- HCA Healthcare (Thousand Oaks, CA)
- …Manager of Critical Care role today!** **Job Summary and Qualifications** The Clinical Nursing Manager is a registered nurse who reports directly to the unit ... responsible and accountable for monitoring the delivery of patient care through the utilization of the nursing...will assure the staff's assessment of patients through chart review , direct observation, and other methods of quality management.… more
- Dignity Health (Carmichael, CA)
- …+ Oversees the department in an efficient manner to ensure timely and compliant care coordination, discharge planning, utilization review and social work ... **Responsibilities** **Nurse Manager of Care Coordination / Case Management** **Sign On /...all activities, staffing, performance improvement in the delivery of clinical services (such as LOS reduction), and reports needs… more
- Veterans Affairs, Veterans Health Administration (Mather, CA)
- …are not limited to: Admission of patients into HCC program Provide direct patient care into home Make clinical decisions Interpret tests Care Coordination ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- Humana (Sacramento, CA)
- …insurance, other healthcare providers, clinical group practice management + Utilization management experience in a medical management review organization, ... participate in meetings involving care management, provider relations, quality of care , audit, grievance and appeal and policy review . The Behavioral Health… more
- Stanford Health Care (Palo Alto, CA)
- …Day - 08 Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** As the Senior Manager of Supply Chain Distribution & ... chain responsibilities across the Stanford Healthcare which includes Stanford Health Care , Stanford Medicine Children's Hospital and Tri-Valley. You will assist in… more
- Elevance Health (CA)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... for supporting Elevance Health's Washington Medicaid operations by providing clinical leadership and oversight across utilization management, appeals,… more
- The County of Los Angeles (Los Angeles, CA)
- …- and expanded network of community partner clinics - DHS annually provides direct care for over 600,000 unique patients, employs over 23,000 staff, and has an ... in nearly every medical specialty and subspecialty. In addition, to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- …Executive Leadership Team (ELT) and provides visionary and operational leadership over all clinical and care delivery functions. The CMO is responsible for ... variation in care and promote standardization and use of technology, clinical support tools and evidence-based guidelines Quality and Population Health + Works… more
- Veterans Affairs, Veterans Health Administration (Ukiah, CA)
- …assist with coverage for Telehealth clinics in Primary Care and Specialty Care services. Provides patient and clinical staff education regarding the SFT ... palpitation, auscultation, collecting vital signs. Incumbent performs retrospective medical review of non-VA health care records to...record review are present, thereby allowing quick review of inpatient stays by the Clinical … more
- Elevance Health (Walnut Creek, CA)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... and serve as clinical /strategic advisor to enhance clinical operations. May identify cost of care ...with attending physicians or other ordering providers to discuss review determinations. + Serves as a resource and consultant… more