- Wolters Kluwer (Sacramento, CA)
- …nurses, and pharmacists every day as they work on the front lines of clinical care . Our talented team of physician editors, technologists, and product ... make a difference - and so do our people ** Clinical Decision Support and Provider Solutions (CDSP)** - a...the named customer base, including: + Conducting regular account review meetings and reviewing account utilization management… more
- Elevance Health (Palo Alto, CA)
- …Associate Medical Director** **Carelon Medical Benefits Management** **Post Acute Care Benefit Utilization Management** **Schedule: 10:00-7:00 Central Time** ... how healthcare is delivered and promoting the advancement of care for the people we serve._ The ** Clinical...decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review … more
- Ventura County (Ventura, CA)
- …and staff development programs; + May participate in quality assurance/ utilization review or other non-direct patient care nursing assignments; + May ... They will have significant experience in a mental health care setting and demonstrate sound clinical judgment...number of qualified applications to meet business needs. FIRST REVIEW OF APPLICATIONS: July 15, 2025 Examples Of Duties… more
- Veterans Affairs, Veterans Health Administration (Santa Barbara, CA)
- …care delivery model. Coordinates with the patient care team to review clinic appointment availability ( utilization ) to ensure that clinic schedules are ... but not limited to: Specialized Experience - In an advanced or complex clinical setting utilizing numerous advanced patient care systems, scheduling appointments… more
- Alameda Health System (Alameda, CA)
- …and a resolution is initiated and presented weekly at Medicare or Utilization Review meetings. **MININUM QUALIFICATIONS** : Education: Graduate of accredited ... school of nursing. Minimum Experience: Minimum one year clinical experience in a hospital, long term care... clinical experience in a hospital, long term care facility, or other healthcare related facility. Preferred Experience:… more
- ERP International (Camp Pendleton, CA)
- …as needed, and implement and participate in follow-up. + Participate in meetings to review and evaluate the care provided to patients, identify opportunities to ... in the provision of monthly in-service training to non-health care - practitioner members of the clinical and...and report equipment failures and inadequacies. + Promote economical utilization of equipment, supplies and be cost conscious when… more
- Sunrise Senior Living (Simi Valley, CA)
- …business needs. + Possess functional knowledge of all operating programs including memory care , clinical , dining, and social programs. + Make accurate forecasts. ... in setting standards of excellence; we strive to provide care and services to seniors better than anyone. The...achieving customer engagement. + Lead the development and regular review of the engagement improvement plan. + Resolve customer… more
- Cedars-Sinai (Beverly Hills, CA)
- …- Beverly Hills **Department** : GI LeDoux **Business Entity** : Cedars-Sinai Medical Care Foundation **Job Category** : Clinical Operations **Job Specialty** : ... Key Job Responsibilities** As a member of the patient care team, the Medical Assistant is responsible for positive...insurance information. + Greets patients, take appropriate vital signs, review current medications and record in medical record +… more
- Evolent (Sacramento, CA)
- …to adeptly negotiate internally and externally around interpretation and application of utilization review law, accreditation standards and policy. + Ensures ... initiatives. **What You Will Be Doing:** + Responsible for oversight of utilization management (UM)/ care management (CM) correspondence development, internal and… more
- Pfizer (Sacramento, CA)
- …Cardiac Account Specialist (CAS) - Rare Cardiac, will target health care providers (HCPs), spanning multiple disciplines (eg, Cardiologists, Nuclear Medicine ... adapts messaging in complex selling environment that includes specialists and comprehensive care teams * Partners with customers to connect Pfizer resources and… more