- Ventura County (Ventura, CA)
- …years of service, and to 368 hours after 15 years of service. *Credit for prior public service may be considered (Sec. 616A). + Deferred Compensation - Eligible to ... medical policy with the Health Care Agency Director and Insurance Administrator, Utilization Management staff and Quality Assurance Staff. + Participates, as a… more
- Sharp HealthCare (San Diego, CA)
- …position requires the ability to combine clinical/quality considerations with regulatory/financial/ utilization review demands to assure patients are receiving care ... balance between individual clinical needs with the efficient and cost-effective utilization of resources while promoting quality outcomes. This position requires… more
- The County of Los Angeles (Los Angeles, CA)
- …NEEDS OF THE SERVICES ARE MET AND IS SUBJECT TO CLOSURE WITHOUT PRIOR NOTICE. TYPE OF RECRUITMENT: OPEN COMPETITIVE OPPORTUNITY JOB OPPORTUNITY INFORMATION: Current ... implement, and maintain strategic and operational initiatives for nursing workforce utilization . The incumbent will monitor and trend workforce metrics to develop… more
- Evolent (Sacramento, CA)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to make a ... meaningful impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your… more
- Humana (Sacramento, CA)
- …role, you 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 to… more
- The County of Los Angeles (Los Angeles, CA)
- …until the needs of the service are met and is subject to closure without prior notice. ABOUT LOS ANGELES COUNTY DEPARTMENT OF HEALTH SERVICES: The Los Angeles County ... + Additional experience in clinical nursing. + Supervisory** experience in Utilization Review and/or Case Management . SPECIAL REQUIREMENT INFORMATION: *In order… more
- The County of Los Angeles (Los Angeles, CA)
- …needs of the service are met and is subject to closure without prior notice. SPECIAL SALARY INFORMATION: Management Appraisal of Performance Plan (MAPP): This ... analysis, and making recommendations to line managers on matters such as: utilization of personnel; allocation of funds; workload and workload fluctuations; and… more
- Stanford Health Care (Palo Alto, CA)
- …Stanford Health Care **What you will do** + Inpatient & SNF Utilization Management & Care Coordination: + Support proactive hospital discharge planning, transfers, ... providers, caregivers, family, and the patient. + Identify opportunities to improve utilization , quality of care, access issues and physician profiling. + Acts as… more
- The County of Los Angeles (Los Angeles, CA)
- …until the needs of the service are met and is subject to close without prior notice. The LA County Board of Supervisors recentlydeclared a local state of emergency ... analysis, and making recommendations to line managers on matters such as utilization of personnel, allocation of funds, workload and workload fluctuations, and… more
- Highmark Health (Sacramento, CA)
- …of utilization management programs including but not limited to: prior authorization, dose and duration edits, quantity limits, step-care edits, generic sampling ... RESPONSIBILITIES** + Monitor FDA-approvals, drug manufacturer pipelines, assess drug utilization reports, and write drug monographs for Committee review to… more