- 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 ... daily. This position will mentor, coach, and may provide feedback to management on performance of staff. Ensure team effectiveness and project completion. Duties… more
- The County of Los Angeles (Los Angeles, CA)
- …sensitive or complex issues involving contract agencies and makes recommendations to management . Supervises and advises staff in the analysis and preparation of ... college* or university in Social Work, Counseling, Health Care Administration/ Management , Public Administration, Behavioral Sciences, Social Sciences, Business Administration,… more
- NBC Universal (Universal City, CA)
- …guide, and assist a direct team that is responsible for fleet management , mechanical work, Class A/B/C drivers, operations support, and billing administration + ... maintain relationships across the production spectrum including direct crew, finance, management , and other internal business units + Maintain production fleet,… more
- TEKsystems (Santa Barbara, CA)
- …low-income and elderly populations. * Bilingual in Spanish (preferred, but not required for Utilization Management roles). Job Type & Location This is a Contract ... Description A Clinical Support Associate - Enhanced Care Management (CSA-ECM) is part of the Enhanced Care...or issues with members or providers to the immediate supervisor in a timely manner. * Maintain confidentiality and… more
- Sysco (Walnut, CA)
- …product replenishment, order selection, order loading, expense and revenue management ; ensuring abidance of government regulations; providing management ... days and shifts as needed. + Supervises the proper selection, purchase, and utilization of Company assets in support of warehouse operations. + Coordinates with… more
- The County of Los Angeles (Los Angeles, CA)
- …scope of practice. + Participates in the development, negotiation, implementation, and management of the budget for the program support service operations, clinic, ... goals. + Develops and implements reporting procedures to ensure that program services utilization and revenue data are reported accurately and in a timely manner. +… more
- Veterans Affairs, Veterans Health Administration (San Francisco, CA)
- …Nurse (LPN), and Clinical Support Staff-the RN is responsible for the case management , health promotion, disease prevention, and chronic disease management of ... and implementing individualized care plans. The nurse supports patient self- management through education and coaching, ensures timely follow-up, and monitors… more
- Sharp HealthCare (San Diego, CA)
- …HealthCare system in multi-service referral, program development, and quality care management . The CCM will develop strong relationships with physicians, their ... area of specialty. + Previous clinical experience with cancer care, case management or patient teaching. + Experience facilitating the design, implementation and… more
- Sharp HealthCare (San Diego, CA)
- …in service delivery to patients, physicians, and team members, and optimal utilization of the facility. The director will nurture physician relationships, establish ... + 5 Years Clinical experience in surgical/perioperative services. + 5 Years Management experience. + California Registered Nurse (RN) - CA Board of Registered… more
- Fresenius Medical Center (Oakland, CA)
- …acting on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other FVC administrative and ... questions. + Identifies and communicates patient related issues to facility management , as needed. + Completes documentation of patient information from admission… more
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