- Cedars-Sinai (Beverly Hills, CA)
- …Providers, CSMNS members, Medical Group and IPA's to ensure the delivery of high quality , cost effective healthcare and aligned with all state and federal ... Award 19 years in a row for providing the highest- quality medical care in Los Angeles. We were also...More About What You Will be Doing** The Case Management Coordinator provides support to the utilization review process.… more
- Humana (Sacramento, CA)
- …pioneer simplicity. At Humana, you will have a unique opportunity to elevate an Access Management team for a Fortune 40 company. You will have the chance to design a ... + Serve as a trusted advisor and representative of Humana Military Access Management for all projects and initiatives. + Provide leadership to the Humana Military… more
- Humana (Sacramento, CA)
- …concrete roadmaps that will generate tangible value to all stakeholders. Within Utilization Management , our goal is to enable members to receive the most appropriate ... processes for our provider partners and reducing unnecessary costs from the healthcare system. Our team employs a rigorous process to set specific business… more
- ERP International (Camp Pendleton, CA)
- …is seeking a **Nurse Practitioner** for a full-time position supporting the **Pain Management Clinic** at **Camp Pendleton, CA.** **Be the Best!** Join our team of ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- Alameda Health System (Oakland, CA)
- Nurse, Care Management + Oakland, CA + Highland General Hospital + HGH Care Coordination + Full Time - Day + Care Management + $77.67 to $113.98 per hour + Req ... alternative levels of care, and identifies cost-effective protocols. Care Management provides Care Coordination, Compliance, Transition Coordination, and Utilization… more
- Humana (Sacramento, CA)
- …our caring community and help us put health first The Encounter Data Management Professional will conduct research and analysis to execute accurate, timely, and ... completeness of DSNP encounter submissions. Encounter Data Management Professional will have comprehensive knowledge of processes, policies and procedures as well as… more
- Nestle (Oakland, CA)
- …channeling our growth-minded spirit to set new standards in global coffee culture. Quality , sustainability, diversity, and inclusion are core to who we are and ... milestone deliverables that support business objectives in collaboration with senior management and stakeholders. * Build the investment project charter that… more
- Dignity Health (Northridge, CA)
- …degree required + Minimum of five (5) years of experience in Materials Management or Accounts Payable within a healthcare organization required. + Three ... **Responsibilities** **Position Summary:** As the Manager Materials Management for Northridge Hospital Medical Center, you will be accountable for the management … more
- Parexel (San Francisco, CA)
- **Job Title:** Data Management Lead (Medical Affairs) **Location:** Fully Remote (US based) Must be able to accommodate West Coast hours. **About Us:** At Parexel, ... solutions. We are seeking a dynamic and experienced Data Management Lead to join our team. If you have...understanding of molecule and disease area strategies and the healthcare environment. + Ownership and accountability relative to key… more
- Alameda Health System (Oakland, CA)
- …to ad hoc duties as needed. In essence, they orchestrate efficient utilization management to deliver high- quality patient care. **DUTIES & ESSENTIAL JOB ... Director, Utilization Management + Oakland, CA + Highland General Hospital...performance evaluations. + Monitor and evaluate the utilization of healthcare services, including appropriateness, efficiency, and medical necessity of… more