- Cedars-Sinai (Beverly Hills, CA)
- …to the TPL carrier of all injured worker cases receiving case management services. + Ensures appropriate utilization of medical services within the ... The Case Manager is responsible for the case management of patient while hospitalized and...date of discharge. + Communicates regularly with CSMPN Medical Director , Employee Health Services, Risk Management , and… more
- CenterWell (San Diego, CA)
- …performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system as well as any other systems and process. ... the delivery of care to all patients served by the location. Receives case referrals. Reviews available patient information related to the case , including… more
- Sharp HealthCare (San Diego, CA)
- …the direction of the manager of in-patient care management and the Director of Utilization Management . **Required Qualifications** + 3 Years Experience ... Bachelor's Degree Health care related field **Other Qualification Requirements** + Utilization , Case Management , or Quality Management certification… more
- Edwards Lifesciences (San Francisco, CA)
- …**How you will make an impact:** + Working independently in the areas of valve crimping, case management , pre- case planning, post- case management , 3 ... patient outcomes. This role reports to an assigned Regional Director and will collaborate with multiple departments including Sales,...+ Working independently in the areas of valve crimping, case management , pre- case planning, post-… more
- Sharp HealthCare (San Diego, CA)
- …Association for Healthcare Quality; Certified Professional in Healthcare Risk Management (CPHRM) - American Hospital Association; Certified Professional in Patient ... improve clinical outcomes including responsibilities relating to leading teams in the utilization of Change Acceleration Process and PI tools and providing feedback… more
- Cedars-Sinai (Beverly Hills, CA)
- …Research Operations is accountable to the Department Chair and/or Institute Executive Director and serves as the primary source of information for the department. ... Investigators (PIs), staff and students to provide analytical support and project management in fulfilling the established goals and objectives for the department… more
- University of Southern California (Arcadia, CA)
- …AND CORE RESPONSIBILITIES * Accountable to the unit Manager and/or the Director of the department.* Adherence to identified nursing standards of practice.* Annually ... and patient care interactions.* Performs other duties as assigned by Manager / Director / Clinical Lead RN.* Prioritizes cases to provide service to most urgent… more
- Actalent (Sacramento, CA)
- …experience (eg, med-surg, telemetry, ICU) + At least 1 year of experience in utilization review, case management , or hospital discharge planning + ... within 50 miles of the Sacramento area Job Duties + Perform timely utilization reviews for Medicare inpatient admissions, continued stays, and discharges + Apply CMS… more
- Datavant (Sacramento, CA)
- …The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of admissions for medical necessity and ... author appeal letter Identification of referrals to the medical director for review + Select appropriate preferred and contracted...as it relates to job function as delegated by management Ideal candidate should be a Licensed Practical Nurse… more
- University of Southern California (Los Angeles, CA)
- …Experience in OR/acute hospital as an RN and understands departmental capital expenditure, case management and operational budget process experience. + Req OR ... for the quality of patient care, efficiency of operations, and human resources management for area(s) assigned. S/he will strive to achieve the optimal patient… more