- Sutter Health (Emeryville, CA)
- …oversight and direction for critical health plan functions-including utilization management, credentialing, authorizations, concurrent review, and elements of ... + Proven history of leading large multidisciplinary teams in care management, utilization management, and quality improvement. + Proven history in population health… more
- Transdev (San Francisco, CA)
- …operations across California. This leader will drive efficient fleet utilization , vehicle readiness, charging infrastructure, and yard management while embedding ... short-termdisability, voluntary long-term disability. Key Responsibilities: Fleet Operations & Utilization + Lead end-to-end AV fleet operations, ensuring optimal… more
- The County of Los Angeles (Los Angeles, CA)
- …+ Additional experience in clinical nursing. + Supervisory** experience in Utilization Review and/or Case Management . SPECIAL REQUIREMENT INFORMATION: *In order ... work of staff, and evaluating employee performance. For this examination, Utilization Review is defined as provides technical and administrative direction performing… more
- The County of Los Angeles (Los Angeles, CA)
- …prevention services including but not limited to forecasting utilization and cost, cost/finance analyses, cost-effectiveness analyses, and predictive/prescriptive ... revenue, and to reduce the cost of unnecessary waste and over/under utilization of services. + Conducts predictive data assignments for Behavioral Health Quality… more
- Sharp HealthCare (San Diego, CA)
- …of the manager of in-patient care management and the Director of Utilization Management. **Required Qualifications** + 3 Years Experience in the acute patient ... Degree Health care related field **Other Qualification Requirements** + Utilization , Case Management, or Quality Management certification preferred. **Essential… more
- HCA Healthcare (Riverside, CA)
- …environment of quality and cost improvement, and develops systems to review utilization of resources and objectively measure outcomes of care in the inpatient ... medical staff regarding clinical resource management, appropriate documents standards, utilization and quality issues, and quality improvement activities, in… more
- The County of Los Angeles (Los Angeles, CA)
- …analysis, and making recommendations to line managers on matters such as: utilization of personnel; allocation of funds; workload and workload fluctuations; and ... analysis, and making recommendations to line managers on matters such as: utilization of personnel; allocation of funds; workload and workload fluctuations; and… more
- Alameda Health System (Oakland, CA)
- …Care Management provides Care Coordination, Compliance, Transition Coordination, and Utilization Management. **DUTIES & ESSENTIAL JOB FUNCTIONS** NOTE:The following ... performed by each individual in the classification. + Coordinates all utilization review functions, including response to payor requests for concurrent and… more
- BrightView (San Fernando, CA)
- …provides direct support to branch leadership to drive optimal equipment utilization , vendor performance, and compliance with company standards. You'd be responsible ... increase rebate flow-through, and reduce capital expenditures. 3) Operational Support & Utilization + Analyze equipment utilization across branches to identify… more
- Centene Corporation (Sacramento, CA)
- …Experience:** Minimum of 2 years in acute care and managed care, with utilization management experience This is a great opportunity to join the Centene/Health Net ... taken on member medical records in health management systems according to utilization management policies and guidelines + Works with healthcare providers to approve… more