- Sutter Health (Goleta, CA)
- …- Santa Barbara **Position Overview:** Conducts preauthorization, concurrent, and retrospective utilization management review using the department's accepted ... and at the appropriate level of care. Coordinates the utilization management , resource management , discharge...within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation… more
- CenterWell (San Diego, CA)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... community and help us put health first** The Clinical Manager coordinates and oversees all direct care patient services...requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking… more
- The County of Los Angeles (Los Angeles, CA)
- EQUITY IN COUNTY CONTRACTS PROGRAM MANAGER (ADMINISTRATIVE MANAGER 10, ISD) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4613521) Apply ... EQUITY IN COUNTY CONTRACTS PROGRAM MANAGER (ADMINISTRATIVE MANAGER 10, ISD) Salary $119,695.68 - $161,306.16 Annually Location Los Angeles County, CA Job Type… more
- CVS Health (Sacramento, CA)
- …level. The Associate Manager is also responsible for oversight of utilization management nurses including the organization and development of high performing ... some rotational on-call holiday coverage as needed. The Associate Manager is accountable to support the day to day...compliance and privacy practices. + Oversees the implementation of utilization management services for assigned area +… more
- Planate Management Group LLC (Los Angeles, CA)
- Planate Management Group (PMG) is a Service-Disabled Veteran-Owned Small Business (SDVOSB) headquartered in Alexandria, Virginia, and Orlando, Florida USA with ... South East Asia and East Africa, that provide program management and facilities engineering services worldwide. Planate is a...US federal agencies, all over the world. The Space Manager oversees facility space planning and optimization to support… more
- Sutter Health (Roseville, CA)
- …SMCS-Valley Administration **Position Overview:** Conducts preauthorization, concurrent, and retrospective utilization management review using the ... and at the appropriate level of care. Coordinates the utilization management , resource management , discharge...within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation… more
- Sutter Health (Burlingame, CA)
- …acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... case management within a managed care environment. Comprehensive knowledge of Utilization Review , levels of care, and observation status. Awareness of… more
- Sutter Health (Modesto, CA)
- …acute care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the ... case management within a managed care environment. Comprehensive knowledge of Utilization Review , levels of care, and observation status. Awareness of… more
- Sutter Health (San Francisco, CA)
- …Pacific Med Center - Mission Bernal **Position Overview:** Coordinates the utilization management , resource management , discharge planning, post-acute ... care referrals and care facilitation. Oversees the management of acute patient populations across the care continuum...within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation… more
- Sharp HealthCare (San Diego, CA)
- …and responds to accrediting and regulatory agency feedback. + Supports pre-admission review , utilization management , and concurrent and retrospective rev1ew ... Program and Quality Improvement Program, in conjunction with the Manager Medical Management and Quality Improvement ...process. + Participates in risk management , pharmacy utilization management , catastrophic case review ,… more