- ServiceNow, Inc. (Santa Clara, CA)
- …with business objectives, while also managing day-to-day occupancy and space utilization to ensure efficiency, employee well-being, and cost-effectiveness across the ... Conduct in-depth analysis of the existing real estate portfolio, including space utilization rates, occupancy costs, and market trends, to identify opportunities for… more
- LA Care Health Plan (Los Angeles, CA)
- …claim adjudication process through medical record review for Payment Integrity and Utilization Management projects. The position serves as a subject matter expert ... include inpatient, outpatient, and professional claims. Serves cross functionally with Utilization Management, Medical Directors, and other internal teams to assist… more
- Prime Healthcare (Redding, CA)
- …every time. Responsibilities Provide technical assistance and support for proper utilization and maintenance of all Prime Healthcare Management, Inc.'s medical ... repair of said systems and equipment in order to ensure optimum utilization in our facility. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Able to troubleshoot,… more
- Humana (Sacramento, CA)
- …with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or ... the managed care industry including Medicare Advantage and Managed Medicaid. + Utilization management experience in a medical management review organization, such as… more
- Evolent (Sacramento, CA)
- …Be Doing:** As a Clinical Reviewer, Nurse, you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in ... Clinical Reviewers are supported by Field Medical Directors (MDs) in the utilization management determination process. + Reviews charts and analyzes clinical record… more
- Evolent (Sacramento, CA)
- …Be Doing:** As a Clinical Reviewer, Nurse, you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in ... Clinical Reviewers are supported by Field Medical Directors (MDs) in the utilization management determination process. + Reviews charts and analyzes clinical record… more
- Dignity Health (Glendale, CA)
- …will be on care coordination, communication and collaboration with utilization management, nursing, physicians, ancillary departments, insurers and post acute ... AHA BLS card + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure progression… more
- Stantec (Petaluma, CA)
- …maintained and monitor to optimize business development plans and employee utilization rates - Ensure local marketplace reputation through established relationships ... Lead delivery of significant BC project pursuits. - Achieve minimum direct utilization target of 45% - Actively participate including contribution to written content… more
- Jacobs (Los Angeles, CA)
- …and maintenance metrics to issue recommendations which drive efficiencies and improve utilization rate * Strategize and consult with other departments to define ... Deliver CMMS training to staff and organizations and ensuring guidelines for its proper utilization are well defined * Drive the adoption of the updated version of… more
- Envista Holdings Corporation (San Diego, CA)
- …utilizes sales and educational strategies, aids, and approaches, to increase customer utilization and educational activity in their territory. + Influence doctor and ... Ability to effectively manage assigned accounts in terms of driving utilization , customer relationship management, problem resolution, and business and territory… more