- Cedars-Sinai (Beverly Hills, CA)
- …their needs, coordinating care , communicating with health plans, including concurrent review to determine the appropriateness of services rendered and ... InterQual guidelines as necessary. + Plans for discharges and care assessments. + Submits necessary clinical information...review and follow up. + Communicates transition of care to the member or responsible party including: i)… more
- LA Care Health Plan (Los Angeles, CA)
- Authorization Technician II (12 Month Assignment) Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... Range: $47,840.00 (Min.) - $57,062.00 (Mid.) - $68,474.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of… more
- Ankura (Los Angeles, CA)
- …healthcare litigation support, Ankura's Healthcare Disputes team combines unparalleled clinical , technical, and operational experience with the financial, economic, ... may be facing. We combine in-depth operational, compliance, and clinical industry knowledge with exceptional data analytics, information-gathering, and forensic… more
- Cardinal Health (Sacramento, CA)
- …to rethink the reach and impact of their products. **_What Individualized Care contributes to Cardinal Health_** Clinical Operations is responsible for ... (TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy… more
- Stanford Health Care (Menlo Park, CA)
- …discovered. Day - 08 Hour (United States of America) **This is a Stanford Health Care job.** This role offers a unique opportunity to be at the intersection of ... As a key contributor, you will support Stanford Health Care 's land use and licensing program across both the...with and drive change across physician groups that balance clinical , academic and research interests. + Project Management &… more
- Sharp HealthCare (San Diego, CA)
- …requires the ability to combine clinical /quality considerations with regulatory/financial/utilization review demands to assure patients are receiving care in ... level of care . The position creates a balance between individual clinical needs with the efficient and cost-effective utilization of resources while promoting… more
- Dignity Health (San Luis Obispo, CA)
- … Clinical Pharmacist, or other Licensed Clinical Staff and three (3) years clinical experience in an acute care setting + Must be able to perform case ... initiatives, including but not limited to, activities focused on clinical quality improvement, patient safety and risk reduction, patient...root cause analyses and medical staff improvement (eg case review for peer review , OPPE, FPPE). +… more
- Insight Global (San Francisco, CA)
- …and med reconciliation to the patients and providers and to help supervise the Clinical Care support team. This candidate will have a direct impact on ... patient care and the delivery of our core ...a range of functions that include the maintenance and review of patient medication profiles; counseling patients on appropriate… more
- Sacramento County (Sacramento, CA)
- …of supervisory and administrative duties, including administration of direct acute care programs, related contracts, and County-operated mental health programs and ... management with emphasis on health occupations + Principles and techniques of clinical interviewing, diagnosis, and treatment + Most current version of the Diagnosis… more
- UCLA Health (Los Angeles, CA)
- …collaboration with the Cardiology Clinic Operations Manager, you will be accountable for the clinical care and the daily operations of the clinic. Duties include ... to represent the Medical Center in site visits and review by managed care , insurance groups, and...provide education to patients, families, and other staff regarding clinical and patient care issues + Excellent… more