- Valor Health (Gardena, CA)
- …standards. + Inputs all patients' information into VISTA/CPRS. + Completes any and all clinical reminders "due" at the time of each patient visit. + Assists in ... with non-VA providers, and facilities. + Functions as case manager as needed. + Provides patient and family health...other related items. + Remain focused on achieving excellent clinical outcomes through the specified VA guidelines. + Must… more
- Sharp HealthCare (Chula Vista, CA)
- …Experience with on-line computer, HMO, PPO and governmental insurance carriers/ contracts . **Essential Functions** + Financial AccountabilityMonitors and follow up on ... SupportDevelop or assist in drafting policies and procedures for all non- clinical areas. Assure compliance with all regulatory standards. Maintain primary files… more
- Amergis (Torrance, CA)
- …L&D Setting. The Labor and Delivery nurse demonstrates the ability to make clinical judgments in an effective and efficient manner with supervision. The labor and ... of practice.? + One year of Labor and Delivery clinical experience within the last three years preferred.? +...chest x-ray if applicable + Current Health certificate (per contract or state regulation) + Must meet all federal,… more
- Actalent (Redlands, CA)
- …Job Description Join our dynamic Utilization Management team as an LVN Case Manager where you will assess requests against clinical guidelines and effectively ... accuracy standards. + Coordinate with contracted providers and obtain appropriate contracts as necessary. + Identify cases requiring additional case management and… more
- Medtronic (San Jose, CA)
- …in accounts through disciplined pricing resulting in strong ASPs + Effectively uses contracts to drive high compliance and pull through of all products. + Leverage ... and improves outcomes when supporting cases + Engages physicians in clinical conversations about advantages of the Peripheral Vascular products + Conducts… more
- Medtronic (Northridge, CA)
- …regulatory, quality, product development, supplier quality, post market surveillance, clinical ) and external contacts ( contract research organization (CRO), ... insulin compatibility, either independently or in collaboration with department staff/ contract test laboratories. Biocompatibility responsibility includes understanding chemical characterization… more
- Elevance Health (Fresno, CA)
- …(PH)/behavioral health (BH)/LTSS needs, as required by applicable state law and contract , and federal requirements. **How you will make an Impact:** + Responsible ... + Uses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for… more
- Elevance Health (CA)
- …ensuring appropriate, consistent administration of plan benefits by reviewing clinical information and assessing medical necessity under relevant guidelines and/or ... the medical management processes. + Assesses and applies medical policies and clinical guidelines within scope of licensure. + These reviews may require in-depth… more
- Scripps Health (San Diego, CA)
- …obstetrics and gynecology, and gastroenterology. Under the direction of the Manager or Supervisor of Logistics, the Inventory Management Coordinator will work ... department Managers and Director, Staff, Vendors, Suppliers, Supply Chain Contracts and Procurement Department, MMIS, Finance, and Revenue. Responsibilities include:… more
- Novo Nordisk (San Mateo, CA)
- …current co-promotion partners. Internally, the DCS reports to the District Business Manager of the specific sales territory. The DCS also interacts and collaborates ... identify business opportunities and tailor approach to customers + Analyze bidding policies/ contracts in order to influence formulary status, as applicable + May… more