- Stanford Health Care (Palo Alto, CA)
- …include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient charts for timeliness ... of services as well as appropriate utilization of services; and ensuring optimum use of resources,...as required; collects, analyzes and reports on data for utilization , quality improvement, compliance, and other areas as assigned.… more
- Lompoc Valley Medical Center (Lompoc, CA)
- …to the Director of Case Management + Plan, organize and deliver utilization management activities for BOP patients through the LVCHO including authorization of ... services + Deliver utilization management services and social service activities within the...Case Management Position Duties/Responsibility: + Plan, organize and deliver utilization management activities for BOP patients through the LVCHO… more
- Sharp HealthCare (San Diego, CA)
- …position requires the ability to combine clinical/quality considerations with regulatory/financial/ utilization review demands to assure patients are receiving care ... balance between individual clinical needs with the efficient and cost-effective utilization of resources while promoting quality outcomes. This position requires… more
- Celonis (Redwood City, CA)
- …You will drive down costs while significantly increasing resource utilization , directly impacting our profitability and enabling scalable growth. This ... programs focused on cloud compute and storage cost optimization and utilization improvements which also includes influencing a broad range of engineering… more
- Evolent (Sacramento, CA)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to make a ... meaningful impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your… more
- The County of Los Angeles (Los Angeles, CA)
- …implement, and maintain strategic and operational initiatives for nursing workforce utilization . The incumbent will monitor and trend workforce metrics to develop ... strategic and implement operational plans for utilization of nursing resources. Essential Job Functions + Operational oversight of contract labor process, … more
- Humana (Sacramento, CA)
- …role, you will be a key enterprise leader, with responsibility for evolving Humana's Utilization Management of medical review by physician or nurse, with a focus on ... The Director, Physician leadership will lead Medical Directors performing utilization management for inpatient authorizations training medical director team to… more
- Evolent (Sacramento, CA)
- …match reviewer for Spine Surgery cases. you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in ... to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization … more
- Evolent (Sacramento, CA)
- …As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in ... to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization … more
- Alameda Health System (Oakland, CA)
- …manages the collection, analysis and presentation data relevant to the utilization of healthcare resources, including but not limited to avoidable/variance days, ... reimbursement, denials management, and non-reimbursed services, promoting effective resource utilization , clinical documentation/queries, quality care and patient safety; oversees… more