- Cardinal Health (San Francisco, CA)
- …Logistics program for a health system - focusing on supplier compliance, program utilization , training and educating shippers in an effort to maximize savings and ... other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- UCLA Health (Los Angeles, CA)
- …well as oversight of clinical programming, adherence to department budget, ongoing review of purchasing and utilization of personnel resources, compliance with ... policies, standard operating procedures, and maintenance of staff morale and a healthy department culture, and other roles and functions at the discretion of the Associate Chief. You will cultivate a collegial, professional, cooperative relationship with… more
- University of Southern California (Glendale, CA)
- …PRO regulations, JCAHO standards and contractual agreements with insurers or outside review agencies. Minimum Education: Current RN license in the State of ... California, BSN preferred Minimum Experience/Knowledge: Recent experience in Utilization /Quality/Case Management in acute setting preferred Required License/Certification: Current… more
- Sutter Health (San Francisco, CA)
- …transition, including potential impact on data quality for prospective payments, utilization , and reimbursement. Knowledge of ICD-10 desirable. + Strong Organization ... process improvement. + Reviews HAC/PSI database content weekly to support CDS account review + Works in tandem to provide clear communication and expectations. +… more
- Saildrone (Alameda, CA)
- …to meet specific project needs, optimizing build performance and resource utilization . * Troubleshoot and resolve build issues, including dependency management, ... software development best practices, version control systems (eg, Git), and code review processes. * Strong problem-solving skills and the ability to analyze and… more
- WM (Redding, CA)
- …vehicles are available to meet operational requirements. + Manages effective utilization of vehicle assets. + Conducts fleet evaluations to ensure maintenance ... and regulations to encourage safe and efficient operations. + Meets all financial review dates and corporate directed programs in a timely fashion. + Assists in… more
- Sharp HealthCare (La Mesa, CA)
- …position requires the ability to combine clinical/quality considerations with regulatory/financial/ utilization review demands to assure patients are receiving ... 0 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager ...provides information to the department head as indicated. + Utilization review and utilization managementThe… more
- Ventura County (Ventura, CA)
- …general direction, the Senior Medical Management Nurse is responsible for performing utilization review , case management, and quality improvement functions to ... but are not limited to the following: + Performs utilization review with pre-certification, concurrent, retrospective, out...Health Care Plan. + Experience working as a case manager in a health plan case managing complex cases.… more
- John Muir Health (Walnut Creek, CA)
- …of the 340B program. Reports any deficiencies identified during auditing and review for appropriate resolution. + Ensures that the 340B pharmacy program is ... adequate systems checks are reviewed to prevent future billing issues. + Monitors utilization records and 340B purchasing accounts to ensure that software or tools… more
- The County of Los Angeles (Los Angeles, CA)
- …under the immediate supervision of a Data Scientist Supervisor, or supervisor or manager responsible for the data analytics, research, or statistical function of a ... and prevention services including but not limited to forecasting utilization and cost, cost/finance analyses, cost-effectiveness analyses, and predictive/prescriptive… more