- The County of Los Angeles (Los Angeles, CA)
- …and is responsible for adherence to approved budget. Assigns, direct and review the work of subordinate supervisors and/or other employees. Advises nursing managers ... + Additional experience in clinical nursing. + Supervisory** experience in Utilization Review and/or Case Management . SPECIAL REQUIREMENT INFORMATION: *In order to… more
- Terracon (San Diego, CA)
- …of plans and specifications, observation and inspection, and the writing, preparation, and review of related reports for the services provided. Review drawings ... and recommend changes. Research and resolve design and construction problems. Assign, review , and evaluate laboratory or field data for inclusion in reports. Apply… more
- Providence (Santa Rosa, CA)
- …Healthcare related field - Nursing Preferred. + Bachelor's degree for Case Management/ UM Review : Nursing or related field. + 2 years for Care Network: 2 years Case ... for Care Network: 1 year Leadership experience. + 3 years for Case Management/ UM Review : 3 years Case Management experience. + 2 years for Case Management/ UM … more
- Sharp HealthCare (San Diego, CA)
- …Paneling is required within 6 months of hire. CCS paneled staff will review and supervise services provided by non-paneled personnel as required by licensure and ... in departmental activities, such as CQI, staff meetings, and chart review .Participates in committees and system wide activities when requested as departmental… more
- The County of Los Angeles (Los Angeles, CA)
- …the treatment, provides the physical examination, the diagnosis, and the health care plan , determines when the patient has recovered, and releases the patient. The ... management as well as any subsequent modification. Incumbents may review use and effects of psychotropic drugs and other...childhood development. + Establishes and documents the health care plan and prognosis, maintaining records of each case that… more
- Spectrum Comm Inc (Edwards, CA)
- …video teleconferences, integrated test team meetings, threat working groups, test plan working groups, system design reviews, technical interchange meetings, core ... team meetings, and others as required. + Review of and contributing to OT&E-related documents: requirements capabilities documents and operational requirements… more
- General Dynamics Information Technology (Oxnard, CA)
- …test of complex EW systems.** **Participating in development and review of technical documentation (requirements, designs, test procedures, presentations, etc.).** ... and actively participate in EW briefings and training.** **Participating in review boards, status meetings, and coordinate with internal/external agencies and… more
- CVS Health (Sacramento, CA)
- …questions, concerns, and escalations to the contract managers or director as necessary. + Review and submit "fix" tickets to either the First Health load team or to ... + Work with internal teams and attend meetings to review status and questions regarding repricing projects or system...years of experience with business segment specific policy, benefits, plan design, and language. + Ability to work Central… more
- Sharp HealthCare (San Diego, CA)
- …Functions** + Referral CoordinationEnsures consistent application of the utilization review process for effective utilization of resources.Identify when services ... necessary and/or not covered benefit and refer to Utilization Review Committee. Ensures that all denials for medical necessity...making. + Act as a ResourceDemonstrates knowledge of Health Plan contracts and Health Plan benefits. Coordinates… more
- JPMorgan Chase (San Diego, CA)
- …as assigned. You will be responsible for executing on the strategic business plan to promote and market the firm's mortgage products to clients, team members, ... in bank business reviews. + You'll use your business acumen to strategically plan for the best financial results, meet Community Reinvestment Act (CRA) requirements… more