- Organon & Co. (Fresno, CA)
- …Business Manager and be responsible for driving product awareness and utilization . The Territory Business Manager will work towards achieving and exceeding ... overall sales initiatives by developing effective relationships and partnering with physicians, working with staff, internal colleagues, and other pertinent parties within a defined territory. **Responsibilities** + Employ business planning and local market… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... safety net required to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for executing the day-to-day operations of… more
- CVS Health (Sacramento, CA)
- …RN states. This role is a blended role doing both Case Management and Utilization Management. The RN Case Manager is responsible for telephonically and/or face ... heart, each and every day. **Position Summary:** This Case Manager RN position is with Aetna's National Medical Excellence...in critical care - 6+ months Case Management or Utilization Management experience - Must be able to work… 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 Type: ... the safety net required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN II is primarily responsible for… more
- Sharp HealthCare (San Diego, CA)
- …California Registered Nurse (RN) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case Manager Certification; Accredited Case ... Nursing + Master's Degree in a healthcare related field. + Accredited Case Manager (ACM) - American Case Management Association (ACMA) -PREFERRED + Certified Case … more
- LA Care Health Plan (Los Angeles, CA)
- …and unrestrited California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required ... Requirements Light Additional Information Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), … more
- Dignity Health (Woodland, CA)
- …Woodland, CA, with occasional onsite meetings in Woodland.** **Position Summary:** The Utilization Review LVN uses clinical judgement in providing utilization ... Reliability audits as directed by the UM Supervisor or Manager . - Performs audits of medical records as requested...nursing requirements in a clinical setting. - Knowledge of utilization management programs as related to pre-set protocols and… more
- Sacramento Municipal Utility District (Sacramento, CA)
- …adapting to changing regulatory environments, managing risk, and maximizing transmission system utilization . **Nature and Scope** This manager oversees a cross ... Title: Manager Transmission Interconnections Department: Transmission Planning & Operations...goals, objectives, policies, and priorities in partnership with the Manager of Energy Contracts and Director Transmission, Planning &… more
- Prime Healthcare (San Dimas, CA)
- …the Case Management Department under the direction of the assigned Case Manager /Social Worker in the development and implementation of the discharge plan. Maintains ... EDUCATION, EXPERIENCE, TRAINING Required qualifications. 1. Knowledge in discharge planning/ utilization management/case management terminology and functions, in both managed… more
- Elevance Health (Walnut Creek, CA)
- ** Utilization Management Representative I** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required in-person ... shift between 8 am - 8 pm EST. The ** Utilization Management Representative I** is responsible for coordinating cases...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more