- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary… more
- BrightSpring Health Services (San Diego, CA)
- …+ Achieves CAHPS Rating of 4 stars or greater. + Financial & Operational Management + Manages a $20M-$30M+ P&L with full accountability for revenue, cost control, ... personnel using measurable outcomes and objectives. + Conflict and complaint management and resolution. Establishes and maintains effective channels of communication… more
- Meta (Sunnyvale, CA)
- …into products, responsible for designing and optimizing the eyepiece, connecting system PD and other optical modules to deliver high-quality visual experiences. ... ensure seamless integration and optimal performance of the display system . **Required Skills:** OptoMechanical Design Engineer Responsibilities: 1. Design, develop,… more
- CVS Health (Sacramento, CA)
- …to improve overall performance. + Confers with regional and local account management and sales teams on Star ratings strategies based on clinical intervention ... existing opportunities. + Supports initiatives in collaboration with senior management , stakeholders, and senior individual contributors. + Attends ongoing… more
- Baylor Scott & White Health (Sacramento, CA)
- …audits and assessments to ensure compliance with BSWH policies and CMS and Texas Medicaid regulations, providing reports, recommendations, and corrective action ... - EXPERIENCE - 3 Years of Experience - Billing/Healthcare experience As a health care system committed to improving the health of those we serve, we are asking our… more
- Lompoc Valley Medical Center (Lompoc, CA)
- …+ Maintain records in an organized manner. + Maintain the department's CMS and California state accreditation. + Establishes and maintains effective, positive ... working relations with departmental employees, hospital staff, medical staff and patients. + Assures safe practices and techniques are used in the department. + Communicates policies to hospital and dietary employees. LVMC reserves the right to modify the… more
- US Tech Solutions (Sunnyvale, CA)
- …defining, enforcing, and governing hardware data standards shared with contract manufacturers ( CMs ). This role ensures that manufacturing and product master data is ... to effectively negotiate and collaborate with CM counterparts. **Skills:** + Data Management + SQL + Contract manufacturers + Data Analytics + Data Governance… more
- Lompoc Valley Medical Center (Lompoc, CA)
- …+ Maintain records in an organized manner. + Maintain the department's CMS and California state accreditation. + Establishes and maintains effective, positive ... working relations with departmental employees, hospital staff, medical staff and patients. + Assures safe practices and techniques are used in the department. + Communicates policies to hospital and dietary employees. LVMC reserves the right to modify the… more
- Humana (Sacramento, CA)
- …data to drive business outcomes and decisions + Experience in Medicare/Medicaid, CMS (Centers for Medicare & Medicaid Services) or other Federally regulated ... healthcare programs + Experience with Humana systems, specifically Service Fund + Experience with tools such as Power BI for creating data visualizations + Experience with Azure Synapse Analytics + Understanding of organizational operations and the ability to… more
- University of Southern California (Los Angeles, CA)
- …data for trends, patterns, or clusters to improve patient care and system management . Represents department on hospital wide committees. Maintains membership ... performance appraisal. Reviews patient medical records, to improve patient care and system management . + Clinical Expert Considers financial impact when planning… more