- Cedars-Sinai (Los Angeles, CA)
- …required Experience: A minimum of 5 years of experience in Acute Clinical Care, Utilization Review, Coding, or Case Management required Working knowledge of ... Are you ready to bring your advanced Health Information Management skills to a world-class facility recognized as one...general direction of the HID CDI/Core Measures Supervisor or Manager , with responsibility for improving the overall quality and… more
- Elevance Health (Walnut Creek, CA)
- …preferred. + Extensive spine surgery experience preferred. + Experience with utilization management , especially with CMS guidelines preferred. + **Orthopedic ... medical necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. + Conducts peer-to-peer… more
- Hospice Of San Joaquin (Stockton, CA)
- …the day, who is covering RNCM caseloads in their absence, etc.) 2. Ensures that Case management is being carried out in accordance with Hospice Policies 3. ... and supports our mission. POSITION PURPOSE/SUMMARY: Responsible for the management and delivery of clinical care to patients and...other health care providers in the absence of the case manager to ensure coordination of patient… more
- Wider Circle (East Los Angeles, CA)
- …The CHW is an integral part of the member's care team and works closely with the Case Manager . + The CHW will lead the Connect For Life program, using Wider ... joy in one another's company. Reporting to the Area Manager , the CHW is a trusted community member who...will record details of interactions with members in the case management system (CMS) using a computer,… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …of pediatric rehabilitation clinical experience and knowledge of managed care, utilization management , healthcare continuum planning, and performance improvement ... rehabilitation experience in related discipline, inpatient nursing experience, or case management experience preferred. Bilingual English/other language… more
- The County of Los Angeles (Los Angeles, CA)
- …to a line operation responsible for the delivery of psychological rehabilitation, case management and/or Psychiatric Emergency Service of the Department of ... team leaders reporting to a mental health clinical program manager or a physician manager . Positions allocable...caseload of clients and facilitate routine follow up and case management services as needed. + Works… more
- Elevance Health (Costa Mesa, CA)
- **Clinical Operations Associate Medical Director** **Carelon Medical Benefits Management ** **Radiology Benefit Management / Utilization Review** _A proud ... member of the Elevance Health family of companies, Carelon Medical Benefits Management , formerly AIM Specialty Health, is a benefit- management leader in… more
- Sutter Health (Alameda, CA)
- …Clinician (PCC) is an experienced physical therapist who is responsible for the overall case management of home health patients including the provision of direct ... the established plan of patient care and ensuring effective management of visit utilization and control of...staff related to specific expertise as requested by Clinical Manager . The Primary Care Clinician reports directly to the… more
- Global Foundries (Santa Clara, CA)
- …essential. For more information, visit www.gf.com Summary of Role: The Customer Business Manager is a part of the Sales team responsible for sales and client-support ... sales support for the tactical horizon + Work closely with Sales Account Manager and Revenue Operations teams for analysis of client forecast, order rates, and… more
- Sharp HealthCare (San Diego, CA)
- …with the interdisciplinary treatment team, coordinates patient care and provides case management for assigned patients. **Required Qualifications** + Master's ... to members of the healthcare team.Attends and participates in meetings and assists management in decision making in absence of Manager /Lead. + Patient… more