- The Walt Disney Company (Sacramento, CA)
- …United States Public Health (USPH) policies while ensuring Crew are trained and policies managed + Function in the role of Youth Activities Counselor or related as ... Minimum **four years** recent experience in a high-volume child care operation in a recreational, camp or leisure setting...testing within the first week onboard and throughout their contracts . Failure to pass the drug/alcohol testing will result… more
- Novo Nordisk (Corona, CA)
- … in order to influence formulary status, as applicable + May analyze impact of managed care in the territory and its effect on prescribing decisions, and modify ... Novo Nordisk, we are the world leader in diabetes care and a major player in defeating other serious...partners. Internally, the DCS reports to the District Business Manager of the specific sales territory. The DCS also… more
- Sharp HealthCare (San Diego, CA)
- …clinical practice of medicine. + Previous experience as a physician executive in a managed care environment, preferably as an HMO Medical Director. + California ... a system that gives feedback to providers individually and collectively regarding managed care effectiveness of individual providers and networks. + Assists… more
- Sharp HealthCare (San Diego, CA)
- …in Healthcare Management, Business, or other degree acceptable with combination of education and managed care experience. + 3 Years experience in a managed ... apply knowledge as part of day-to-day job responsibilities. + Knowledge of managed care principles, reimbursement methodologies, and healthcare delivery systems.… more
- Cedars-Sinai (Beverly Hills, CA)
- …and social supports required. + 1 year of previous utilization management or managed care experience; word processing spreadsheet skills also preferred. **Req ... before processing authorizations. + Contacts facilities identified by the UM Nurses/ Manager /Director/Medical Director to research any issues (ie contract ,… more
- The County of Los Angeles (Los Angeles, CA)
- …of Requests for Proposals (RFPs), Memorandum of Understanding (MOUs) and vendor contracts ; selection process; contract negotiations; and oversees the monitoring ... for County staff, community providers, and the public. These strategies are managed by DYD's YDLC team, who is responsible for designing evidence-informed YDLC… more
- Sharp HealthCare (San Diego, CA)
- …a system that gives feedback to providers individually and collectively regarding managed care effectiveness of individual providers and networks. + Assists ... plans to address issues and improve plan and network managed care performance. + Collaborates with Chief...of all clinical appeals and grievances. Collaborates with Customer Care Manager to identify trends in grievances.… more
- Dignity Health (Bakersfield, CA)
- …care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, ... support of the optimization of Dignity Health MSO's performance relative to value-based contracts . The Director will lead a team to provide and strategize results… more
- Valor Health (Gardena, CA)
- …VA and works with these patients utilizing rules set forth by the VA for co- managed care . + Conducts individual, group, and family and marriage counseling and/or ... the time of each patient visit. + Assists in co- managed care collaboration with non-VA providers, and...with non-VA providers, and facilities. + Functions as case manager as needed. + Provides patient and family health… more
- Prime Healthcare (Chula Vista, CA)
- …Discharge Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non- managed care environments.2. ... the changing needs of our community. Our 291-bed, acute care hospital features the San Diego Spine & Joint...of the CSU under the direction of the CSU Manager to assist with development and implementations of discharge… more