- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... safety net required to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for executing the day-to-day operations of… more
- CVS Health (Sacramento, CA)
- …nurses use specific criteria to authorize procedures/services or initiate a Medical Director referral as needed. + Assists management with training new nurse ... active license. + 3+ Years of clinical experience. + 1+ Year of Utilization Review Management and/or Medical Management experience. + Must have active and… more
- Sharp HealthCare (San Diego, CA)
- …and employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight for Sharp Health Plan's (SHP) ... practice of medicine. + 5 years' experience as an HMO Health Plan Medical Director . + California Physicians and Surgeons License - Medical Board of CA -REQUIRED… more
- The County of Los Angeles (Los Angeles, CA)
- NURSING DIRECTOR , ADMINISTRATION ( Director , Workforce Management and Operations) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3110377) ... Apply NURSING DIRECTOR , ADMINISTRATION ( Director , Workforce Management and Operations)...and maintain strategic and operational initiatives for nursing workforce utilization . The incumbent will monitor and trend workforce metrics… more
- Centene Corporation (Sacramento, CA)
- …of Certifying Board Service (Internal and Family Medicine, preferred) + Utilization Management experience and knowledge of quality accreditation standards. + ... and Medi-Cal experience, preferred **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and… more
- Genesis Healthcare (Elk Grove, CA)
- …in Action professional development program. Responsibilities The Assistant or In-Training (IT) Director of Rehab is responsible for assisting the Director of ... rehabilitation services in all settings. The Assistant or IT Director of Rehab supports the delivery of the highest...of therapy staff. 7. Assists in daily staffing and utilization in cooperation with input from treating therapists, consideration… 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 ... expertise with our Clinicians in Action professional development program. Responsibilities The Director of Rehab OT is responsible for the efficient management of… more
- Genesis Healthcare (Carmichael, CA)
- …Area Director ). 10. Assumes responsibility for daily staffing and utilization with input from treating therapists, consideration of clinical requirements, and ... with our Clinicians in Action professional development program. Responsibilities The Director of Rehab is responsible for the efficient management of rehabilitation… more
- Evolent (Sacramento, CA)
- …a meaningful impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and ... training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management… more
- Sharp HealthCare (San Diego, CA)
- …for and provides professional leadership and direction to the utilization /cost management and clinical quality management functions. Works collaboratively with ... physician executive in a managed care environment, preferably as an HMO Medical Director . + California Physicians and Surgeons License - Medical Board of CA… more