- Dignity Health (Rancho Cordova, CA)
- …for requested services using clinical judgment and established guidelines. Refer to Medical Directors for review depending on case findings. - Collaborate ... **Position Summary:** This position is responsible for monitoring Dignity Health Medical Foundation inpatient admissions and concurrent review for appropriate level… more
- Gilead Sciences, Inc. (Foster City, CA)
- …maintain communication channels, work practices, and processes. + Partner with Medical Affairs colleagues for technology requirements, system development, change ... case development, planning, implementation, operation, and management of medical affairs technology initiatives. + Proven experience articulating and advising on… more
- ICW Group (Pleasanton, CA)
- …support from dedicated in-house counsel for litigation strategy and nurse case managers for medical management. **ESSENTIAL DUTIES AND RESPONSIBILITIES** ... to accelerate closure of high-cost, long-duration claims. + Collaborates with legal, medical , and financial experts to evaluate exposure and resolution pathways. +… more
- Cadence Design Systems, Inc. (San Jose, CA)
- …roadmaps and product improvement based on analysis of results from customer case studies and direct feedback + Producing and presenting new technology collateral ... 401(k) plan with employer match, employee stock purchase plan, a variety of medical , dental and vision plan options, and more. We're doing work that matters.… more
- Sharp HealthCare (San Diego, CA)
- …tracking, trending and analyzing UM data. Works in collaboration with regional medical directors, ambulatory care managers and hospital case management ... Care Management program that includes initial and concurrent review; case management/discharge planning activities. Responsible for operational planning consistent… more
- Stanford Health Care (Palo Alto, CA)
- …and equipment, primarily of a disposable nature + Knowledge of Sterile Processing and case cart systems + Adheres to HIPAA and BAA requirements. + Facilitates ... and compliance. Areas of responsibility managing a portfolio of contracts covering medical supplies, non- medical supplies, and purchased services with a focus… more
- Ventura County (Ventura, CA)
- …telephone, mail, or home visits. + Process applications, forms and reports, enter case information and record contacts into automated systems , and maintain paper ... up to $25,558 annually to offset the purchase of medical , dental, and/or vision insurance for you and your...the ability to navigate with ease through complex computer systems . The ideal candidate will have experience working in… more
- The County of Los Angeles (Los Angeles, CA)
- …Angeles County Department of Health Services (DHS) is the second largest municipal health system in the nation. Through its integrated system of 23 health ... hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty...Services (EMS) Agency and the County's 911 emergency response system , as well as Housing for Health and the… more
- Cedars-Sinai (Los Angeles, CA)
- …research visits and procedures. + In collaboration with the physician and other medical personnel, documents thoroughly on Case Report Forms (CRFs) the ... study coordination, screening of potential patients for protocol eligibility, presenting non- medical trial concepts and details, and participating in the informed… more
- Humana (Sacramento, CA)
- …Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems , health ... **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The … more