- Providence (Santa Rosa, CA)
- …opportunities for advancement. **Requsition ID:** 382655 **Company:** Providence Jobs **Job Category:** Care Management **Job Function:** Clinical Care **Job ... **Description** Care Manager RN - Case Management at Providence...throughout their admission to ensure the availability of sufficient clinical and medical center resources. Communicates on a daily… more
- Stanford Health Care (Palo Alto, CA)
- …strategic direction and operational leadership related to psychosocial needs assessments, clinical care coordination, SDOH support programs and community ... strategy to execution through the implementation of systems, processes, and outcomes of clinical care teams and programs designed to address the clinical… more
- San Jose State University (San Jose, CA)
- …a day (30 min visits) + Opportunities for Professional Development Key Responsibilities Clinical Care : + Provide comprehensive primary medical care including ... (those without anesthesia) + At least one (1) year of clinical experience including mental health/behavioral care competence Compensation Classification:… more
- Veterans Affairs, Veterans Health Administration (Palo Alto, CA)
- …and Palliative Medicine inpatient venues, inpatient hospital consultations, and in the outpatient clinical care area. The Palliative Care physician PD\EH ... member of the interdisciplinary team, and participating with outpatient Palliative Medicine clinical care . The incumbent may participate in all activities… more
- Elevance Health (Walnut Creek, CA)
- **Nurse Reviewer I** Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... work weekends if necessary. New Grads are encouraged to apply! The **Nurse Reviewer I** will be responsible for conducting preauthorization, out of network and… more
- Centene Corporation (Sacramento, CA)
- …were administered with quality, cost efficiency, and are within compliance. + Performs a clinical review of post- care services by reviewing medical records ... Remote Role, California RN Licensing Highly Preferred **Position Purpose:** Performs a clinical retrospective review of services previously provided to determine… more
- Humana (Sacramento, CA)
- …this knowledge in their daily work. The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, review of ... work, communication of decisions to internal associates, and possible participation in care management. The clinical scenarios predominantly arise from inpatient… more
- The County of Los Angeles (Los Angeles, CA)
- …delivery of patient-specific pharmacotherapeutic or pharmacokinetic services in specialized medical care areas. Clinical Pharmacists work closely with healthcare ... exercise an advanced, expert level of knowledge and skill in pharmaceutical care to provide the most specialized clinical pharmacy services, characteristically… more
- Elevance Health (Cerritos, CA)
- The **Therapy Services Reviewer ** is responsible for the review of medical records to determine if requests for therapy services (physical therapy, occupational ... impact:** . Follows the system guidelines that makes decisions on approval for care for a patient. . Processes system generated decisions for authorization requests,… more
- Stanford Health Care (Palo Alto, CA)
- …Revenue Cycle and charge-generating departments, School of Medicine leadership, Clinical Operations leadership, Managed Care Contracting, Quality, Controller's ... that can influence by actively listening and bringing multi-disciplinary teams ( clinical operations, care providers, administration, etc.) together. + Strong… more