- Stanford Health Care (Palo Alto, CA)
- …job.** **A Brief Overview** Provides the opportunity to develop and practice management and leadership skills. Includes direction and education for the clinical and ... + Partners with the Medical Director and unit nursing management team, participates in a wide variety of clinical,...and adherence to policy through practice analysis and case review of APPs with physicians. + Investigates and responds… more
- University of Southern California (Los Angeles, CA)
- …Degree Nursing + Req 5 years Clinical experience + Req 2 years Ambulatory case management or utilization review experience within the last three years + ... populations. The role integrates the functions of complex case management , utilization management , quality ...status and processing of requests received from ambulatory care management nurse . 8. Assesses ongoing discharge planning… more
- Stanford Health Care (Palo Alto, CA)
- …in clinical research, research, ICU, other intensive care setting, pediatrics, case management or nurse navigation preferred + Human subjects' protection and ... with minimal directions. + Understand and respond to multiple personalities and work/ management styles. + Resource management / utilization knowledge in… more
- Providence (Torrance, CA)
- …care environment. Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review , discharge planning, ... the California Surgeon General for 2024.The The Inpatient Registered Nurse (RN) Care Manager provides professional, comprehensive, patient centric...Inpatient setting. + 1 year - Experience in care management or utilization review in… more
- University of Southern California (Los Angeles, CA)
- …Regional Operations Director (ROD) is responsible for overseeing the overall management of multiple facilities in designated areas including financial management ... , risk management , quality assurance compliance, patient care management , and teammate management . The ROD provides leadership and direction to assure safe,… more
- Highmark Health (Sacramento, CA)
- …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... and the proper action to complete the retrospective claim review with the goal of proper and timely payment...data to assure appropriate level of payment and resource utilization . It is also used to identify issues which… more
- Sharp HealthCare (Chula Vista, CA)
- …with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk ... Sterile Product Certification) - Various-Employee provides certificate; California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric… more
- Sharp HealthCare (San Diego, CA)
- …with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk ... **Shift Start Time** **Shift End Time** California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing &...related to front desk responsibilities including scheduling and telephone management . Acts as a positive role model and ensures… more
- Cedars-Sinai (Los Angeles, CA)
- …and financial management skills, including effective expense reduction, utilization management , budget control and revenue generation. Compensation Range ... and promote patient safety, continuous performance and quality improvement, risk management , and efficient resource utilization , all linked to evidence-based… more
- KBR (San Diego, CA)
- …compliance in meeting care goals. * Knowledge and skill in using pre-established utilization review criteria recognize and report actual or potential quality and ... case manager by a recognized certifying organization, ie, Commission for Case Management Certification or American Nurse Credentialing Center. * Demonstrated… more