- Centene Corporation (Sacramento, CA)
- …be the one who changes everything for our 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, ... Behavioral Analysis (ABA) services provided to determine medical appropriateness. Monitors clinical effectiveness and efficiency of member's care in accordance with… more
- Cedars-Sinai (Los Angeles, CA)
- …Clinical Social Worker (LCSW) in the state of California and provides clinical , administrative, human resource, and financial management for social work ... and improvement in all aspects of service including financial, operational, clinical , academic, customer service and innovation. + Encourage staff to prevent,… more
- Select Medical (San Diego, CA)
- …experience is preferred. + One (1) year of experience in leadership. + Prior clinical management experience is preferred. + BSN is preferred. **Additional ... collaborative environment. We provide a comprehensive training program preparing clinical team members to treat and care for a...Data ** _Equal Opportunity Employer/including Disabled/Veterans. We will consider for… more
- Amazon (San Francisco, CA)
- …ensuring compliance with state and federal requirements, and fostering collaboration among clinical and operational teams to eliminate avoidable harm. As the RN ... Program Manager, you will leverage your clinical and patient safety backgrounds to further advance patient...review safety events, conduct root cause analysis, analyze safety data , and ensure effective execution of safety programs. -… more
- Kelly Services (Pleasanton, CA)
- Kelly(R) Science & Clinical is seeking a **Director of** **Quality Assurance, GLP** for **permanent** position at **leading bioanalytical organization** in ... services. In this role you will be responsible for the development, management , and continuous improvement of quality systems ensuring compliance with Good… more
- Dignity Health (Woodland, CA)
- …onsite meetings in Woodland.** **Position Summary:** The Utilization Review LVN uses clinical judgement in providing utilization management services. The focus ... LVN license. - Strong knowledge nursing requirements in a clinical setting. - Knowledge of utilization management ...- Strong organization skills. - Effective telephone and computer data entry skills required. - Ability to formulate ideas… more
- Sharp HealthCare (La Mesa, CA)
- …opportunities for program expansion. **Required Qualifications** + Nursing diploma. + Previous clinical experience with wound care, case management , or patient ... through quality assessment, triage, service delivery, and care coordination of clinical services between key external constituencies and Sharp. The Navigator will… more
- Dignity Health (Bakersfield, CA)
- …familiarity with the complexities of delegated services, including claims, utilization management , provider data , and network operations. Essential Functions may ... including needs assessment, business case development, stakeholder alignment, risk management , and sustainment planning. - EZCAP Automation Development: Collaborate… more
- Boehringer Ingelheim (Palm Springs, CA)
- …skills. * Requires at least 1 year prior experience demonstrating acct. management , leveraging HUB services, collaborating with clinical educators & specialty ... providing enhanced value and trust to the HCP through facilitation of patient management and decision making process. + Identifies key ILD business needs and… more
- The County of Los Angeles (Los Angeles, CA)
- …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 ... Assistant Nursing Director, Administrator (ANDA), Infection Control provides supervision, management , and leadership for the hospital's Infection Prevention &… more