- Children's Hospital Los Angeles (Los Angeles, CA)
- …Coordination Manager uses an advanced level of pediatric rehabilitation clinical experience and knowledge of managed care, utilization management, healthcare ... implement and evaluate the plan of care for the Rehab population related to clinical , finance, or resource utilization components. Acts as an advocate for the… more
- LA Care Health Plan (Los Angeles, CA)
- …information required by clinical staff to render decisions, assists the Manager and Director of the Utilization Management department in meeting regulatory ... Authorization Technician II (12 Month Assignment) Job Category: Clinical Department: Utilization Management Location: Los...dates for each file. Inform nurses of a new case received from Grievance and Appeals Specialist.; submit all… more
- Stanford Health Care (Palo Alto, CA)
- …and serves as a resource in meeting those needs. + With the support of the manager , may initiate clinical research within area of clinical expertise. + ... our Inpatient Acute Physical Therapy department have access to: o PT Clinical Specialists' support for mentorship, education and skill enhancement o Frequent… more
- Stanford Health Care (Palo Alto, CA)
- …and serves as a resource in meeting those needs. + With the support of the manager , may initiate clinical research within area of clinical expertise. + ... our Inpatient Acute Occupational Therapist department have access to: o OT Clinical Specialists' support for mentorship, education, and skill enhancement o Frequent… more
- Elevance Health (Sacramento, CA)
- …Coordinator - RN Clinician** is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN ... clinicians participating in the member's case in accordance with applicable state law and contract; develops , monitors, evaluates, and revises the member's care… more
- Medtronic (Santa Barbara, CA)
- …lives. The Surgical Onsite Specialist (SOS) is responsible for providing case support and customer support, training and education, and solution implementation ... Surgical Centers of Therapy (COTs). This role ensures seamless product utilization by assisting with on-site procedures, addressing customer inquiries, performing… more
- Sutter Health (Alameda, CA)
- …with Sutter Health policy + excellent benefits!** Under the supervision of the Clinical Manager , the Primary Care Clinician (PCC) is an experienced physical ... therapist who is responsible for the overall case management of home health patients including the provision... staff related to specific expertise as requested by Clinical Manager . The Primary Care Clinician reports… more
- Elevance Health (Palo Alto, CA)
- …and providers. **How you will make an impact:** + Ensures timely completion of clinical case reviews for their board certified specialty. + Makes physician to ... ** Clinical Operations Associate Medical Director** **Carelon Medical Benefits...Director** **Carelon Medical Benefits Management** **Post Acute Care Benefit Utilization Management** **Schedule: 10:00-7:00 Central Time** **** **Virtual:** This… more
- Alameda Health System (Alameda, CA)
- …Minimum Data Set assessments and care plans as required by OBRA and PPS. 3. Assists Case Manager with the transfer of patients to other health care providers or ... orderly fashion. 7. Assigns, assists, and instructs all staff in the RAI Process, Case -Mix, PPS Medicare, Medicaid, and the clinical computer system in relation… more
- CommonSpirit Health (Rancho Cordova, CA)
- …responsibilities leading up to or including supervisory role + Experience in Utilization Management, Case Management or Care Coordination, Managed Care is ... completing quality assurance reviews of work performed and communicating with department manager and director the outcomes of the review and any identified issues… more