- Cedars-Sinai (Santa Monica, CA)
- …workflows. + As liaison coordinates administrative support activities including facilities management , patient billing, utilization management , quality ... staff, insurance plans and other departments. + Actively participate in lean management processes by detailing, monitoring and updating department specific data. +… more
- Dignity Health (Grass Valley, CA)
- …three (3) years progressive supervisory or management experience in a Case Management , Care Coordination or Utilization Management department in an acute ... physicians administration and community based healthcare workers regarding care management issues identified through corporate or facility initiatives and current… more
- Providence (Mission Viejo, CA)
- …hospital or medical/office/clinic setting **Preferred Qualifications:** + 3 years of experience in utilization management or case management + Managed care ... Positions available are Per Diem and will work 8-hour Day shifts.** Care Management is a collaborative practice model including the patients, nurses, social workers,… more
- Prime Healthcare (Garden Grove, CA)
- …and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Works with health information ... in a Health and Human Services field is highly preferred. 2. Utilization Review/Case Management experience is highly preferred. 3. 1+ year of clinical experience… more
- Liberty Healthcare Corporation (Redwood City, CA)
- …quality assurance and operations teams + Participating in peer review, utilization management , incident reporting, performance improvement, and quality assurance ... the recovery model. As Clinical Director, your role will involve both management and direct patient care responsibilities, including: + Helping ensure patients… more
- Cedars-Sinai (Tarzana, CA)
- …and clinical (based on scope of practice) support activities including facilities management , patient billing, utilization management , quality management ... , risk management , human resources, and payroll + Coordinates communication between patients, family members, medical staff, administrative staff, insurance plans, and other departments + Explains policies, procedures, or services to patients using… more
- Cedars-Sinai (Beverly Hills, CA)
- …and clinical (based on scope of practice) support activities including facilities management , patient billing, utilization management , quality management ... , risk management , human resources, and payroll + Coordinates communication between patients, family members, medical staff, administrative staff, insurance plans, and other departments + Manages patient care flow and assist with monitoring CS-Link message… more
- Wolters Kluwer (Sacramento, CA)
- …including: + Conducting regular account review meetings and reviewing account utilization management reporting to provide recommendations + Overseeing contract ... + Closely managing the deal through closure and keeping management informed of any risks or delays + Retaining...level and other key decision makers + Excellent account management skills and ability to manage external and internal… more
- Prime Healthcare (La Palma, CA)
- …Discharge Plan. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and ... Responsible for the coordination of the various activities of the Case Management Department under the direction of the assigned Case Manager/Social Worker assist… more
- CommonSpirit Health (Rancho Cordova, CA)
- …within multiple markets in a region. Oversees the centralized functions of Utilization Management Services, including but not limited to medical necessity ... reviews and denials management . Oversees Clinical Care Coordination functions within the facilities...care coordination staff within the assigned markets. + **Comprehensive Management of Corporate Case Management Functions** :… more