- Dignity Health (Glendale, CA)
- …effectively with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs ... emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post… more
- Dignity Health (Long Beach, CA)
- …effectively with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs ... emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post… more
- Humana (Sacramento, CA)
- …and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... Utilization management experience in a medical management review organization, such as Medicare Advantage... Case managers or Care managers on complex case management , including familiarity with social determinants… more
- Ventura County (Ventura, CA)
- …expand, and maintain the pool of eligible service providers. + Utilization review : + Uses professional skills in quality management activities such as ... class requires more independent action in the promotion and utilization of effective mental health techniques. PAYROLL TITLES &...with other members of the mental health team. + Case Management : + provides case … more
- Dignity Health (Bakersfield, CA)
- …as part of the regular schedule for this position.** **Position Summary:** The Utilization Management LVN is responsible for ensuring the integrity of the ... The position partners with both the Pre-Service and In-Patient Utilization Management teams. Ensures to monitor and...as deemed appropriate. - Identify cases that require additional case management . - Work with appropriate departments… more
- ERP International (Camp Pendleton, CA)
- …is seeking a **Nurse Practitioner** for a full-time position supporting the **Pain Management Clinic** at **Camp Pendleton, CA.** **Be the Best!** Join our team of ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- Highmark Health (Sacramento, CA)
- …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... and DOL regulations at all times. In addition to utilization review , the incumbent participates as the...need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral… more
- Sutter Health (Modesto, CA)
- …**SKILLS AND KNOWLEDGE:** A broad knowledge base of health care delivery and case management within a managed care environment. Comprehensive knowledge of ... Utilization Review , levels of care, and observation...Working knowledge of laws, regulations, and professional standards affecting case management practice in an integrated delivery… more
- Highmark Health (Sacramento, CA)
- …insights and guidance to internal departments. The Analyst conducts audits of Medical Directors, Utilization Management (UM) and Case Management (CM) ... Risk Compliance Analyst is responsible for monitoring and analyzing medical and utilization management activities to ensure compliance with internal policies,… more
- Veterans Affairs, Veterans Health Administration (Fresno, CA)
- …areas involved with the services. The HUD-VASH Supervisor is to provide clinical case management and supportive services to Veterans in HUD-VASH by utilizing ... vulnerable homeless Veterans, based on the HUD Prioritization Notice, are admitted to case management to support the ongoing effort to end Veteran homelessness.… more