- Elevance Health (CA)
- …a State agency.*_ **Preferred Skills, Capabilities and Experiences:** + 1-2 years Utilization Management experience strongly preferred. + Strong oral, written, ... not required for posting. + Works independently with oversight from immediate manager . + May be responsible for an entire clinical program and/or independently… more
- CommonSpirit Health (Rancho Cordova, CA)
- …responsibilities leading up to or including supervisory role + Experience in Utilization Management , Case Management or Care Coordination, Managed ... completing quality assurance reviews of work performed and communicating with department manager and director the outcomes of the review and any identified issues… more
- Elevance Health (Sacramento, CA)
- …The **LTSS Service Coordinator - RN Clinician** is responsible for overall management of member's case within the scope of licensure; provides supervision and ... telephonic clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health,… more
- Huntington Ingalls Industries (Port Hueneme, CA)
- …abilities, strategic thinking, and a deep understanding of defense industry contract management practices. As the Program Manager , you will be responsible ... Range: $144,384.00 - $200,000.00 Security Clearance: Secret Level of Experience: Management This opportunity resides with Global Security (GS). Mission Technologies'… more
- Ventura County (Ventura, CA)
- …nutrition, dietetics, food management , culinary arts, or hotel and restaurant management and is a certified dietary manager credentialed by the Certifying ... and sets priorities for the department to ensure maximum utilization of personnel to provide adequate coverage in processing... management , culinary arts, or hotel and restaurant management and is a certified dietary manager … more
- Sharp HealthCare (San Diego, CA)
- …resolving issues related to front desk responsibilities including scheduling and telephone management . Acts as a positive role model and ensures appropriate service ... in clinical projects as directed by the physician or manager .Department specific requirements: + Department efficiency and effectivenessOrganizes and completes… more
- Timber Products Company (Yreka, CA)
- …established by the Regional Maintenance Manager , follows the Company's CMMS management and utilization guidelines. Works closely with Yreka's maintenance and ... POSITION SUMMARY: Plans, schedules, audits and coordinates plant wide implementation and utilization of MPulse- CMMS. Collaborates with plant wide team to ensure… more
- Elevance Health (Walnut Creek, CA)
- …preferred. + Extensive spine surgery experience preferred. + Experience with utilization management , especially with CMS guidelines preferred. + **Orthopedic ... Associate Medical Director** **Orthopedic Spine Surgery** **Carelon Medical Benefit Management ** **Schedule: 10:30 AM-7 PM Central** **Virtual:** This role enables… more
- CenterWell (Sacramento, CA)
- …a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent ... high-volume community or mail order pharmacy practice environment + Previous experience in utilization management + Education: BSN or Bachelor's degree in a… more
- Highmark Health (Sacramento, CA)
- …terms through regular on-site audits. Apply an active role in network management , training, monitoring and enforcement of company policies and procedures while ... confidentiality agreements. Monitor financial performance of contracts by tracking utilization and competitive environment, including group specific performance guarantees.… more