- Sutter Health (Oakland, CA)
- …Advisor will work closely with the medical staff, including house staff, and all utilization management (UM) personnel, Care Management (CM) personnel to ... meeting the organization's goals and objectives for ensuring the effective, efficient utilization of health care services. The PA will develop expertise on matters… more
- LA Care Health Plan (Los Angeles, CA)
- …of HEDIS, HIE, Health Analytics required. Functional knowledge of Utilization Management , Care Management , Clinical Case Management , Disease ... Care Advance, ZeOmega, Altruista, Thrasys) required. Functional knowledge of Utilization Management , Care Management , Clinical Case Management ,… more
- Elevance Health (Los Angeles, CA)
- …Capabilities and Experiences:** + Child and Adolescent experience preferred. + Utilization Management experience. + Applied Behavior Analysis (ABA) experience. ... discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May...an entire clinical program and/or independently performs clinical reviews. + Typically has program management … more
- Cedars-Sinai (Los Angeles, CA)
- …regarding care of defined populations in resource utilization and time management . + Demonstrate leadership as a clinical resource, interprofessional ... **Job Description** Are you ready to bring your expert clinical competencies to a world-class facility recognized as top ten in the country for cardiology? Do you… more
- City and County of San Francisco (San Francisco, CA)
- …standards of the profession, familiarity with psychopharmacology, principles of clinical case management , effective assessment, advocacy, community organization, ... and others; + May conduct group psychotherapy and case management on a scheduled basis in connection with administering...and interviewing techniques. + Knowledge of clinical methods refers to the utilization of… more
- Dignity Health (Camarillo, CA)
- …Wound and Ostomy care. + Demonstrates effective problem-solving techniques including conflict management skills. + Knowledge and utilization of CQI and ... preferred. **Special Skills:** + Demonstrates effective problem-solving techniques including conflict management skills. + Knowledge and utilization of CQI and… more
- Providence (Mission Hills, CA)
- …in administrative/ management roles and more than 10 years in clinical practice within a hospital/health care setting. + **Credentials:** California Registered ... esteemed healthcare facility, you will be entrusted with leading the clinical , operational, and budgetary components of assigned Patient Care Units/Services.… more
- University of Southern California (Los Angeles, CA)
- …of regulatory and accreditation standards. Interpret standards in relation to clinical operations policies and practices. Conducts patient and system tracers in ... for the leadership team including but not all inclusive: KPI, Utilization , Patient satisfaction, After hours care. Prepares reports for leadership presentations.… more