- Dignity Health (Carmichael, CA)
- …will be on care coordination communication and collaboration with utilization management nursing physicians ancillary departments insurers and post acute ... health team members the patient and/or patient representative and post acute care providers in accordance with...guidelines to ensure progression of care + Understanding how utilization management and case management … more
- Sharp HealthCare (San Diego, CA)
- …competency and individual development planning process.Maintain current knowledge of case management , utilization management , and discharge planning, as ... policy.Identify opportunities for cost reduction and participate in appropriate utilization management venues.Escalate and refers cases for consultation… more
- Sutter Health (San Francisco, CA)
- …Manager is responsible for Care Coordination, Care Transitions, Discharge Planning and Utilization Management throughout the acute care patient experience. ... care to prevent unnecessary admissions or readmissions. Oversees the management of acute patient populations across the...of healthcare reimbursement systems: HMO, PPO, PPS,CMS preferred. + Post - acute levels of care such as Home… more
- Dignity Health (Bakersfield, CA)
- …expert clinical and education resource; staff and leadership development consultant; and Utilization Management content expert for staff, leaders, physicians and ... customers across the ePH Utilization Management . This position will assist with...services. Must have a working knowledge of hospital and/or post - acute care operations, medical/nursing staff procedures, hospital… more
- Sutter Health (Burlingame, CA)
- …leading innovative case management programs. + 8 years experience in utilization management and discharge planning. + 8 years leadership experience in ... Directors, Medical Staff leaders, physicians, contracted providers, community resources post - acute agencies, patients and their families. **Job... acute case management + 8 years experience… more
- ERP International (Camp Pendleton, CA)
- …is seeking a **Nurse Practitioner** for a full-time position supporting the **Pain Management Clinic** at **Camp Pendleton, CA.** **Be the Best!** Join our team of ... their Families and Retired Military Veterans! **ERP International has been named a Washington Post 2025 Top Workplace! We are thrilled to be included on the list for… more
- Humana (Sacramento, CA)
- …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post acute services such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Humana (Sacramento, CA)
- …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post - acute services (such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Sutter Health (San Francisco, CA)
- …Bernal **Position Overview:** Coordinates the utilization management , resource management , discharge planning, post - acute care referrals and care ... facilitation. Oversees the management of acute patient populations across the care continuum with a...Joint Commission (TJC). + A broad knowledge base of post - acute levels of care and associated regulatory… more
- Cedars-Sinai (Beverly Hills, CA)
- …reporting to the TPL carrier of all injured worker cases receiving case management services. + Ensures appropriate utilization of medical services within the ... of care. Use evidence based review guidelines to conduct utilization review as is appropriate to match the payor...Planning). + 1 year of previous experience in case management in the acute inpatient or outpatient… more