- Dignity Health (Long Beach, CA)
- …emphasis will be on care coordination communication and collaboration with utilization management nursing physicians ancillary departments insurers and post ... + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … more
- Dignity Health (Glendale, CA)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … more
- Dignity Health (Long Beach, CA)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … more
- LA Care Health Plan (Los Angeles, CA)
- …staff to render decisions, assists the Manager and Director of the Utilization Management department in meeting regulatory time lines by maintaining an ... Authorization Technician II (12 Month Assignment) Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type:… more
- Genesis Healthcare (Elk Grove, CA)
- …of Rehab with conducting or coordinating the timely completion of the annual merit review for therapy staff. 6. Assists in management of therapy staff. 7. ... of the rehabilitation department, including oversight related to case management , quality improvement, care planning, clinical utilization ,...utilize the numerous resources available to me as a manager and an employee. take pride in my work… more
- Fujifilm (Sacramento, CA)
- …request volume, and the like. This role works collaboratively with their manager , Subject Matter Experts (SMEs), Marketing & Communications team members, business ... identifying activities, sponsorships, and equipment needed to ensure success. + Review and consideration of event participation levels and requirements, involving… more
- The County of Los Angeles (Los Angeles, CA)
- …determination, appeals investigation, quality auditing, fraud investigation, or GAIN case management . OPTION 2: Four years of experience in a responsible staff* ... will need a copy of your DD214 form to review , so please include that with your application or...making recommendations to line managers on matters such as: utilization of personnel, allocation of funds, workload and workload… more
- Elevance Health (CA)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... a State agency.*_ **Preferred Skills, Capabilities and Experiences:** + 1-2 years Utilization Management experience strongly preferred. + Strong oral, written,… more
- Mill Creek Residential (Oceanside, CA)
- …development and implementation of the site utilization plan + Assists Project Manager /Superintendent in the review and coordination of the Project Safety and ... At MCRT the Project Engineer will support the Project Management Team with the planning and daily execution in...use projects. The position will report to the Project Manager and Senior Project Manager . The position's… more
- Sharp HealthCare (San Diego, CA)
- …for admission to rehab, including patients not admitted, for reporting purposes, utilization review , marketing, and rehab administration and in compliance with ... PPS Certification required within 1 year of hire date. Management to track and maintain this certification - REQUIRED...data for monthly discharge reports, quarterly financial reports chart review and on ad hoc basis.Creates ad-hoc and scheduled… more