- Elevance Health (CA)
- …or equivalent. Requires a minimum of 6 years of clinical experience and/or utilization review experience. + Current active, valid and unrestricted LPN/LVN or ... improvement initiatives to improve the efficiency and effectiveness of the utilization reviews within the medical management processes. + Assesses and applies… more
- LA Care Health Plan (Los Angeles, CA)
- …information required by clinical staff to render decisions, assists the Manager and Director of the Utilization Management department in meeting regulatory time ... Authorization Technician II (12 Month Assignment) Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full… more
- AECOM (San Francisco, CA)
- …in order to be able to identify support personnel and facilitate the quality review process for any regional project. In the event quality issues are identified, ... and implementation of solutions with the support of the Director of Project Delivery. + Ability to mentor junior...major pursuits by actively participating in the development and review of Project Plans and incorporation of other project… more
- Stanford University (Stanford, CA)
- …areas of oversight include signage inventory management and renewal, parking utilization data collection and analysis, License Plate Recognition (LPR) enforcement ... functional areas, including parking enforcement, signage management, asset audits, website content review , parking data collection, and the review of citation… more
- Dignity Health (Bakersfield, CA)
- …**Position Summary:** The Manager, Network Strategy and Contracting reports to the Director of Provider Contracting. Key areas of oversight include negotiation of ... to senior leadership. - Analyzes network performance, including cost, quality, and utilization data to identify trends, opportunities, and areas for improvement. -… more
- Ventura County (Ventura, CA)
- …+ Develops and presents therapeutic class review for medical staff review to include utilization , financial analysis, contract compliance, safety and ... Ventura County Medical Center and Santa Paula Hospital. Reporting to the Director of Pharmacy, a full-time clinical coordinator will be responsible for developing,… more
- City and County of San Francisco (San Francisco, CA)
- …employees in performing professional activities in Equal Employment Opportunity, including the review and evaluation of the work of DHR EEO or department EEO ... one or more major program areas. + Conduct and supervise the review , investigation, and resolution of discrimination complaints using mediation and investigation… more
- CommonSpirit Health (Rancho Cordova, CA)
- …quality assurance reviews of work performed and communicating with department manager and director the outcomes of the review and any identified issues or ... + Participate in Patient Logistics growth and improvement + Support program director and manager in preparation of reports, program material, research, data… more
- The County of Los Angeles (Los Angeles, CA)
- …and establishes goals, objectives, and standards for the effective and efficient utilization of fiscal, material and personnel resources within the objectives and ... occupational therapy programs and services; Provides for the effective and efficient utilization of resources to deliver safe and effective patient care. + Consults… more
- City of Long Beach (Long Beach, CA)
- …Manage all MOUs with the City, ensure cost allocations are fair and reasonable. + Review fund transfers to the City for compliance with MOUs and budgeted amounts. + ... Review direct payment and expense reimbursement requests for compliance...and internal control principles and frameworks. + Knowledge and utilization of financial systems. + A minimum of one… more