- LA Care Health Plan (Los Angeles, CA)
- …load timing, unclear terms, and pricing interpretation issues. Coordinates with Utilization Management on authorization-related adjudication issues and ... Senior Manager , Claims Administration Job Category: Management /Executive...legal reviews, or corrective action plans. Skills Required: Strong knowledge of Current Procedural Terminology (CPT), Healthcare Common Procedure… more
- University of Southern California (Alhambra, CA)
- …of specific patient populations. The role integrates the functions of complex case management , utilization management , quality management , discharge ... . Some of the major duties of a Case Manager include: Documenting patients' case management plans...years Clinical experience + Req 2 years Ambulatory case management or utilization review experience within the… more
- City National Bank (Beverly Hills, CA)
- …the Bank such as Investment Department, Trust Department, or to a Relationship Manager . Maintains complete knowledge of all banking products and services ... integrity of the assigned area of responsibility. * Uses knowledge of bank products and services to consistently evaluate...in customer call program either independently or with Relationship Manager . Prepares call reports for management . *… 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
- 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. + ... acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the… more
- CenterWell (San Diego, CA)
- …of our caring community and help us put health first** The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. ... review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts… more
- ZOLL Medical Corporation (Glendale, CA)
- …and sales support responsibilities. The ATM will work collaboratively with Territory Manager (s) to support sales activities and territory management tasks that ... and conferences, enabling prescribing entities to become self-sufficient through enrollment and utilization of ZOLL Patient Management (ZPM), with an added focus… 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
- Adaptec Solutions (Bakersfield, CA)
- Field Operations Regional Manager - Southwest Territory Bakersfield, CA 93308 Salary:125,000.00 - 140,000.00 USD / YEAR Position:Field Operations Regional Manager ... of your assigned territory. As a Regional Field Service Manager , you're not just running a team - you're...other Regional Managers to share resources and ensure optimal utilization across the network. Your focus areas include: +… more
- University of Pennsylvania (San Francisco, CA)
- …in event management software (eg, Cvent, Eventbrite, EMS, Salesforce) or knowledge of event space management software and systems for scheduling and ... and wellness programs and resources, and much more. Posted Job Title Event Operations Manager , Wharton San Francisco Job Profile Title Manager C, Arts and Media,… more
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