- Dignity Health (Bakersfield, CA)
- …review based on medical necessity. The position partners with both the Pre - Service and In-Patient Utilization Management teams. Ensures to monitor and ... as part of the regular schedule for this position.** **Position Summary:** The Utilization Management LVN is responsible for ensuring the integrity of the… more
- Sutter Health (Santa Rosa, CA)
- …manages capital and operational budgets to achieve financial targets via effective utilization of personnel, resources and supplies. Develops and maintains a solid ... and fast-paced environment with changing business priorities. Organizational and time management skills, with the ability to prioritize multiple projects while… more
- Veterans Affairs, Veterans Health Administration (San Francisco, CA)
- Summary The Patient Flow Utilization Management / Utilization Review Consultant RN functions with advanced knowledge and skills to provide clinical ... with a collaborative, inter-disciplinary practice setting. Responsibilities The Patient Flow Utilization Management / Utilization Review Consultant RN is… more
- Ventura County (Ventura, CA)
- …medical policy with the Health Care Agency Director and Insurance Administrator, Utilization Management staff and Quality Assurance Staff. + Participates, as ... surgical procedures, referrals, tests, medication approvals requiring authorization.) + Develops utilization management standards and guidelines for approval by… more
- Sharp HealthCare (San Diego, CA)
- …visits and responds to accrediting and regulatory agency feedback. + Supports pre -admission review, utilization management , and concurrent and retrospective ... rev1ew process. + Participates in risk management , pharmacy utilization management , catastrophic...and their application to SHP. + Performs and oversees in- service staff training and education of professional staff. +… more
- Sharp HealthCare (San Diego, CA)
- …visits and responds to accrediting and regulatory agency feedback. + Supports pre -admission review, utilization management , and concurrent and retrospective ... + Participates in risk management reviews. + Assists in pharmacy utilization management , catastrophic case review, outreach programs, HEDIS reporting, site… more
- Abbott (San Francisco, CA)
- …range for the role. Parts utilization decisions outside of the pre -approved budget range require management approval. Accountable for on-hand trunk inventory ... that would be resolved in more than 1.5 hrs. + Performs proactive service support activities to maintain system performance. + Applies standard troubleshooting tools… more
- City and County of San Francisco (San Francisco, CA)
- …right fit. The City and County of San Francisco is looking to hire multiple management assistants to be part of the City workforce of nearly 40,000 staff and ... are looking for candidates with a passion for public service . San Francisco is a vibrant and dynamic city,...and County of San Francisco has to offer. Senior Management Assistants perform difficult and complex professional level administrative… more
- Dignity Health (Rancho Cordova, CA)
- …the guidance and supervision of the department Manager/Director the Supervisor of Utilization Management is responsible and accountable for coordination of ... sets (Medicare Guidelines InterQual Health Plan Benefit Interpretation Guidelines and Medical Management Policies and DHMF Utilization Management guidelines… more
- US Army Reserve Command (Los Alamitos, CA)
- …necessary to do the work of the position, such as: Logistics, Advanced Supply Chain Management , Business Law, and Service Management . (Note: You must attach ... Information Male applicants born after December 31, 1959, must complete a Pre -Employment Certification Statement for Selective Service Registration. You will be… more