- Hargrove Engineers & Constructors (Concord, CA)
- …level requires extensive progressive experience in civil/structural engineering and involves utilization of project controls for cost control, scheduling and quality ... **Primary responsibilities will include but not be limited to:** + Review and approval of all civil/structural deliverables. + Validation of professional… more
- UCLA Health (Santa Monica, CA)
- …related to Personnel and Collective Bargaining Units. + Ability to develop, review and adapt test procedures, methods and performance criteria for maintenance and ... Windows environment) and printer. + Working knowledge and demonstrated skills in utilization of Microsoft Office software with emphasis on Word and Excel… more
- Dignity Health (Rancho Cordova, CA)
- …years Utilization experience required in health plan/UM operations, Acute or subacute utilization review . - Graduate of an accredited school of nursing. - BS ... home.** **Position Summary:** Under the guidance and supervision of the department Manager /Director the Supervisor of Utilization Management is responsible and… more
- Hospice Of San Joaquin (Stockton, CA)
- …about the Hospice philosophy and Hospice's services. QUALITY ASSESSMENT/IMPROVEMENT AND UTILIZATION REVIEW : Ensures compliance with the program plan, assuring ... Care Services and the direction of the RN Case Manager , according to the policies and procedures of Hospice... of resources. + Participates in Quality Assessment/Improvement and Utilization Review activities as requested by administration.… more
- LA Care Health Plan (Los Angeles, CA)
- …current and unrestrited California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager ... Requirements Light Additional Information Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM),… more
- Evolent (Sacramento, CA)
- …the support services review process. Responsible for the quality of utilization review determinations, including appeals. + Provides input into audit ... member of the Medical leadership team, providing timely medical review of service requests. Oversees the Surgery Field Medical...and findings with matrixed Physician Business Manager . + Provides medical direction to… more
- Highmark Health (Sacramento, CA)
- …drug utilization reports, and write drug monographs for Committee review to develop the Organization's Drug formulary and/OR provide recommendations for NDC ... and stakeholders across the organization. Key responsibilities will include clinical review , assisting in navigating a complex regulatory environment, working with… more
- Sharp HealthCare (San Diego, CA)
- …in-patient Care Management program that includes initial and concurrent review ; case management/discharge planning activities. Responsible for operational planning ... and implements new programs under the direction of the manager of in-patient care management and the Director of... of in-patient care management and the Director of Utilization Management. **Required Qualifications** + 3 Years Experience in… 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 ... at least 100 people with minimal oversight from a manager . + Collaborate with engagement teams to understand their...trusted business advisor for service leads. + Generate scheduling, utilization and forecasting reports and provide analysis of the… 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