- Amergis (Orange, CA)
- … Case Manager to help support a health insurance agency! The Medical Case Manager (BHI Utilization Management) will be responsible for reviewing and ... providers. The incumbent will be responsible for prior authorizations, concurrent review and related processes. Position Details: Location: Orange (Full Office, no… more
- Genesis Healthcare (Elk Grove, CA)
- …clinical management of the rehabilitation department, including oversight related to case management, quality improvement, care planning, clinical utilization , ... or coordinating the timely completion of the annual merit review for therapy staff. 6. Assists in management of...of therapy staff. 7. Assists in daily staffing and utilization in cooperation with input from treating therapists, consideration… more
- Griffith Company (Brea, CA)
- …methods and sequence of operations. + Coordinate manpower and equipment utilization . + Assist project manager in conducting effective ... Review job costs and budget controls with project manager /foreman. + Monitor processing of timesheet and extra work...to candidates outside of the local area on a case -by- case basis. Visit us at: www.griffithcompany.net. Griffith… more
- Sharp HealthCare (La Mesa, CA)
- …response to therapeutic interventions via collateral calls, conjoint therapy sessions, utilization review process, and/or referrals and revises care plan ... with the interdisciplinary treatment team, coordinates patient care and provides case management for assigned patients. **Required Qualifications** + Master's Degree… more
- CommonSpirit Health (Rancho Cordova, CA)
- …for completing quality assurance reviews of work performed and communicating with department manager and director the outcomes of the review and any identified ... needed + Able to lift 20 pounds. **Preferred Qualifications:** + Experience in Utilization Management, Case Management or Care Coordination, Managed Care is… more
- US Marine Corps (Twentynine Palms, CA)
- …a variety of marketing plans and concepts designed to enhance awareness and utilization of MCCS facilities and services. Publishes content and design within brand ... responses, analyzes results, and prepares reports for the Digital Media Manager . Assists in determining marketing techniques and strategies to increase efficiency… more
- Elevance Health (Costa Mesa, CA)
- …Associate Medical Director** **Carelon Medical Benefits Management** **Radiology Benefit Management/ Utilization Review ** _A proud member of the Elevance ... necessity decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Cedars-Sinai (Los Angeles, CA)
- …required Experience: A minimum of 5 years of experience in Acute Clinical Care, Utilization Review , Coding, or Case Management required Working knowledge of ... under the general direction of the HID CDI/Core Measures Supervisor or Manager , with responsibility for improving the overall quality and completeness of clinical… more
- ABM Industries (Santa Clara, CA)
- …with contract terms. The Facility Coordinator works closely with the Facility Manager and other team members to maintain high operational standards and contribute ... Responsible for supporting the maintenance and operations teams through utilization of the CMMS platform and coordinating facility-related services including… more
- Elevance Health (Walnut Creek, CA)
- …the medical necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. + Conducts ... preferred. + Extensive spine surgery experience preferred. + Experience with utilization management, especially with CMS guidelines preferred. + **Orthopedic Spine… more