- Dignity Health (Long Beach, CA)
- …will be on care coordination, communication and collaboration with utilization management, nursing, physicians, ancillary departments, insurers and post acute ... + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical...five (5) years of nursing experience. + Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or… more
- LA Care Health Plan (Los Angeles, CA)
- …II collects information required by clinical staff to render decisions, assists the Manager and Director of the Utilization Management department in meeting ... Authorization Technician II (12 Month Assignment) Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full… more
- Genesis Healthcare (Elk Grove, CA)
- …in management of therapy staff. 7. Assists in daily staffing and utilization in cooperation with input from treating therapists, consideration of clinical ... of the highest standard of rehabilitation services through appropriate utilization of resources, the promotion of clinical programs, and...utilize the numerous resources available to me as a manager and an employee. take pride in my work… more
- Cedars-Sinai (Los Angeles, CA)
- …the Foundation, including patient assignment, risk and specialty network structures, and utilization management. Functions as a key resource for staff and physicians ... in support of these requirements. + In collaboration with the Operation Manager , develops business and operations plans for assigned areas, programs, and services.… more
- Elevance Health (Fresno, CA)
- …chronic illnesses, co-morbidities, and/or disabilities, to ensure cost effective and efficient utilization of long-term services and supports. + At the direction of ... and may be involved in process improvement initiatives. + Submits utilization /authorization requests to utilization management with documentation supporting and… more
- Sharp HealthCare (San Diego, CA)
- …policies and procedures including authorizations and referrals, claims/encounters, provider utilization reports and grievance procedures; b) Rules, regulations, and ... standards established by regulatory and accreditation agencies; and c) Training in the utilization of the SHP provider portal as a tool to enhance the provider's… more
- City National Bank (Los Angeles, CA)
- …is positioned to proactively execute on the concepts developed by the Relationship Manager with minimal supervision. Is also instrumental as a liaison with other ... Follows through with executing on relationship plans designed by the Relationship Manager strategies for those clients they manage. * Resolves problems, answers… more
- The County of Los Angeles (Los Angeles, CA)
- …analysis, and making recommendations to line managers on matters such as: utilization of personnel; allocation of funds; workload and workload fluctuations; and ... work objectives. Work under general supervision of the line or division manager . Acceptable classes for Staff Capacity experienceMAY include but are not limited… more
- The County of Los Angeles (Los Angeles, CA)
- …implement, and maintain strategic and operational initiatives for nursing workforce utilization . The incumbent will monitor and trend workforce metrics to develop ... strategic and implement operational plans for utilization of nursing resources. Essential Job Functions + Plans,...experience in nursing management at the level of Nurse Manager ** or higher in a clinical environment. LICENSE AND… more
- Fujifilm (Sacramento, CA)
- …request volume, and the like. This role works collaboratively with their manager , Subject Matter Experts (SMEs), Marketing & Communications team members, business ... Showpad, Google Analytics, Wistia, and other platforms (20%): + Work with manager to understand KPIs for each marketing communications channel and proactively mine… more