- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Quality Reporting and Auditing Specialist I Job Category: Clinical Department: Utilization Management Location: Los ... required to achieve that purpose. Job Summary The Utilization Management (UM) Quality Reporting and Auditing Specialist I is responsible for dynamically… more
- Dignity Health (Los Angeles, CA)
- **Job Summary and Responsibilities** As our Quality Coordinator, you will be a pivotal driver of excellence, implementing and overseeing initiatives to enhance ... you'll lead and support QI projects, meticulously collecting, analyzing, and reporting data to identify opportunities and measure impact. You'll facilitate teams,… more
- University of Southern California (Los Angeles, CA)
- …survey process. Facilitates survey readiness teams. Cross-trained in the functions of Quality and Outcomes Management and Peer Review processes to collaborate ... The Quality Regulatory Specialist is responsible for leading system-wide...the leadership team including but not all inclusive: KPI, Utilization , Patient satisfaction, After hours care. Prepares reports for… more
- University of Southern California (Los Angeles, CA)
- … to strengthen their specific knowledge/skill areas needed for progression. Holds direct reporting management team accountable for the development of staff to ... for the strategic direction, operational oversight, and leadership for facilities management functions across Keck Medical Center of USC, ensuring the safety,… more
- University of Southern California (Arcadia, CA)
- …timely and accurate information to payers. The role integrates and coordinates utilization management , care facilitation, and discharge planning functions. The ... follows up to resolve problems with payers as needed. + Completes utilization management for assigned patients. + Coordinates/facilitates patient cares… more
- Stantec (Los Angeles, CA)
- …development, communication, and management of key performance indicators for team utilization , safety, and quality - Project management responsibilities ... market sectors that leads to an expected 60% direct utilization - Primary point-of-contact for planning-related pursuits, inputs to...procedures, good organization skills and a passion for people management and high quality of work -… more
- Cedars-Sinai (Los Angeles, CA)
- …promote patient safety, continuous performance and quality improvement, risk management , and efficient resource utilization , all linked to evidence-based ... with other faculty and scientists across other departments. **Resource and Quality Management ** + Contribute to the development, implementation, and… more
- UCLA Health (Los Angeles, CA)
- Description At UCLA Health, the Utilization Management (UM) Review Nurse plays a vital role in ensuring the delivery of high- quality , evidence-based care. ... Documents all review findings and decisions in the case management system and supports reporting initiatives. +...+ A minimum of three years of experience in utilization management , preferred + Team leading or… more
- Cedars-Sinai (Beverly Hills, CA)
- …reporting to the TPL carrier of all injured worker cases receiving case management services. + Ensures appropriate utilization of medical services within the ... Award 19 years in a row for providing the highest- quality medical care in Los Angeles. We were also...The RN Care Coordinator is responsible for the case management of patient while hospitalized and upon discharge from… more
- UCLA Health (Los Angeles, CA)
- …and Performance (ATP) team, responsible for developing and delivering advanced reporting and analytics solutions to support the ATP mission in ensuring ... development of actionable insights through advanced analytics. Responsible for developing reporting and analytics solutions for the department/health system users by… more