- LA Care Health Plan (Los Angeles, CA)
- …admission in the acute setting. Works with UM leadership, including the Utilization Management Medical Director , on requests where determination requires ... Utilization Management Admissions Liaison RN II Job Category:...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)
- …under the direction of the manager of in-patient care management and the Director of Utilization Management. **Required Qualifications** + 3 Years Experience in ... Degree Health care related field **Other Qualification Requirements** + Utilization , Case Management, or Quality Management certification preferred. **Essential… more
- Dignity Health (Bakersfield, CA)
- …the managed care populations. This leader will have direct oversight of the Medical Director of Utilization Management (UM) and the Medical Director of ... the contracted physician networks, impacting key performance indicators related to utilization and cost, quality, and both member and provider experience. This… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …promotional execution, and omnichannel engagement to drive awareness, adoption, and utilization among HCPs. The Director will work cross-functionally with ... **Position Summary** The Director , HCP Marketing Lead guides the healthcare provider (HCP) engagement strategy for Centanafadine, a novel launch product for ADHD.… more
- Sharp HealthCare (San Diego, CA)
- …or services, readmissions to acute or visit to the Emergency Department.Informs Director , QI/UM of any quality issues.Attends hospitalists rounds, as required, to ... for medical necessity are issued under the direction of the Medical Director or designee.Assists with transfers, when necessary. + Demonstrates knowledge of… more
- Providence (Mission Hills, CA)
- …and screens phones. Schedules and coordinates all meetings attended by Administrative Director of Managed Care, Contract Manager, Case Managers and UM supervisors. ... Provides vacation coverage for Executive Administrative Assistant duties as assigned. Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person… 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
- 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 (Willows, 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
- Genesis Healthcare (Hayward, 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