- Sutter Health (Burlingame, CA)
- …the acute care patient experience. This position works in collaboration with the Physician , Utilization Manager , Medical Social Worker and bedside RN ... the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self -determination while coordinating… more
- Sutter Health (Modesto, CA)
- …the acute care patient experience. This position works in collaboration with the Physician , Utilization Manager , Medical Social Worker and bedside RN ... the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self -determination while coordinating… more
- Sutter Health (Modesto, CA)
- …the acute care patient experience. This position works in collaboration with the Physician , Utilization Manager , Medical Social Worker and bedside RN ... the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self -determination while coordinating… more
- Alameda Health System (Oakland, CA)
- …requirements. 16. Participate in orientation of fresh staff as requested by the Manager of Utilization Management. 17. Maintains knowledge of current trends and ... System Utilization Management SUM Utilization Review RN...observation, outpatient). 3. Expeditiously refer cases to the internal/external Physician Advisor for review of requests that may not… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... the safety net required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN II is primarily responsible for… more
- STG International (Corona, CA)
- STGi is currently seeking a Primary Care Physician to provide services at our Community Based Outpatient Clinic. JOB SUMMARY: The general duty of the Primary Care ... Physician is to provide covered professional outpatient primary medical...and procedures and suggest improvements. *Assist the STGi Program Manager in implementation of Quality Performance Improvement Team (QPIT)… more
- Sharp HealthCare (San Diego, CA)
- …**Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered ... Nurse (RN) - CA Board of Registered Nursing; Accredited Case Manager (ACM) - American Case Management Association (ACMA); Master's Degree; Bachelor's Degree in… more
- Magellan Health Services (San Diego, CA)
- …collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or ... outpatient care settings. Collects and analyzes utilization data. Assists with discharge planning and care coordination. Provides member assistance with mental… more
- Dignity Health (Rancho Cordova, CA)
- …, and efficient pharmacy services across various ambulatory settings. The Manager oversees utilization management, streamlines pharmacy procurement for clinics, ... and drives a highly impactful prescription renewal service that significantly reduces physician burden. **Position Summary:** The Manager is responsible for the… more
- Dignity Health (Bakersfield, CA)
- …will be expected to work PST business hours.** **Position Summary:** The Manager , Network Strategy and Contracting reports to the Director of Provider Contracting. ... Key areas of oversight include negotiation of physician and ancillary provider agreements, oversee the implementation of all contracts including health plan… more
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