- Elevance Health (Los Angeles, CA)
- …** Manager II Behavioral Health Services** will be responsible for Behavioral Health Utilization Management (BH UM), or Behavioral Health Case Management ... ** Manager II Behavioral Health Services** **Location:** This position...and/or outpatient psychiatric and chemical dependency treatment and prior utilization management experience, which includes a minimum… more
- Sutter Health (Los Altos, CA)
- …delivery and case management within a managed care environment. + Comprehensive knowledge of Utilization Review, levels of care, and observation status. + ... Foundation PAD **Position Overview:** Conducts preauthorization, concurrent, and retrospective utilization management review using the department's accepted… 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
- Sevita (Riverside, CA)
- …Join us today, and experience a career well lived. SUMMARY The Day Program Manager is responsible to manage the services delivered to a designated program or set ... care, advocacy, stakeholder relations, regulatory compliance, staffing, training, financial management and maintenance of the physical environment. ESSENTIAL JOB… more
- ADP (CA)
- …goals and objectives. + Product knowledge includes ADP global products. Product Knowledge and Utilization + Maintain a working knowledge and ... in the West Region only (CA/CO/OR/NM/AZ/CO)** **ADP is hiring a Executive Relationship Manager .** In this position you will be responsible for the effective … more
- Sharp HealthCare (La Mesa, CA)
- …and individual development planning process.Maintain current knowledge of case management , utilization management , and discharge planning, as specified ... as Allscripts.Identify opportunities for cost reduction and participate in appropriate utilization management venues.Escalate and refers cases for consultation… more
- Sutter Health (Oakland, CA)
- …delivery and case management within a managed care environment. Comprehensive knowledge of Utilization Review, levels of care, and observation status. ... ABSMC-Summit Campus **Position Overview:** Conducts preauthorization, concurrent, and retrospective utilization management review using the department's accepted… more
- Alameda Health System (San Leandro, CA)
- …Case Manager RN is responsible for providing comprehensive case management services to clients identified with complex health conditions and social challenges ... SLH Case Manager RN, Part Time, Benefited, Days, 8hours, 0.50fteFeatured...Management issues; other issues including concerns involving under/over utilization , avoidable days and quality issues. Coordinate daily with… more
- Sutter Health (Burlingame, CA)
- …delivery and case management within a managed care environment. Comprehensive knowledge of Utilization Review, levels of care, and observation status. ... acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the… more
- Sutter Health (Modesto, CA)
- …delivery and case management within a managed care environment. + Comprehensive knowledge of Utilization Review, levels of care, and observation status. + ... acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the… more