the Health Sciences compensation plan (https://www.ucop.edu/academic-personnel-programs/\_files/apm/apm-670.pdf), which provides for eligibility for ... additional compensation. Review timeline: Initial Review Date is May...recruiting for a full-time Professor in the Health Sciences Clinical Series, all ranks, in the Breast Imaging (BI)… more
- Humana (Sacramento, CA)
- …be passionate about collaborating and partnering across the enterprise (eg, with Clinical Operations, Markets, Care Management, Analytics, Pharmacy, etc.) to ... + Lead an operational team of Medical Directors to review authorizations and ensure clinical decision-making skills..._:_ Support efforts to improve the efficiency of health plan operations (utilization management and provider clinical … more