- Prime Healthcare (Inglewood, CA)
- …Workers, and Clinical Coordinators. This leader will oversee all facets of utilization management , discharge planning, and care coordination to ensure patiens ... ie full-time or part-time. Responsibilities We are seeking a strategic and compassionate Director of Case Management to lead our dynamic Case Management… more
- Alameda Health System (Oakland, CA)
- Director , Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req ... Generous paid time off plans **Role Overview:** Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing… more
- LA Care Health Plan (Los Angeles, CA)
- …observation) admission in the acute setting. Works with UM leadership, including the Utilization Management Medical Director , on requests where determination ... Utilization Management Admissions Liaison RN II...data presented and established criteria/guidelines, escalating to the medical director if needed. Triages and assesses members for admission… more
- Sharp HealthCare (San Diego, CA)
- …to accrediting and regulatory agency feedback. + Supports pre-admission review, utilization management , and concurrent and retrospective review Process. Performs ... + Participates in risk management reviews. + Assists in pharmacy utilization management , catastrophic case review, outreach programs, HEDIS reporting, site… more
- Genesis Healthcare (Elk Grove, CA)
- …or In-Training (IT) Director of Rehab is responsible for assisting the Director of Rehab in the efficient management of rehabilitation services in his/her ... of the rehabilitation department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient… more
- Sharp HealthCare (San Diego, CA)
- …to accrediting and regulatory agency feedback. + Supports pre-admission review, utilization management , and concurrent and retrospective rev1ew process. + ... a managed care environment, preferably as an HMO Medical Director . + California Physicians and Surgeons License - Medical...Participates in risk management , pharmacy utilization management , catastrophic… more
- Genesis Healthcare (Los Angeles, CA)
- …Area Director ). 11. Assumes responsibility for daily staffing and utilization with input from treating therapists, consideration of clinical requirements, and ... management of the rehab department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient… more
- Genesis Healthcare (Carmichael, CA)
- …The Director of Rehab is responsible for the efficient management of rehabilitation services in their assigned account(s). This position also assists ... Area Director ). 10. Assumes responsibility for daily staffing and utilization with input from treating therapists, consideration of clinical requirements, and… more
- Sharp HealthCare (San Diego, CA)
- …and Abilities** + In-depth knowledge of medical care delivery systems, utilization management , quality assurance, peer review, contracting, benefits ... of performance data, feedback, etc., needed to ensure improvement of hospital utilization .Identification of low hanging fruit for improved management , ie, pain… more
- HCA Healthcare (San Jose, CA)
- …capital improvements in recent years. Do you want to be an influencer in healthcare ? **Apply for our Director Surgical Services role today!** **Job Summary and ... requests + You will be responsible for the fiscal management of department; assures proper utilization of...personal satisfaction and professional growth, apply to join HCA Healthcare as a Director Surgical Services. **Unlock… more