- Highmark Health (Sacramento, CA)
- …Organization's Formularies, utilization management programs, and disease management initiatives. + Provide clinical review and decisions including but ... utilization reports, and write drug monographs for Committee review to develop the Organization's Drug formulary and/OR provide.... + Assist in the development and implementation of utilization management programs including but not limited… more
- Sharp HealthCare (San Diego, CA)
- …new programs under the direction of the manager of in-patient care management and the Director of Utilization Management . **Required Qualifications** + ... Facility/Regional - SCMG Operations meetings and task forces.Facilitate regional Utilization Management committees and other working regional… more
- Rising Medical Solutions (Los Angeles, CA)
- …medical case management , occupational health, orthopedics, home health care, utilization review , or quality assurance + Familiarity with regional physicians ... and ensuring compliance with best practices in workers compensation management . We are searching for a case manager... management . We are searching for a case manager with a proven background in workers compensation-someone who… more
- Sharecare (Sacramento, CA)
- …change techniques, the nurse helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is ... disease management program intervention guidelines. A Disease Management Nurse is supervised by an Operations Manager...and to take the pre and post tests to review competency during orientation. Yearly competency tests are required… more
- The County of Los Angeles (Los Angeles, CA)
- …predictive and prescriptive analytics, to support data-driven program design and management ; and produces dashboards, reports, and other advanced data visualization ... under the immediate supervision of a Data Scientist Supervisor, or supervisor or manager responsible for the data analytics, research, or statistical function of a… more
- Stantec (Pasadena, CA)
- …for attracting, growing and retaining top talent. while ensuring efficient resource management that is responsive to available workloads. The BCOL will prepare and ... and Drive Business Performance: + Accountable for continuous improvement and effective management of operational areas within the BC. + Reviews BC monthly financial… more
- Cherry Bekaert (Sacramento, CA)
- …Resource Coordinator will effectively fill resource engagement requests overseeing the utilization of resources, ensuring alignment of resources with the strategic ... that develop within the area. You will continuously communicate with management regarding future needs versus availability, potential staffing issues, and other… more
- Dignity Health (Redwood City, CA)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... to their practice. 13. Performs other duties as assigned, including utilization review as necessary. **Qualifications** **Minimum Qualifications** **Required… more
- Sutter Health (Oakland, CA)
- …Health! **Organization:** ABSMC-Ashby Campus **Position Overview:** At the direction of the Manager , Distribution & O/R Materials Manager and the guidance of ... and controls all operating room inventories utilizing the Lawson Material Management Information Systems. + Initiates and completes ordering of OR Supplies.… more
- Elevance Health (Walnut Creek, CA)
- …in an ambulatory or hospital setting or minimum of 1 year of prior utilization management , medical management and/or quality management , and/or ... required. **Preferred Skills, Capabilities, and Experiences :** + Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding, and managed… more