- LA Care Health Plan (Los Angeles, CA)
- …At least 8 years of clinical appeals and grievances experience in a managed care, utilization management and/or case management setting, At least 2 years in ... training, and feedback on performance to department management . Work closely with management to review performance and quality standards on an ongoing basis.… more
- Insight Global (Los Angeles, CA)
- …practice is preferred. Experience in chronic disease management , case management , utilization management and quality improvement projects. Bilingual ... Job Description Insight Global is seeking a skilled Registered Nurse Supervisor for a community health/wellness clinic in Southern Los Angeles. The position… more
- HCA Healthcare (Thousand Oaks, CA)
- …through chart review , direct observation, and other methods of quality management . **What qualifications you will need:** + Graduate from an accredited school of ... today!** **Job Summary and Qualifications** The Clinical Nursing Manager is a registered nurse who reports directly to the unit Director or Chief Nursing Officer.… more
- Sharp HealthCare (La Mesa, CA)
- …with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk ... 1 **Shift Start Time** **Shift End Time** California Registered Nurse (RN) - CA Board of Registered Nursing; AHA...related to front desk responsibilities including scheduling and telephone management . Acts as a positive role model and ensures… more
- Cedars-Sinai (Beverly Hills, CA)
- …or serves as a liaison, for administrative support activities including facilities management , pharmacy, utilization management , quality management , ... assessments, and a variety of medically related tasks. The Supervisor is a registered nurse who works in an administrative role in an ambulatory care setting and… more
- Stanford Health Care (Palo Alto, CA)
- …experience. + ICU/ED and Academic Medical Center experience preferred. + Case management , utilization review and/or direct provider interaction experience, ... Health Care **What you will do** + Responsibility for management and optimization of the positive relationships between CDI...+ CCDS-O or CDIP . + Nursing\RN - Registered Nurse - State Licensure And/Or Compact State Licensure preferred… more
- Sutter Health (San Mateo, CA)
- …assigned, to meet the needs of the patients and to contribute to Quality Management review and evaluation. + Must have the clinical knowledge and critical ... maintained at all times in alignment with mission, goals and objectives. Management and leadership skills needed include conflict management , negotiation, team… more
- City and County of San Francisco (San Francisco, CA)
- …staff, department heads, and NHA in matters related to nursing service 5. Review daily work assignments to ensure they meet regulatory compliance and provide ... rehabilitative and restorative activities, instruction in self-help aids, and utilization of available therapeutic services (PT, OT, ST), promotes individual… more
- The County of Los Angeles (Los Angeles, CA)
- …line operation responsible for the delivery of psychological rehabilitation, case management and/or Psychiatric Emergency Service of the Department of Mental Health ... at the direction of a rehabilitation therapist, social worker, or registered nurse . Incumbents are typically responsible for providing technical direction to less… more
- Oracle (Sacramento, CA)
- …(ECD) alignments, Critical Care workflow implementation, Multi-Disciplinary Rounding, and various nurse chart review and documentation optimizations. The ideal ... sessions, and offer ongoing consultation to support user proficiency and system utilization . Monitor project outcomes, track key metrics, and report progress to… more
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