- ICW Group (Woodland Hills, CA)
- …with ongoing monitoring to ensure quality and appropriate service delivery of the case management process. + Performs initial and ongoing clinical assessment via ... ensures support systems are in place. + Creates a case management plan based on the assessment...+ Interfaces with external agencies in relation to the utilization review process including, Third-Party Payers, Insurance Companies and… more
- Actalent (Sacramento, CA)
- …shift Job Summary: Under the direction and oversight of the Manager, Inpatient review and Case Management , the Senior Nurse Case Manager is responsible and ... in Sacramento! Location: Hybrid - must be willing to travel up to 50 miles within the Greater Sacramento...of services for Medicare client members referred for complex case management . The Senior Nurse Case… more
- Sharp HealthCare (San Diego, CA)
- …Qualifications** + Bachelor's Degree Health care related field **Other Qualification Requirements** + Utilization , Case Management , or Quality Management ... Management program that includes initial and concurrent review; case management /discharge planning activities. Responsible for operational planning… more
- Global Foundries (Santa Clara, CA)
- …Years of Relevant Experience + Prior Experience in Photonics and Photonics Packaging. + Travel - 10-20% of time + Language Fluency - English (Written & Verbal) ... Preferred Qualifications: + Project management skills - ie, the ability to innovate and...information. Requests for accommodation will be considered on a case -by- case basis. Please note that only inquiries… more
- Humana (Sacramento, CA)
- …and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Humana (Sacramento, CA)
- …and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Humana (Sacramento, CA)
- …and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Humana (Sacramento, CA)
- …and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Wolters Kluwer (Torrance, CA)
- …to set utilization goals and benchmark success, leveraging tools (reports, case studies, client references, etc.) to win and maintain customer support + On-going ... a multifunctional team to deliver on success and meaningful utilization of the CE product suite. You will be...performance optimization efforts under the direction of Customer Success Management and Sales to ensure that customer needs are… more
- Ventura County (Ventura, CA)
- …their families in collaboration with other members of the mental health team. + Case Management : + provides case management /brokerage including linkage ... - $80,272.47 Annually Location and may be required to travel throughout Ventura County, CA Job Type Full-Time Regular...Utilization review: + Uses professional skills in quality management activities such as utilization review, monitoring… more