- Sutter Health (Sacramento, CA)
- …Advisor will work closely with the medical staff, including house staff, and all utilization management (UM) personnel, Care Management (CM) personnel to ... health care services. The PA will develop expertise on matters regarding physician practice patterns, over- and under- utilization of resources, medical… more
- Veterans Affairs, Veterans Health Administration (Loma Linda, CA)
- …Experience supervising physicians and supporting utilization management as a Physician Utilization Management Advisor (PUMA) is preferred; Must be ... L. Pettis Memorial Veterans Hospital is recruiting for a Full-Time, Permanent, Physician , Chief of Inpatient Medicine and reports directly to the ED-Inpatient… more
- Humana (Sacramento, CA)
- …will be a key enterprise leader, with responsibility for evolving Humana's Utilization Management of medical review by physician or nurse, with a focus on ... The Director, Physician leadership will lead Medical Directors performing utilization management for inpatient authorizations training medical director team… more
- Alameda Health System (Oakland, CA)
- Director, Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req #:40826-30155 + ... plans **Role Overview:** Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational oversight,… more
- Alameda Health System (Oakland, CA)
- System Utilization Management SUM Utilization Review RN + Oakland, CA + Highland General Hospital + SYS Utilization Management + Services As Needed / ... + Req #:42003-31126 + FTE:0.01 + Posted:Today **Summary** **SUMMARY:** The System Utilization Management [SUM] Utilization Review RN is responsible… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW NURSE SUPERVISOR I ... comprehensive information regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to join our team. Whether you're working… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... to support the safety net required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN II is primarily responsible for… more
- Providence (Napa, CA)
- …the utilization of appropriate health care services. Position may require Utilization Management and Discharge Planning, Chronic Disease Case Management ... setting + Upon hire: California Registered Nurse License + 2 years Case management , discharge planning, or utilization management experience in the acute,… more
- Dignity Health (Woodland, CA)
- …Summary:** The Utilization Review LVN uses clinical judgement in providing utilization management services. The focus is to provide high quality, ... sections. - Preps case thoroughly, concisely and clearly for physician review. Researches EMR, criteria, medical policy and past...nursing requirements in a clinical setting. - Knowledge of utilization management programs as related to pre-set… more
- Dignity Health (Carmichael, CA)
- …and enhancing the clinical credibility of the Department of Care Coordination's utilization and compliance activities. The Physician Advisor may report directly ... leader passionate about optimizing patient care and resource utilization ? Dignity Health Mercy San Juan Medical Center, a...State of California. + Certification in Health Care Quality Management (HCQM) **Licensure:** + Physician License in… more