- Santa Clara Family Health Plan (San Jose, CA)
- Supervisor , Utilization Management ( Clinical ) Salary Range: $111,168 - $172,310 The expected pay range is based on many factors, such as experience, ... Department: Health Services Reports To: Manager, Utilization Management GENERAL DESCRIPTION OF POSITION The Supervisor ... Management GENERAL DESCRIPTION OF POSITION The Supervisor of Utilization Management (UM)… more
- Alameda Health System (Oakland, CA)
- Clinical Nurse V + Oakland, CA + Highland General Hospital...FQ MCH/OB Clinic (K6) + Full Time - Day + Management + $64.00- $96.00 + Req #:42878-31844 + FTE:1 + ... on each nursing unit for which responsible. Promotes effective and economic utilization of personnel and supplies. Monitors utilization of personnel and… more
- Alameda Health System (Oakland, CA)
- Clinical Nurse IV + Oakland, CA + Highland General Hospital + Emergency + Full Time - Night + Management + TBD + Req #:43134-32050 + FTE:1 + Posted:November 4, ... of Administration during after hours, weekends, and holidays. Resource for the supervisor is the Administrator on-call; assumes a leadership role within the hospital… more
- San Francisco Health Plan (San Francisco, CA)
- Reporting to the Clinical Supervisor , Care Management , the Care Management Nurse provides clinical assessment, nursing interventions, and coordinated ... an important contributor to interdisciplinary case reviews and collaborates with Utilization Management , Pharmacy, Behavioral Health, and SFHP's Medical… more
- Santa Clara Family Health Plan (San Jose, CA)
- …is subject to change. FLSA Status: Non-Exempt Department: Health Services Reports To: Supervisor , Utilization Management Employee Unit: Employees in this ... Care Coordinator I performs non- clinical supportive duties related to utilization management (UM) and care coordination for Santa Clara Family Health Plan… more
- AmTrust Financial (Irvine, CA)
- …years of direct clinical care OR two (2) years of case management / utilization management required. Skills & Knowledge: Knowledge of workers' compensation ... accurate comprehensive documentation of case management activities in case management system. Uses clinical /nursing skills to help coordinate the… more
- ERP International (San Diego, CA)
- …Operate and manipulate automated systems such as ADS, MHS Genesis participate in clinical staff Performance Improvement (PI) and Risk Management (RM) functions, ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- Universal Health Services, Inc. (Corona, CA)
- …Responsibilities also include staff development/training, leading process groups, utilization review, quality management and bio-psychosocial assessments. ... Locked psych unit for adults Per Diem Reporting to the Social Service Supervisor , this position provides education and psycho education to patients and their… more
- Centene Corporation (Sacramento, CA)
- … Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management team. + Monitors and tracks UM resources to ensure ... adherence to performance, compliance, quality, and efficiency standards + Collaborates with utilization management team to resolve complex care member issues +… more
- University of Southern California (Arcadia, CA)
- …of the RN staff, and assists the Director and/or Manager with the operational management of the nursing unit. The Supervisor coordinates care of the patients ... of resources so that patient outcomes are optimized. The Supervisor serves as a professional clinical role...operations of assigned areas (budget, regulatory compliance, and resource utilization ). + Demonstrates clinical performance in the… more
