- 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
- Cedars-Sinai (Santa Monica, 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 + Prepares patients for provider by reviewing current medications and record in medical record + Takes appropriate vital signs and documents in the medical record. + Sets up exam room/procedure rooms… more
- Sutter Health (Sacramento, CA)
- …Deep understanding of pharmaceutical care within managed care, including benefit design, utilization management , formulary management , and PBM relationships. ... is crucial in ensuring safe, effective, and cost-efficient pharmacy program management while aligning insurance pharmacy initiatives with broader Sutter Health's… 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
- Broadcom (Palo Alto, CA)
- …stakeholders to implement usage optimization strategies and ensure efficient license utilization . Customer Relationship Management : . Build and maintain strong ... Audits: . Deeply understand VMware software usage and license utilization across the organization's infrastructure, including on-premises and cloud environments.… more
- Veterans Affairs, Veterans Health Administration (San Francisco, CA)
- …approaches that guide space plans, apply new, innovative, or experimental space management and utilization theories, developments, or practices to problems or ... Summary The Chief, Space Management works closely with members of the San...specialties, and labor partners to manage a comprehensive space management program to include moves coordination, space inventory … more
- Humana (Sacramento, CA)
- …plan operations, such as provider relations, claims submission and payment, utilization management processes, behavioral health processes, and dispute ... timelines. + Bachelor's degree and 3+ years of project management experience. + 3+ years of Medicaid or contracting...communication, as well as interpersonal skills. + Exceptional time management and ability to manage multiple priorities in a… more
- Elevance Health (Palo Alto, CA)
- …**Carelon Medical Benefits Management ** **Post Acute Care Benefit Utilization Management ** **Schedule: 10:00-7:00 Central Time** **** **Virtual:** This ... Operations Associate Medical Director** is responsible for supporting the medical management staff ensuring timely and consistent medical decisions to members and… more
- Emanate Health (Covina, CA)
- …Two years recent acute clinical experience. Experience with discharge planning, utilization management and critical pathways preferred. Effective written, verbal ... in quality improvement activities as they relate to the management of patient care. **Job Requirements** **Minimum Education Requirement:**...and time management skills. Ability to work independently as well as… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …manages clinical staff schedules, maintains compliance with routine audits of staff, utilization management , performance improvement, and other duties, as deemed ... of groups. Employs evidence-based psychological treatment interventions and provides case management services as needed. Provides mental health services within their… more