- Sutter Health (Alameda, CA)
- …Sutter Health policy + excellent benefits!** Under the supervision of the Clinical Manager , the Primary Care Clinician (PCC) is an experienced physical therapist who ... is responsible for the overall case management of home health patients including the provision...of patient care and ensuring effective management of visit utilization and control of expenses. May assist in agency… more
- Deloitte (Costa Mesa, CA)
- …as general health and group benefits skills. Key Responsibilities + Lead project manager for specific projects or key workstream lead on larger projects. + Evaluate ... Pharmacy Benefit Manager (PBM) contracts, deal terms, and financial proposals. +...services, contracts, performance guarantees, and renewals. + Analyze claims utilization data and assess health plan performance against strategy.… more
- Molina Healthcare (Oakland, CA)
- …Certified Clinical Coder + Certified Medical Audit Specialists (CMAS) + Certified Case Manager (CCM) + Certified Professional Healthcare Management (CPHM) ... needs. In addition, the Delegation Oversight Nurse will assist the Delegation Oversight Manager with additional duties of the team. This includes, but is not limited… more
- The County of Los Angeles (Los Angeles, CA)
- …assigned to a line operation responsible for delivering psychological rehabilitation, case management, and/or psychiatric emergency services in the Department of ... team leaders reporting to a mental health clinical program manager or a physician manager . Positions allocable...others. + Provides consultation to community agencies on the utilization of mental health and support services provided by… more
- Dignity Health (Bakersfield, CA)
- **Responsibilities** **Position Summary:** Under the direction of the Care Management Manager and in collaboration with in interdisciplinary team of Mercy Hospital ... consultation on complex cases; appropriateness of care or level of care / utilization activities; liaison to internal and external contacts / committees / programs;… more
- J&J Family of Companies (San Francisco, CA)
- …a level of expertise and competence to present, demonstrate, and ensure proper utilization of DePuy Synthes' products. This person must be able to continually ... geography, the F&A Sales Consultant actively collaborates with the Regional Sales Manager to create the business plan, targeting and overall market strategy relative… more
- AccentCare, Inc. (Sacramento, CA)
- …schedule changes to ensure coordination of service and client satisfaction Coordinates utilization of Care Partner teams to ensure fill rate expectations met ... and resolves payroll and billing questions under direction from the Client Service Manager . Functions as liaison for Field Supervisors in communicating with payer … more
- Stanford Health Care (Palo Alto, CA)
- …Specialists' support for mentorship, education and skill enhancement o Frequent inservices, case studies and journal clubs for continued learning o Both department ... as a resource in meeting those needs. + With the support of the manager , may initiate clinical research within area of clinical expertise. + Provides mentoring to… more
- Deloitte (Fresno, CA)
- …by reviewing services, contracts, performance guarantees, and renewals. + Analyze claims utilization data and assess health plan performance against strategy. + Act ... client presentations and reports. + Serve as a project manager and mentor junior team members. + Engage in...are dependent on the facts and circumstances of each case . A reasonable estimate of the current range is… more
- Stanford Health Care (Palo Alto, CA)
- …Specialists' support for mentorship, education, and skill enhancement o Frequent in-services, case studies and journal clubs for continued learning o Both department ... as a resource in meeting those needs. + With the support of the manager , may initiate clinical research within area of clinical expertise. + Provides mentoring to… more