- Sharp HealthCare (San Diego, CA)
- …Do** This position is responsible for performing effective acute and ambulatory case management , utilization management and claims review activities, to ... Qualifications** + Bachelor's Degree in Nursing + 3 Years Utilization , quality, and/or case management experience in...of statistics and report conclusions to the Health Services Manager . ** Knowledge , Skills, and Abilities** + … more
- Gilead Sciences, Inc. (Santa Monica, CA)
- …Join Kite and help create more tomorrows. **Job Description** + The **Senior Manager , Planisware Clinical Trial Planning, Resource Management , and Reporting** is ... and demand reporting + Stakeholder communication + Risk assessment & mitigation + Utilization of project management core principles (PMP certification a plus) +… more
- Terumo Neuro (Aliso Viejo, CA)
- **12893BR** **Title:** Sr. Project Manager , Project Management Office (PMO) **Job Description:** Create, lead, and oversee the Project Management Office ... tasks. 6. Computer software and coding skills. **External-Facing Title:** Sr Project Manager , Project Management Office (PMO) **Posting Country:** US - United… more
- Dignity Health (Rancho Cordova, CA)
- …, and efficient pharmacy services across various ambulatory settings. The Manager oversees utilization management , streamlines pharmacy procurement ... including, but not limited to: drug procurement, preparation, prescription renewal, utilization management , patient assistance and associated pharmaceutical care… more
- Envista Holdings Corporation (San Diego, CA)
- …+ Ability to effectively manage assigned accounts in terms of driving utilization , customer relationship management , problem resolution, and business and ... + Ability to effectively manage assigned accounts in terms of driving utilization , customer relationship management , problem resolution, and business and… more
- Amergis (French Camp, CA)
- …experience + Current Discharge Planning experience + Denials & Appeals experience + Utilization Review experience + InterQual experience + Knowledge of Medicare ... Salary: $3242 / Week The RN Case Manager is responsible for coordinating continuum of care...of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical… more
- Stanford Health Care (Palo Alto, CA)
- …Risk Management . **Licenses and Certifications** + CPM - Certified Purchasing Manager (Certification By The Institute For Supply Management ) preferred or + ... LPCH, PCHA, UHA, SBC and new activations as appropriate). The Category Manager is responsible for driving category specific contract coverage and compliance. Areas… more
- Actalent (Loma Linda, CA)
- …+ Maintain a solid working knowledge of specialized case and utilization management methodologies and practices. + Ensure medical appropriateness criteria ... Job Title: RN Case ManagerJob Description The Case Manager serves as a key member of the...in Utilization Management or Case Management preferred. + Strong knowledge of case… more
- Magellan Health Services (San Diego, CA)
- …health care setting. Strong organization, time management and communication skills. Knowledge of utilization management procedures, mental health and ... other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided...an active work load in accordance with National Care Manager performance standards. + Works with community agencies as… more
- Sutter Health (San Francisco, CA)
- …delivery and case management within a managed care environment. + Comprehensive knowledge of Utilization Review, levels of care, and observation status. + ... is responsible for Care Coordination, Care Transitions, Discharge Planning and Utilization Management throughout the acute care patient experience. The RN… more
Recent Jobs
-
Experienced AME Pyro Seat Mechanic - F/A-18
- BOEING (San Antonio, TX)
-
Senior Controls Engineer (HVAC Building Automation)
- St. Jude Children's Research Hospital (Memphis, TN)
-
Road Service Technician
- Everglades Equipment Group (Fort Myers, FL)
-
SOPs and Training Senior Specialist
- Merck & Co. (Lower Gwynedd, PA)