- Veterans Affairs, Veterans Health Administration (Santa Rosa, CA)
- …AMSA works with multiple Integrative Health providers, including physicians, registered nurse care managers, mental health providers, and allied integrative health ... serves as a multi-skilled person dedicated to patient care management by promoting patient flow and administrative efficiency in...with the patient care team to review the clinic utilization by using various reports (eg, Clinic Utilization… more
- Providence (Tarzana, CA)
- …communication and care coordination along a continuum through effective transitional care management and utilization management . Recognizing the patient's ... 30 days of hire + Upon hire: California Registered Nurse License + 2 years Experience in Healthcare related...Ambulatory, Post-Acute, etc.) + 2 years Experience in Case Management (Care Coordination or Utilization Management… more
- Sacramento Behavioral Healthcare Hospital (Sacramento, CA)
- … management , group therapy, family & individual sessions. Psychiatrists, nurse practitioners, and internal medicine physicians comprise the provider group with ... rules, Joint Commission requirements, and legal regulations; participating in utilization reviews; and remaining available for emergency consultations. + Improves… more
- The County of Los Angeles (Los Angeles, CA)
- …scope of practice. Participates in the development, negotiation, implementation, and management of the budget for the Countywide program support operational areas, ... goals. Develops and implements reporting procedures to ensure that program services utilization and revenue data are reported accurately and in a timely manner.… more
- Providence (Apple Valley, CA)
- …field (Acute, Ambulatory, Post-Acute, etc.). + 2 years of experience in Case Management (Care Coordination or Utilization Management ) or successful ... available are Per Diem and will work 8-hour Variable Shifts.** Case Management is a collaborative practice including patients, caregivers, nurses, social workers,… more
- Magellan Health Services (San Diego, CA)
- …manage and oversee activities of assigned care support teams. Experience with Care Management flows. Knowledge of utilization management procedures, mental ... appropriate and effective person-centered care plan, member education and care management . Conducts initial and concurrent review for prior authorization of higher… more
- Banner Health (Susanville, CA)
- … management process. Reviews audit results and presents summary information for management utilization and review. 7. May coordinate the admission process ... in, general surgeries and orthopedics. **As a Licensed Vocational Nurse , LVN, at Banner Lassen Health Center, you will...care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the… more
- Sutter Health (San Francisco, CA)
- …manages capital and operational budgets to achieve financial targets via effective utilization of personnel, resources and supplies. Develops and maintains a solid ... are not exhaustive, but are merely the most descriptive of the current job. Management reserves the right to revise the job description or require that other tasks… more
- HCA Healthcare (Thousand Oaks, CA)
- …patient throughput while supporting a balance of optimal care and appropriate resource utilization . + You will provide case management services for both ... nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want...stay, managing the length of stay, ensuring appropriate resource management , and developing a safe appropriate discharge plan in… more
- Humana (Sacramento, CA)
- …identified gaps. They will work closely with established functions inside utilization management (Medical Director, clinician decision making teams, quality ... skills to make an impact** **Required Qualifications** + Registered Nurse + 2+ years + experience working with CMS...capacity ie Committees, projects. + 3 or more years' Utilization Management Experience + 2 + years… more