- University of Southern California (Alhambra, CA)
- …InterQual guidelines, and Medicaid/Medicare contracts and benefit systems. Required Licenses/Certifications: + Req Registered Nurse - RN (CA DCA) + Req Basic ... In collaboration with the interdisciplinary team, the Case Manager provides care coordination services evaluating options and services required to meet an… more
- Elevance Health (Sacramento, CA)
- **Behavioral Health Community Partnership Manager ** **(Behavioral Health Provider Quality Manager )** **Sign on Bonus: $2,500** **Candidates must posses a ... insightful analytics to improve the delivery of care. The **Provider Quality Manager ** is responsible for leading Behavioral Health (BH) provider engagement, with a… more
- ERP International (Camp Pendleton, CA)
- …strategies. * Collaborate with the Healthcare Effectiveness Data and Information Set ( HEDIS ) Clinical Quality Teams on a monthly basis to evaluate primary, ... tertiary prevention efforts relating to all NHCP/NMRTC Camp Pendleton-specific HEDIS metrics of success as informed by Command for...and Command no show rates. * The PHP Program Manager shall develop an overarching training program detailing PHP… more