- Highmark Health (Sacramento, CA)
- …Highmark Inc. **Job Description :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed ... and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician...member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases,… more
- Dignity Health (Bakersfield, CA)
- …necessary areas that collaborate with the contracting department (ie, Claims, Utilization Management /Authorizations, Benefits, and Finance) to provide contract ... Organization (Dignity Health MSO) is to build a system-wide integrated physician -centric, full-service management service organization structure. We offer a… more
- Sharp HealthCare (San Diego, CA)
- …and educational experience which will establish credibility with physicians and non- physician health care practitioners involved in Admission & Triage, Discharge ... planning, and case management of chemical dependency patients. + AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association… more
- Stanford Health Care (Palo Alto, CA)
- …Ideal Candidate: Experience: At least 3 years in a surgical specialty as a Physician Assistant (PA) or Nurse Practitioner (NP), with a preference for at least 1 ... is a Stanford Health Care job.** **A Brief Overview** Provides supervision and management of advanced practice providers (APPs) in a distinct clinical service line.… more
- Alameda Health System (San Leandro, CA)
- … Management issues; other issues including concerns involving under/over utilization , avoidable days and quality issues. Coordinate daily with interdisciplinary ... Social Services + Part Time - Day + Care Management + $58.74 - $97.91 per hour + Req...of Medi-Cal, self-pay, and out-of-plan patients, including working with physician to determine readiness for transfer, securing placement and… more
- Sharp HealthCare (San Diego, CA)
- …problem and routes to physicians. Returns phone calls according to physician instruction. May schedule patient appointments.In partnership with physician , ... resolving issues related to front desk responsibilities including scheduling and telephone management . Acts as a positive role model and ensures appropriate service… more
- Cedars-Sinai (Los Angeles, CA)
- …of the Foundation, including patient assignment, risk and specialty network structures, and utilization management . Functions as a key resource for staff and ... duties. + Serves as liaison for areas of operational responsibility with facilities management , patient billing, utilization management , quality, risk, human… more
- Sharp HealthCare (San Diego, CA)
- …problem and routes to physicians. Returns phone calls according to physician instruction. May schedule patient appointments.In partnership with physician , ... resolving issues related to front desk responsibilities including scheduling and telephone management . Acts as a positive role model and ensures appropriate service… more
- Magellan Health Services (San Diego, CA)
- …Strong organization, time management and communication skills. Knowledge of utilization management procedures, mental health and substance abuse community ... collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or… more
- Humana (Sacramento, CA)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more