- Planate Management Group LLC (San Diego, CA)
- …involves developing strategies, plans, and policies that promote efficient space utilization across the base's infrastructure, ensuring compliance with Air Force ... Optimization Plan (FSOP) and related studies. + Analyze and implement space utilization strategies to support current and future mission needs. + Interpret space… more
- Sutter Health (Roseville, CA)
- …care patient experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the timely ... the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self -determination while coordinating… more
- Dignity Health (Carmichael, CA)
- …and enhance the clinical credibility of the Care Coordination Department's utilization and compliance activities. + Participate in an annual performance evaluation ... Are you a physician leader passionate about optimizing patient care and resource utilization ? Dignity Health Mercy San Juan Medical Center, a leading Level 2 Trauma… more
- J&J Family of Companies (San Francisco, CA)
- …disease state and product education, and to support HCPs in appropriate utilization of JJIM access and fulfilment resources. The APP-Specialist will compliantly ... care . Deliver on-label product education to support appropriate utilization of company approved products . As needed, deliver...small or large group settings . Educate and champion utilization of JJIM Access and Fulfillment resources to drive… more
- Sutter Health (Burlingame, CA)
- …care patient experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the timely ... the achievement of optimal health, access to care, and appropriate utilization of resources balanced with the patients' self -determination while coordinating… more
- Molina Healthcare (Los Angeles, CA)
- …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of InterQual / MCG ... guidelines. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current Molina employees: If… more
- Evolent (Sacramento, CA)
- …focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and procedures ... **What You Will Be Doing:** + Practices and maintains the principles of utilization management and appeals management by adhering to company policies and procedures.… more
- Dignity Health (Los Angeles, CA)
- …will be on care coordination, communication and collaboration with utilization management, nursing, physicians, ancillary departments, insurers and post acute ... days of hire. + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure progression… more
- LA Care Health Plan (Los Angeles, CA)
- Authorization Technician II (12 Month Assignment) Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... that purpose. Job Summary The Authorization Technician II supports the Utilization Management (UM) Specialist by handling all administrative and technical functions… more
- CVS Health (Sacramento, CA)
- …the direction of the Lead Clinical Psychologist, this position will focus on utilization , quality, and review of fraud, waste, and abuse for individual Aetna member ... clinical criteria based on extensive knowledge of health care delivery systems, utilization methods, reimbursement methods, and treatment protocols. + Serve as a… more