- Molina Healthcare (Long Beach, CA)
- …**Required Experience** Minimum three years clinical nursing experience. Minimum one year Utilization Review and/or Medical Claims Review . **Required ... Certified Clinical Coder, Certified Medical Audit Specialists (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM),… more
- The County of Los Angeles (Los Angeles, CA)
- MENTAL HEALTH PROGRAM MANAGER I/EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4658522) Apply MENTAL ... HEALTH PROGRAM MANAGER I/EMERGENCY APPOINTMENTS HOMELESSNESS Salary $122,088.00 - $164,533.20 Annually...and implements reporting procedures to ensure that program services utilization and revenue data are reported accurately and in… more
- Molina Healthcare (Los Angeles, CA)
- …Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Certified Case Manager (CCM), Certified Professional in Health Care ... in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS),… more
- Stanford Health Care (Palo Alto, CA)
- …LPCH, PCHA, UHA, SBC and new activations as appropriate). The Category Manager is responsible for driving category specific contract coverage and compliance. Areas ... for changes in process and operations to include standardization and utilization of resources (supplies, equipment, services, people, etc.). The Category … more
- Sharp HealthCare (San Diego, CA)
- …concurrent and retrospective rev1ew process. + Participates in risk management, pharmacy utilization management, catastrophic case review , outreach programs, ... care needs of the membership. Serves as a medical manager and policy advisor to SHP and its Chief...utilization /cost and quality outcomes. + Participates in policy review , performs analysis and makes recommendations. + Participates in… more
- Dignity Health (Carmichael, CA)
- …efficient manner to ensure timely and compliant care coordination, discharge planning, utilization review and social work interventions resulting in quality ... **Job Summary and Responsibilities** **Nurse Manager of Care Coordination / Case Management** **Sign On / Relocation Options** As our **Nurse Manager Care… more
- Cedars-Sinai (Beverly Hills, CA)
- …Faculty and support of Medical Center goals and philosophies. The Manager , Research Operations assumes fiscal responsibility through preparation of unit budgets, ... supports research, participates in both strategic and tactical planning. The Manager , Research Operations is accountable to the Department Chair and/or Institute… more
- Sharp HealthCare (San Diego, CA)
- …reviewers. + Participates in risk management reviews. + Assists in pharmacy utilization management, catastrophic case review , outreach programs, HEDIS ... selected utilization /cost and quality outcomes. + Participates in policy review , performs analysis and makes recommendations for updating current polices to meet… more
- Global Foundries (Santa Clara, CA)
- …more information, visit www.gf.com. Summary of Role: As a Principal Staff Account Manager , you will be part of the Customer Partnership and Business Development team ... selling strategy + Participate in operations, engineering and business review meetings + Develop a high level of customer...information. Requests for accommodation will be considered on a case -by- case basis. Please note that only inquiries… more
- Global Foundries (Santa Clara, CA)
- …visit www.gf.com. Summary of Role: GlobalFoundries seeks an experienced Principal Account Manager for the Global Accounts Team. This position will be located in ... approvals from key stakeholders + Participate in operations, engineering and business review meetings + Negotiate formal business agreements at the Executive level +… more