- LA Care Health Plan (Los Angeles, CA)
- …Auditing (QA) Specialist II is responsible for assisting the Appeal and Grievances Compliance , Training and QA Manager to develop a successful and cohesive unit with ... on implementing, executing, tracking, and assessing targeted and random audits for non- clinical grievance and appeal case documentation. Ensure A&G Non- Clinical … more
- Danaher Corporation (Brea, CA)
- …- innovating at the speed of life. As a global leader in clinical diagnostics, Beckman Coulter Diagnostics has challenged convention to elevate the diagnostic ... Our diagnostic solutions are used in routine and complex clinical testing, and are used in hospitals, reference and...supply base . This position reports to the Sr. Director of Global Supplier Quality responsible for glob al… more
- Danaher Corporation (Brea, CA)
- …- innovating at the speed of life. As a global leader in clinical diagnostics, Beckman Coulter Diagnostics has challenged convention to elevate the diagnostic ... Our diagnostic solutions are used in routine and complex clinical testing, and are used in hospitals, reference and...cost objectives . This position reports to the Sr. Director of Global Supplier Quality responsible for glob al… more
- Dignity Health (Mount Shasta, CA)
- …and perform required procedures within scope of licensure, approved credentials and clinical best practice standards + Orders diagnostic testing based on clinical ... plan and goals of individual patients for periodic review and evaluation by Medical Director + Prescribes new and medication refills or other forms of treatment such… more
- Sunrise Senior Living (Orange, CA)
- …and take initiative to assist team members. **Resident Services** + Review clinical alerts to document and learn about pertinent information and any resident's ... health record for the point of care documentation. + Assist the Resident Care Director (RCD) with the assessment process to support the levels of care with the… more
- LA Care Health Plan (Los Angeles, CA)
- …concurrent reviews and grievance/appeal requests, and prepares UM Activity and Weekly Compliance Reports. In addition, the position performs data entry and ... Authorization Technician II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA,... staff to render decisions, assists the Manager and Director of the Utilization Management department in meeting regulatory… more
- Wellpath (Fresno, CA)
- …corresponding orders are fulfilled. + Maintain chronic care statistical data , review aftercare recommendations post-ER or hospitalization, and conduct medication ... compliance studies, ensuring all reports are submitted as requested by the Medical Director . + Collaborate with the provider team and Director of Nursing to… more
- Sharecare (Sacramento, CA)
- …unify and manage all their health in one place. Our comprehensive and data -driven virtual health platform is designed to help people, providers, employers, health ... and report up to date financial standing of services and Interprets data and make targeted, focused recommendations for future product enhancements + Strive… more
- Cardinal Health (Sacramento, CA)
- …practice functions, demonstrating knowledge of: revenue cycle management, clinical operations, finance/accounting, care management, human resources, compliance ... project management skills, including the ability to quickly and effectively synthesize data into presentations, memos, and other formats. While a background in… more
- Stanford Health Care (Menlo Park, CA)
- …a unique opportunity to be at the intersection of healthcare, regulatory compliance , and sustainable development. As a key contributor, you will support Stanford ... deliver safe, high-quality care. Key responsibilities include: + Driving compliance and Innovation by monitoring construction projects, analyzing space conformance,… more