- Southland Industries (Garden Grove, CA)
- …with an emphasis on **program cost analysis, compliance, and vendor management ** . This role requires experience with **self-insured program administration** and ... tools. **Reporting & Collaboration** + Provide reporting and analysis on benefits utilization and cost trends to HR and Finance leadership. + Support benefits… more
- Providence Little Company of Mary Medical Center - San Pedro (San Pedro, CA)
- …Job Title Registered Nurse - Case Manager @ Providence Little Company of Mary Medical Center San Pedro - Case Management Weekly Pay $2440.0 Shift Details ... Details Client Name Providence Little Company of Mary Medical Center - San Pedro Job Type Travel...Job Title: Case Manager Profession: Registered Nurse Specialty: Case Management Duration: 13 weeks Shift: Day 5x8-Hour Hours per… more
- Clever Care Health Plan (Huntington Beach, CA)
- …and implementation of various Stars and Risk adjustment programs tied to medical records retrieval strategies, collecting and tracking medical records from ... outreach to patients HIPAA compliant outreaches to patients for Medication adherence/ utilization and other risk/quality gaps closure support including but not… more
- Amphenol CIT (Cerritos, CA)
- …world's leading designers and manufacturers of high-performance wire, cable, and medical devices. We provide complete interconnect solutions to industries like ... Aerospace, Military & Defense Electronics, Space, Medical , Test & Measurement, and Industrial. Our talented team of employees worldwide helps bring movies to your… more
- Providence Little Company of Mary Medical Center San Pedro-… (San Pedro, CA)
- …ensure timely, efficient, and effective discharge planning and transitions. Supports utilization management and ensures compliance with payer guidelines. ... Details Client Name Providence Little Company of Mary Medical Center San Pedro- Case Management ...BLS - AHA Must-Have: Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates… more
- Virgin Galactic (Tustin, CA)
- …changes. The successful candidate will work closely with Project Management , Production, Engineering, Purchasing, and Inventory to ensure production schedule ... to cover production demand + Project capacity and planned utilization to reduce employee idle time, and work with...Compiling status and performance reports and submitting them to management in a timely manner + Promptly informing the… more
- EV Realty (Los Angeles, CA)
- …multiple fleets onto shared, private infrastructure, we reduce costs, improve truck utilization , and deliver services that critical commercial fleets require to keep ... codes and standards. Site operations includes property and building management such as security, cameras, lighting, janitorial, site-access, internet, traffic… more
- Skanska (Riverside, CA)
- …and programs through the communication and enforcement of the Skanska Safety and Health Management Program + Schedule, track and log equipment moves to and from the ... oil sample reports + Issue fuel PIN's + Create utilization reports + Order fuel + Track fuel dispensing...That's why we provide an array of options (including medical , dental, and vision insurance plans), expert guidance, and… more
- Revelyst (Irvine, CA)
- …to support programs' fabric & trim objectives within the product lifecycle management framework. This role reports to the Director, Product Development- Soft Goods ... Manager;** you will have the opportunity to: . Drive the raw material management process for assigned products, with an emphasis on performance, and quality product… more
- Deluxe (Monterey Park, CA)
- …+ We value our people so offer the typical benefits (401K, PTO, Medical , Dental) PLUS: Flexible time off, volunteer time off, paid maternity/paternity leave, tuition ... for project revenue and billable service hours. Ensure optimal resource utilization by managing and updating project and resource schedules. Release resources… more
- Terumo Neuro (Aliso Viejo, CA)
- …and subject matter expertise in inventory deployment, audit readiness, and utilization strategy. In collaboration with Sales, Customer Service, Finance, Supply ... trunk stock and consignment locations. + Support Field Inventory Management to ensure compliance with inventory-related contractual agreements (ie, consignment… more
- Elevance Health (Costa Mesa, CA)
- Utilization Management / Medical Management Nurse - CA (JR169412) **Virtual:** This role enables associates to work virtually full-time, with the ... 8am - 6pm PST. Rotating Weekends and holidays. The ** Medical Management Nurse** is responsible for review...Med/Surg, Critical Care, ER, Telemetry, etc. strongly preferred. + Utilization management /review within managed care or hospital… more
- Prime Healthcare (Montclair, CA)
- …Us! (https://careers-primehealthcare.icims.com/jobs/229421/case-manager-%28rn%29 utilization - management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... Overview Montclair Hospital Medical Center is a 106-bed acute care, not-for-profit...community focused. Responsibilities Responsible for the quality and resource management of all patients that are admitted to the… more
- Prime Healthcare (Anaheim, CA)
- …With Us! (https://careers-primehealthcare.icims.com/jobs/230272/case-manager utilization - management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... to our core values of quality, compassion and community! West Anaheim Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand… more
- Prime Healthcare (Montclair, CA)
- …Us! (https://careers-primehealthcare.icims.com/jobs/230024/case-manager-%28rn-%29 utilization - management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... Overview Montclair Hospital Medical Center is a 106-bed acute care, not-for-profit...community focused. Responsibilities Responsible for the quality and resource management of all patients that are admitted to the… more
- Prime Healthcare (San Dimas, CA)
- …Us! (https://careers-primehealthcare.icims.com/jobs/229285/case-manager-%28rn%29 utilization - management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... Paid time off + 401K retirement plan + Outstanding Medical + Dental + Vision coverage + Tuition reimbursement...community focused. Responsibilities Responsible for the quality and resource management of all patients that are admitted to the… more
- Prime Healthcare (Ontario, CA)
- …the utilization review and appeals process as part of the denial management initiatives. Utilization review tech is responsible for coordinating phone calls, ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/222322/ utilization -review-technician-ii/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare… more
- Emanate Health (Covina, CA)
- …Requirement :** **Minimum Experience Requirement :** Minimum of three years of utilization management experience. Experience in quality- related job preferred. ... #19 ranked company in the country. **J** **ob Summary** The Utilization Review Nurse will evaluate medical records to determine medical necessity by applying… more
- Prime Healthcare (Lynwood, CA)
- …Us! (https://careers-primehealthcare.icims.com/jobs/228577/rn-case-manager utilization -review/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySt. ... Overview St. Francis Medical Center is one of the leading comprehensive...and service! Responsibilities Responsible for the quality and resource management of all patients that are admitted to the… more
- Molina Healthcare (Riverside, CA)
- …of health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies ... the most appropriate care at the most effective setting. *Evaluates effectiveness of utilization management (UM) practices - actively monitoring for over and… more
