- Elevance Health (Palo Alto, CA)
- …Director** **Carelon Medical Benefits Management** **Post Acute Care Benefit Utilization Management** **Schedule: 10:00-7:00 Central Time** **** **Virtual:** This ... case reviews for their board certified specialty. + Makes physician to physician calls to gather medical...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Alameda Health System (Alameda, CA)
- …Set assessments and care plans as required by OBRA and PPS. 3. Assists Case Manager with the transfer of patients to other health care providers or to home. Transfer ... the appropriate level of care placement in collaboration with the physician , patient, and family, if appropriate; discussing available insurance benefits with… more
- Grifols Shared Services North America, Inc (San Francisco, CA)
- …practice. + Utilization of corporate resources including the Key Account Manager , Managed Markets, Marketing, MSL, etc. + Key Opinion Leader mapping and ... etc.). Build relationships in institutions aligned with customer segmentation. + Develop physician influencer champions to submit and approve P&T requests to add… more
- Cedars-Sinai (Los Angeles, CA)
- …under the general direction of the HID CDI/Core Measures Supervisor or Manager , with responsibility for improving the overall quality and completeness of clinical ... Provides clarity of clinical information used for measuring and reporting physician and medical center outcomes which incorporates current DRG methodologies (eg… more
- ZOLL Medical Corporation (San Jose, CA)
- …customers, and where possible, identifying and expanding opportunities to increase utilization and revenue.Essential Functions + Work in collaboration with your ... Region Sales Manager , Cardio Key Account Manager and VA/Gov't...and meet with existing and potential clients (eg, physicians, physician office groups at hospitals) to identify their clinical… more
- Dignity Health (Bakersfield, CA)
- …not limited to analysis of population health metrics, network clinical, financial, utilization , and patient satisfaction in support of the optimization of Dignity ... Miner and Text Analytics, SAS/STAT, Enterprise Guide, Visual Analytics, Business Rues Manager , Model Manager , SQL and SAS coding. Previous experience with… more
- Bayer (Pasadena, CA)
- …primarily in the Community settings. The position reports to the CVR Area General Manager (AGM) and will be an integral part of the Area Customer Squad, ... to) primary care, pharmacy staff, within assigned customers; + Drive appropriate utilization of approved CV and menopause products; the incumbent will work closely… more
- Stanford Health Care (Palo Alto, CA)
- …team. + Develops and maintains professional relationships with insurance carrier's utilization 's review managers in order to complete authorizations in a timely ... manner. + Tracks and maintains records of interaction with all physician consultants utilized by the transplant departments as necessary. Adheres to transplant… more
- CVS Health (San Diego, CA)
- …programs. Responsibilities 1. Clinically interprets and evaluates all physician medication orders for therapeutic appropriateness, cost effectiveness, accuracy, ... support personnel in the appropriate product procurement, preferred product utilization , and inventory management. Complies with cleanroom policies in accordance… more
- Providence (Eureka, CA)
- **Description** Under minimal supervision, assists physician and other professionals in referral requests and patient placement, responds to all patient inquiries, ... PCC materials. Correlates work assignments and daily activities with Supervisor and Manager . Providence caregivers are not simply valued - they're invaluable. Join… more