- Ventura County (Ventura, CA)
- …direction, incumbent is responsible for managing and monitoring the activities of the utilization management , case management , disease management ... Health Care Agency - Ventura County Health Care Plan Manager , Patient Services is a Management classification...and monitors the progress of the activities of the utilization management , case management… more
- Providence (Apple Valley, CA)
- …Healthcare related field (Acute, Ambulatory, Post-Acute, etc.). + 2 years of experience in Case Management (Care Coordination or Utilization Management ) ... **Description** **Care Manager RN at Providence St. Mary Medical Center...are Per Diem and will work 8-hour Variable Shifts.** Case Management is a collaborative practice including… more
- Providence (Tarzana, CA)
- …and directing activities of assigned departments/areas of responsibility which include Case Management Department. The position reports to the Assistant ... **Description** RN Manager of our Care Management team... of the patient along the continuum of care, utilization activities, disease management appropriateness, discharge planning,… more
- CenterWell (San Diego, CA)
- …performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system as well as any other systems and process. ... community and help us put health first** The Clinical Manager coordinates and oversees all direct care patient services...care to all patients served by the location. Receives case referrals. Reviews available patient information related to the… more
- Envista Holdings Corporation (San Diego, CA)
- …+ Ability to effectively manage assigned accounts in terms of driving utilization , customer relationship management , problem resolution, and business and ... + Ability to effectively manage assigned accounts in terms of driving utilization , customer relationship management , problem resolution, and business and… more
- Sutter Health (Oakland, CA)
- …acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... LICENSURE** + RN-Registered Nurse of California Required + Certified Case Manager (CCM) Preferred. **EXPERIENCE** + Minimum...A broad knowledge base of health care delivery and case management within a managed care environment.… more
- Sutter Health (Roseville, CA)
- …Administration **Position Overview:** Conducts preauthorization, concurrent, and retrospective utilization management review using the department's accepted ... and at the appropriate level of care. Coordinates the utilization management , resource management , discharge...A broad knowledge base of health care delivery and case management within a managed care environment.… more
- Sutter Health (Modesto, CA)
- …acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self -determination...A broad knowledge base of health care delivery and case management within a managed care environment.… more
- LA Care Health Plan (Los Angeles, CA)
- …of HEDIS, HIE, Health Analytics required. Functional knowledge of Utilization Management , Care Management , Clinical Case Management , Disease ... Technical Applications Manager II Job Category: Information Technology Department: IT...Altruista, Thrasys) required. Functional knowledge of Utilization Management , Care Management , Clinical Case … more
- Molina Healthcare (Los Angeles, CA)
- …software program(s) proficiency. Preferred Qualifications * Certified Case Manager (CCM), Certified Professional in Health Care Management certification ... services professionals in some or all of the following functions: care management , utilization management , behavioral health, care transitions, long-term… more
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