- LA Care Health Plan (Los Angeles, CA)
- …by health risk assessment (HRA), risk stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health ... needs and requiring the highest clinical skills and judgement. Management of the caseload assigned by Manager ...judgement. Management of the caseload assigned by Manager includes: coordinating health care benefits, providing education and… more
- Ryder System (Santa Fe Springs, CA)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** START ... CA** **Schedule: Monday - Friday** **Salary- Paid Weekly** **Summary** The **Operations Management Trainee** will support the shop management process and assist… 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
- Actalent (Santa Barbara, CA)
- …unit, such as Mental/Behavioral Health services. Skills: Care plans, Case Manager , Pediatrics, Utilization Management , Clinical Reviews Experience ... Remote Utilization Management RN Leading healthcare facility... activities, which may include telephonic or onsite clinical review ; case or disease management , care coordination… 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
- 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
- Dairy Farmers of America (Riverside, CA)
- …while maintaining safety, quality and sanitation standards; obtain optimum production and utilization of workforce, machines, and equipment + Review and analyze ... is produced efficiently and within cost parameters. Provide work direction to management and employees within the guidelines of standard work rules, union contract… more
- Cedars-Sinai (Beverly Hills, CA)
- …for medical necessity, appropriateness of care and level of care. Use evidence based review guidelines to conduct utilization review as is appropriate to ... More About What You Will be Doing** The Case Manager is responsible for the case management ...Skilled Nursing Facilities, refers to nurse practitioner and case manager assigned to the SNF's for continued review… more
- Illumination Foundation (Stanton, CA)
- …Role The Program Coordinator is an administrator role dedicated to upkeep, management , and oversight of front-end and back-end programmatic processes. These include ... will also be centrally involved in communicating information to management and lead housing entities and will be relied...Health Network Portals and internal HER/AICA. + Upon referral review , note all questions that may need to be… 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