- 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… more
- Battelle Memorial Institute (San Diego, CA)
- …and required by USSOCOM HQ and POTFF staff + Document work performed, utilization , referrals, and all other information in the HP Enterprise-wide database, ie, ... one of the following: Certified Athletic Trainer, Strength and Conditioning Specialist , Senior Strength and Conditioning Specialist , Physical Therapist,… more
- Battelle Memorial Institute (Oceanside, CA)
- …stays current with the provision of care + Provide input for the development and utilization of required databases + Conduct peer record reviews for the HP Staff as ... of Physical Therapy Specialties (ABPTS) as an Orthopedic Certified Specialist (OCS) or Sports Certified Specialist (SCS),...programs for equal treatment of all staff and full utilization of all qualified employees at all levels within… 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 ... Accountant II Administrative Assistant I Administrative Assistant I, SC Appeals Hearing Specialist Board Specialist Employment Services Assistant I Financial … more
- Cedars-Sinai (CA)
- …of care and level of care. Use evidence based review guidelines to conduct utilization review as is appropriate to match the payor + Investigates, processes and ... + Coordinates discharge planning and alternative treatment plans with PCP/hospitalist/ specialist as appropriate. + Coordinates the patient's care with other… more
- LA Care Health Plan (Los Angeles, CA)
- …claim adjudication process through medical record review for Payment Integrity and Utilization Management projects. The position serves as a subject matter expert ... include inpatient, outpatient, and professional claims. Serves cross functionally with Utilization Management, Medical Directors, and other internal teams to assist… more
- Sharp HealthCare (La Mesa, CA)
- …**What You Will Do** The purpose of the Sr. Performance Improvement Specialist is to improve clinical outcomes including responsibilities relating to leading teams ... in the utilization of Change Acceleration Process and PI tools and...and integrity of data.Identifies statistical trends in data through utilization of independent judgment, training and clinical experience in… more
- Dignity Health (Camarillo, CA)
- …keeping with the Dignity Health core values, the Wound Ostomy Nurse Specialist is responsible for, assessing, planning, implementing and evaluating wound and ostomy ... effective problem-solving techniques including conflict management skills. + Knowledge and utilization of CQI and methodologies and computer skills. Organizes and… more
- CenterWell (Sacramento, CA)
- …strategy and execution for our referral management, payer prior authorization, and specialist network solutions. This role is critical to shaping how our patients ... Product Ownership: Own the strategy, roadmap, and delivery of external specialist referral management solutions, including specialist network optimization,… more
- University of Southern California (Los Angeles, CA)
- …Support Services Supervisor is responsible for teaching members of the Media Specialist team principles of video equipment and its use during surgical procedures. ... equipment and video streaming in the operating room. + Supervises the Media Specialist Staff and equipment technicians and makes daily assignments. + Supervises the… more