- Hospice Of San Joaquin (Stockton, CA)
- …about the Hospice philosophy and Hospice's services. QUALITY ASSESSMENT/IMPROVEMENT AND UTILIZATION REVIEW : Ensures compliance with the program plan, assuring ... team plan of care, under the supervision of the Director of Home Care Services and the direction of... of resources. + Participates in Quality Assessment/Improvement and Utilization Review activities as requested by administration.… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- …improve performance on core metrics, including: + Preventative and Chronic Disease Management . + Risk adjustment, cost, utilization , and value-based performance. ... of medical services, quality, population health, behavioral health, Enhanced Care Management (ECM), including Street Health, and risk management , including… 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 ... Authorization Technician II (12 Month Assignment) Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type:… more
- Actalent (Sacramento, CA)
- …experience (eg, med-surg, telemetry, ICU). + At least 1 year of experience in utilization review , case management , or hospital discharge planning preferred + ... Utilization Review Nurse (LVN) - InpatientPrimary...+ Escalate complex or ambiguous cases to the Medical Director or Physician Reviewer. + Ensure complete, accurate, and… more
- Fujifilm (Sacramento, CA)
- …improve how we report on various activities. The role reports to the Director , Marketing & Communication in the Endoscopy division. **Company Overview** At FUJIFILM ... identifying activities, sponsorships, and equipment needed to ensure success. + Review and consideration of event participation levels and requirements, involving… more
- AECOM (San Francisco, CA)
- …resiliency, equity, and innovation in our projects. **Job Summary/Responsibilities** Knowledge Management : The Regional Architecture Discipline Lead will act as a ... able to identify support personnel and facilitate the quality review process for any regional project. In the event...and implementation of solutions with the support of the Director of Project Delivery. + Ability to mentor junior… more
- Dignity Health (Bakersfield, CA)
- …necessary areas that collaborate with the contracting department (ie, Claims, Utilization Management /Authorizations, Benefits, and Finance) to provide contract ... **Position Summary:** The Manager, Network Strategy and Contracting reports to the Director of Provider Contracting. Key areas of oversight include negotiation of… more
- Sutter Health (San Francisco, CA)
- …Manager is responsible for Care Coordination, Care Transitions, Discharge Planning and Utilization Management throughout the acute care patient experience. The ... case management within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation status. + Some awareness… more
- Elevance Health (Costa Mesa, CA)
- …or case management experience and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any combination of education and ... law. **Hours:** 8-5pm PST and some Holidays. The **Med Management Nurse** will be responsible for review ...treatment is medically necessary and provides consultation to Medical Director on cases that are unclear or do not… more
- City of Long Beach (Long Beach, CA)
- …diverse portfolio that includes accounting, budgeting, financial planning and analysis, grants management , and risk management . With a focus on innovative ... City, ensure cost allocations are fair and reasonable. + Review fund transfers to the City for compliance with...with a particular sense of urgency to the Port management team REQUIREMENTS TO FILE EDUCATION, KNOWLEDGE & EXPERIENCE:… more