- Sedgwick (Sacramento, CA)
- …cases where the nurse is seeking treatment plan clarification, claim denial, disability certification or duration management for return to work guidance. + ... efficient, cost effective, quality program delivery for medical and disability management . + Coordinating and evaluating the service delivery between the company,… more
- Humana (Sacramento, CA)
- …**Preferred Qualifications:** + Knowledge of the managed care industry, Integrated Delivery Systems , health insurance, or clinical group practice management + ... (disabled or >65 years of age) + Current and ongoing Board Certification in Internal Medicine, Family Medicine, Emergency Medicine or Physical Medicine and… more
- Medtronic (Los Angeles, CA)
- …with proven process improvement and cost savings success + Strong change management , coaching, and mentoring competency + Ability to influence change without direct ... with the ability to convey and communicate complex concepts clearly + Project management skills with good time management , client relationship management ,… more
- Veterans Affairs, Veterans Health Administration (Loma Linda, CA)
- …responsibility for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Follows ... the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care regulations, and… more
- UCLA Health (Los Angeles, CA)
- …that may hinder or prevent surgery/treatment plans. The RN will utilize problem solving, systems planning and patient care management skills in a high volume ... collaborate with the surgical team for pre-operative assessment, recommendations and management . Throughout the evaluative process, the RN will teach and instruct… more
- InGenesis (Fremont, CA)
- …managing customer relations. * Preference for candidates with Project Management Professional (PMP) Certification . Physical Requirements: * Demonstrate ... Duties: Talent Solutions Delivery: * Responsible for customer relationship management and contingent worker supplier relations, problem identification and… more
- Prime Healthcare (Chino, CA)
- …in education, health care administration, business administration or related field.2. Certification in Project Management Or appropriately applicable field.3. ... million patient visits annually. It is one of the nation's leading health systems with nearly 57,000 employees and physicians. Eighteen of the Prime Healthcare… more
- Robert Half Office Team (Montebello, CA)
- …in procurement and ERP systems , Microsoft Office Suite, and contract management tools. Certification in procurement or supply chain (eg, CPSM, CPPO, ... understanding of regulatory compliance, grant-funded procurement guidelines, and vendor management . Key Responsibilities: + Lead the development, implementation, and… more
- Dignity Health (Glendale, CA)
- …be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post acute service ... hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year...Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred + Knowledge of managed care and payer… more
- Stanford Health Care (Palo Alto, CA)
- …improvement initiatives within the Decedent Care Team, enhancing workflows and family support systems o Career Growth Paths: Employees in this role can grow into ... with physicians, nursing staff, Pathology Department, police, medical examiner, risk management , security, etc. to ensure timely and appropriate disposition in… more