- HCA Healthcare (Thousand Oaks, CA)
- …each individual is recognized. Submit your application for the opportunity below:Wound Care RNLos Robles Regional Medical Center **Benefits** Los Robles Regional ... referral visits, etc. + Must be flexible to work inpatient wound care as well as outpatient...to the outpatient status, which includes working with case management , primary care physicians, staff nursing, etc.… more
- Providence (Orange, CA)
- …while providing leadership direction to SJH staff. **What You'll Do:** + **Nursing Care Innovator:** Facilitate the development and management of nursing care ... minimum of 5 years of progressive managerial experience in healthcare. Substantial inpatient leadership experience in major medical center. + **Licensure:**… more
- Veterans Affairs, Veterans Health Administration (San Diego, CA)
- …San Diego Healthcare System. The incumbent is responsible for generating pre-authorizations for medical care outside of the VA. The employee schedules medical ... and VA staff. Entering no-show information. Establishing and maintaining medical outpatient and inpatient charts as well...nursing staff) to accomplish team goal setting to ensure medical care to patients is met. Ability… more
- Humana (Sacramento, CA)
- …relationships, value-based care , quality metrics, population health, and disease or care management . The Behavioral Health Medical Director may develop ... Health Medical Director will attend and participate in meetings involving care management , provider relations, quality of care , audit, grievance… more
- Veterans Affairs, Veterans Health Administration (Palo Alto, CA)
- …efforts and obtaining appointments with outpatient mental health, primary care , medical specialties, and mental health case management staff. VA offers a ... service. Major duties include, but are not limited to: Performs basic medical /physical, psychological, and social patient care nursing assessments. Demonstrates… more
- Humana (Sacramento, CA)
- …size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member ... Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health… more
- Ventura County (Ventura, CA)
- …health care management experience in in a public sector health care setting. Or A medical degree and three (3) years of executive-level health ... Medical Center (VCMC), Santa Paula Hospital, an Ambulatory Care Department with 24 primary care clinics...related field and five (5) years of executive-level health care management experience in in a public… more
- HCA Healthcare (San Jose, CA)
- …breast surgeons, radiologists, nurse navigation, and a high-risk program. CARF-Accredited Inpatient Rehabilitation with special accreditation for stroke care , ... **Description** **Specialization:** Hematology and Medical Oncology **Job Summary:** **Job Description:** We are...the Bay Area, California. Our team has provided exceptional care to patients for nearly 50 years. Nestled in… more
- Humana (Sacramento, CA)
- …the first year of hire. + Experience in Acute inpatient hospital case management . + Experience with Medical /Behavioral Health Case Management Programs. + ... This will include coordination and collaboration with Military Treatment Facilities (MTF), other Care Management programs (such as Disease Management and… more
- Magellan Health Services (San Diego, CA)
- …all participants of the Interdisciplinary Care Plan team, Health Plan Medical Care Management where appropriate, to ensure appropriate interventions, ... effective person-centered care plan, member education and care management . Conducts initial and concurrent review...concurrent review for prior authorization of higher levels of care against medical necessity criteria. Responsible for… more