• Physician Advisor , Care Progression, Mills…

    Sutter Health (Burlingame, CA)
    …care with supporting documentation of regulatory compliance and accurate coding. The Physician Advisor (PA) conducts clinical reviews on cases referred by UM/CM ... regulations. The PA will act as a liaison between the CDI ( Clinical Documentation Improvement ) professional, HIM (Health Information Management ) ,and the… more
    Sutter Health (06/03/25)
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  • Complex Care Strategy Advancement Advisor

    CenterWell (Sacramento, CA)
    …organization by evaluating and operationalizing high-impact complex care initiatives to drive quality and cost improvement for high-risk senior populations in ... **Become a part of our caring community and help us put health first** The Advisor of Strategy Advancement will play a pivotal role in advancing the strategic vision… more
    CenterWell (07/19/25)
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  • Physician Advisor

    UCLA Health (Los Angeles, CA)
    …care variation management, patient flow/throughput management, ancillary services utilization and clinical documentation improvement . The Physician Advisor ... Description The Physician Advisor provides physician leadership and clinical ...of hospital utilization management experience, with demonstrated success in quality improvement * Leadership and fiscal management… more
    UCLA Health (07/18/25)
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  • Advisor /Sr. Advisor - Macrocycles…

    Lilly (Pasadena, CA)
    …engages in disease-relevant biological systems in order to test preclinical and clinical pipeline of innovative medicines. The candidate is expected to help develop ... collaborate in inventing great medicines by removing barriers, committing to high quality scientific hypotheses, and accelerating where possible. + Keep safety as a… more
    Lilly (06/27/25)
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  • Clinical Supervisor II Veterans

    Volunteers of America Los Angeles (Los Angeles, CA)
    …needed for licensure of subordinate clinicians/counselors/case managers, as per BBS rules. Primary clinical advisor to the Clinical Director. Reporting to ... procedures and State policy and regulations + Evaluates the quality of services provided compared to clinical ...policies, procedures and regulations, and to discuss need for improvement of clinical case management techniques +… more
    Volunteers of America Los Angeles (08/15/25)
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  • Clinical Research Specialist II…

    Cedars-Sinai (Los Angeles, CA)
    …leadership. May implement and coordinate department-wide initiatives such as research quality management or clinical trial recruitment efforts. Ensures ... committees. + May implement and coordinate department-wide initiatives such as research quality management or clinical trial recruitment efforts. + Ensures… more
    Cedars-Sinai (06/25/25)
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  • Clinical Supervisor

    Volunteers of America Los Angeles (Palmdale, CA)
    … and casework services performed by the multi-disciplinary case management team. Primary clinical advisor to the Program Manager for the assigned unit. DUTIES ... and conformity with laws, regulations and policies and for quality of clinical case management and application...policies, procedures and regulations, and to discuss need for improvement of clinical case management techniques +… more
    Volunteers of America Los Angeles (07/10/25)
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  • Clinical Case Manager (RN-LCSW-LMFT - Sharp…

    Sharp HealthCare (San Diego, CA)
    …and statistics collection as requested by Utilization Review, Service Line and Quality Improvement Committees. + Denial and appeal processParticipates in the ... Day **FTE** 0 **Shift Start Time** **Shift End Time** California BBS Licensed Clinical Social Worker (LCSW) - CA Board of Behavioral Sciences; AHA Basic Life… more
    Sharp HealthCare (08/08/25)
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  • Senior Medical Director - Sharp Health Plan…

    Sharp HealthCare (San Diego, CA)
    …+ Achieves and maintains benchmarked utilization and cost management (UM) goals and clinical quality improvement (QI) objectives, in conjunction with the ... membership. Serves as a lead medical manager and policy advisor to SHP clinical and its' Chief...and accountable for implementing the Utilization/Cost Management Program and Quality Improvement Program, in conjunction with the… more
    Sharp HealthCare (07/19/25)
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  • Medical Director - Sharp Health Plan - Hybrid…

    Sharp HealthCare (San Diego, CA)
    …+ Achieves and maintains benchmarked utilization and cost management (UM) goals and clinical quality improvement (QI) objectives, in conjunction with the ... provides professional leadership and direction to the utilization/cost management and clinical quality management functions. Works collaboratively with other… more
    Sharp HealthCare (08/17/25)
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