- Sutter Health (Oakland, 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
- LA Care Health Plan (Los Angeles, CA)
- …preferred. Functional knowledge of HEDIS, HIE, Health Analytics required. Functional knowledge of Utilization Management , Care Management , Clinical ... Technical Applications Manager II Job Category: Information Technology Department: IT...(eg Clinical Care Advance, ZeOmega, Altruista, Thrasys) required. Functional knowledge of Utilization Management , Care… more
- AbbVie (Sacramento, CA)
- …Practice Development team in all aspects of account development and account management with increased utilization and practice integration being primary ... Aesthetics | An AbbVie Company Job Description The Regional Practice Manager has general responsibilities for overseeing the Practice Development Managers in… 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 (Roseville, CA)
- …delivery and case management within a managed care environment. + Comprehensive knowledge of Utilization Review, levels of care, and observation status. + ... SMCS-Valley Administration **Position Overview:** Conducts preauthorization, concurrent, and retrospective utilization management review using the department's accepted… more
- Molina Healthcare (Los Angeles, CA)
- …services professionals in some or all of the following functions: care management , utilization management , behavioral health, care transitions, long-term ... monitoring statistics including plan utilization , staff productivity, cost-effective utilization of services, management of targeted member population, and… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- …**Job Description** _Responsibilities include but are not limited to:_ **Resource Management & Reporting:** + Support Director of Business Strategy & Operations, ... in pharmaceutical drug development OR **Preferred Qualifications:** + Deep knowledge of the end-to-end pharmaceutical R&D process, including preclinical through… more
- Amentum (San Diego, CA)
- …that arise and solve problems independently; shift priorities as needed or requested by management and remain flexible. As the Program Manager , you will be ... looking for you! We are seeking a Facilities Program Manager for our client site in La Jolla, CA....and remain flexible + Other duties as assigned by management **Communication** + Knowledge of Microsoft Windows,… more
- Sutter Health (Roseville, 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 (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