- Wellpath (Alpine, CA)
- …the world, one patient at a time. **How you make a difference** As a Risk Manager , you will oversee the evaluation of events and trends to mitigate risks ... you'll conduct orientation and training sessions on Corporate Compliance, HIPAA, and Risk Management to ensure adherence to regulatory standards and promote… more
- Magellan Health Services (San Diego, CA)
- …appropriate and effective person-centered care plan, member education and care management . Conducts initial and concurrent review for prior authorization of higher ... standards of care and performance set by Member Market Leads and the Care Management Center of Operational Excellence (CoOE) Lead. + Accountable for all Care … more
- Scripps Health (San Diego, CA)
- …Security Professional (CISSP), GIAC, OSCP, or related security and risk management certifications required. ** *Preferred Education/Experience/Specialized ... Health team and work alongside passionate caregivers and provide patient -centered healthcare. Receive endless appreciation while you build a...to Work for 2023 *Why join this team?* The Manager , Identity and Access Management will oversee… more
- Select Medical (San Diego, CA)
- …The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management and financial management , ... the fullest possible reimbursement to maximize insurance benefit coverage for the patient . Reviews insurance verification forms to minimize risk . + Facilitates… more
- KBR (San Diego, CA)
- …pre-established utilization review criteria recognize and report actual or potential quality and risk management issues in order to improve practice and ensure ... Title: Special Operations Nurse Case Manager (Coronado, CA) Job Posting Description THIS POSITION...or American Nurse Credentialing Center. * Demonstrated knowledge of patient education principles and management of complex… more
- Sharp HealthCare (San Diego, CA)
- …status expectations/goals, vocational/educational, transitional or discharge plan, and risk management .Evaluates objectively and critically all information ... (AHA BLS Healthcare) - American Heart Association; Certified Case Manager (CCM) - Commission for Case Manager ...experience in area of specialty. + 2 Years Utilization/Case Management experience, preferably in a Managed Care setting. +… more
- ThermoFisher Scientific (Carlsbad, CA)
- …completion. Ensuring key requirements and achievements are met; applying thorough risk management practices, continuous improvement tools and prioritization of ... product launches, the candidate should be proficient in industry standard project management processes, tools, and strategies. The Project Manager will… more
- Sharp HealthCare (La Mesa, CA)
- …assesses appropriateness of and compliance with safety policies.Works proactively with Biomed, Risk Management and others to ensure ongoing compliance. + ... its fourth Magnet designation for excellence in nursing practices and quality patient care. Sharp Grossmont Hospital for Neuroscience offers the most advanced… more
- Medtronic (San Diego, CA)
- …in the Life** This is a promising opportunity to join the Portfolio Management team leading the development of Multiple Daily Injection System (MDIS) at Medtronic ... and App. components. Reporting to the MDIS Portfolio Leader, the Senior Program Manager , Product Development will be responsible to manage one or more programs,… more
- Medtronic (San Diego, CA)
- …medical device products** or software systems, with detailed focus on software reliability, risk management and patient safety. + Provide oversight and ... process, make a real difference. #MDTDiabetesReferralCampaign As a Software Design Quality Manager , you will lead the Software Design Quality team focused on… more
- Bristol Myers Squibb (San Diego, CA)
- …distribution process. + Work cross functionally within the Cell Therapy Account Management Team, Payer Account Executives, Cell Therapy Patient Operations, Cell ... . **Summary:** The CAR T (Cellular Therapy) Market Access Manager (CMAM) is responsible for executing access and reimbursement strategies… more
- ConvaTec (San Diego, CA)
- …solutions provide a range of benefits, from infection prevention and protection of at- risk skin, to improved patient outcomes and reduced care costs. Convatec's ... products and technologies company, focused on solutions for the management of chronic conditions, with leading positions in advanced...us on our journey to #ForeverCaring as a Territory Manager and you'll do the same. **About the Role**… more
- Sharp HealthCare (San Diego, CA)
- …Integrated Care Management (ICM) team the Transfer and Admissions Utilization Manager (UM) partners with the Centralized Patient Placement Center (CPPC) RN's ... Registered Nurse (RN) - CA Board of Registered Nursing; Accredited Case Manager (ACM) - American Case Management Association (ACMA); Bachelor's Degree;… more
- Pfizer (San Diego County, CA)
- …Clinical Practices (GCDMP), and related regulatory requirements + Strong Project and Risk Management + Strong verbal and written communication skills, ... play an important role in processing, reviewing, and receiving patient data and records. You will be organizing clinical...other groups. You will be relied on for data management plans including data preparation, data validation activities, etc.… more
- Sharp HealthCare (San Diego, CA)
- …for patient issues, when needed.Performs data entry related to patient management activities utilizing designated computer systems.Complies with contracted ... of any quality issues.Attends hospitalists rounds, as required, to discuss high risk patients requiring case management follow up.Attends clinical in-services or… more
- IQVIA (San Diego, CA)
- **Job Overview** The Senior Director and General Manager of Discovery Sciences holds accountability for driving global profitability and expansion of the Protein ... objectives. Develop policies, practices, and standards to minimize and manage business risk to the Company and customers. + Develop, monitor, and implement budgets… more
- Sharp HealthCare (San Diego, CA)
- …including PPR requirements.Coordinates QVR processing and works as a liaison to Sharp Risk Management for the identification of potential risk issues. ... Qualifications** + Bachelor's degree + Prior experience in Quality Improvement/Utilization Management + California Registered Nurse (RN) - CA Board of Registered… more
- Danaher Corporation (San Diego, CA)
- …respond to environmental hazards, better understand biomarkers relevant to disease, improve patient care in the clinic, bring relevant drugs to market faster and ... goals. + Work cross-functionally with Operations, R&D, Supplier Quality, Product Management and others to drive continuous product quality improvements. + Ensure… more
- Sharp HealthCare (San Diego, CA)
- … management . Compression wrap application. Compression sticking application. Cast management .* The CWOCN performs routine patient assessment regarding ... history and physical examination; wound assessment; comorbidity assessment; dietary assessment; risk and prevention assessment.* Management of chronic wounds (eg… more
- Sharp HealthCare (San Diego, CA)
- …current information. Verifies current insurance plan eligibility. Reports statistics to the manager of Inpatient Care Management . Reports re-admission within 30 ... facilitate care coordination services provided by the Hospitalist Case Manager . This position is responsible for the care and...days of previous discharge. Reports patient 's enrolled in a Sharp Case Management … more