- CommonSpirit Health (Rancho Cordova, CA)
- …responsibilities leading up to or including supervisory role + Experience in Utilization Management, Case Management or Care Coordination, Managed Care is ... completing quality assurance reviews of work performed and communicating with department manager and director the outcomes of the review and any identified issues… more
- CommonSpirit Health (Rancho Cordova, CA)
- …responsibilities leading up to or including supervisory role + Experience in Utilization Management, Case Management or Care Coordination, Managed Care is ... completing quality assurance reviews of work performed and communicating with department manager and director the outcomes of the review and any identified issues… more
- Elevance Health (Costa Mesa, CA)
- …clinical operational aspects of a program. + Conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss ... Director Associates. + Works independently with oversight from immediate manager . + May be responsible for an entire clinical...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… more
- CDM Smith (Rancho Cucamonga, CA)
- …our Specifications Group. We're looking for candidates with experience as a Senior Manager and Senior Specification Writer. At CDM Smith, we are invested in your ... - Coordinating workload within your Technical Services group and utilization goals for the individuals on your team. -...Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more
- Griffith Company (Brea, CA)
- …methods and sequence of operations. + Coordinate manpower and equipment utilization . + Assist project manager in conducting effective ... specifications. + Direct and supervise foreman. + Coordinate with Project Manager /Project Engineer/Estimator. + Supervise and update the project schedule. + Interact… more
- Cedars-Sinai (Los Angeles, CA)
- …Experience: A minimum of 5 years of experience in Acute Clinical Care, Utilization Review, Coding, or Case Management required Working knowledge of Joint ... under the general direction of the HID CDI/Core Measures Supervisor or Manager , with responsibility for improving the overall quality and completeness of clinical… more
- Providence (Burbank, CA)
- …- 12am). This position will exclusively work in the Emergency Department. Case Management is a collaborative practice including patients, caregivers, nurses, social ... physicians, payers, support staff, other practitioners and the community. The Case Management process facilitates communication and care coordination along a… more
- Hospice Of San Joaquin (Stockton, CA)
- …therapists, DME suppliers, and other health care providers in the absence of the case manager to ensure coordination of patient care. JOB QUALIFICATIONS: 1. ... the Team Leader will handle phone calls from RN Case Managers and assist with care coordination as requested,...the Hospice program plan by assuring quality service, appropriate utilization of resources, and employee, and patient/family safety. 8.… more
- Sharp HealthCare (San Diego, CA)
- …with the interdisciplinary treatment team, coordinates patient care and provides case management for assigned patients. **Required Qualifications** + Master's Degree ... a behavioral health setting + Acute/psychiatric hospital experience, discharge planning/ case management experience **Essential Functions** + Communication and teamworkMaintains… more
- Actalent (Sacramento, CA)
- …+ Experience with prior authorization, pre-service and post-service review, appeals, utilization management, utilization review, and case management. ... ensuring members receive appropriate care. This position reports directly to the Nurse Manager and plays a key role in providing fair and quality access to… more