- 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
- Actalent (Redlands, CA)
- Job Title: Healthcare SpecialistJob Description Join our Utilization Management team as an LVN Case Manager, where you will be an integral part of the Care ... per day while maintaining quality and accuracy. You will service patients in the Inland Empire, focusing on outpatient...SNF utilization according to policy. + Attend Utilization Management and/or Quality Management … 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
- Evolent (Sacramento, CA)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to ... on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical...Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare.… more
- Stanford Health Care (Palo Alto, CA)
- …Competency Development, Case Management Best Practice Standards Development, Case Management Competency Development + Utilization Management : Avoidable ... management principles and practice methods, including assessment, treatment planning, utilization management , and quality assurance + Ability to use multiple… more
- Stanford Health Care (Palo Alto, CA)
- …Competency Development, Case Management Best Practice Standards Development, Case Management Competency Development + Utilization Management : Avoidable ... management principles and practice methods, including assessment, treatment planning, utilization management , and quality assurance + Ability to use multiple… more
- ThermoFisher Scientific (Thousand Oaks, CA)
- …orders, work order status, and pending service requests. * Schedule OEM service events and complete pre -work (register OEM, Covid requirements). * Provide ... the job function could include escorting vendors to equipment/instruments, work order management and processing, order entry, order management , and operating… more
- Evolent (Sacramento, CA)
- …training classes as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. ... requested basis, reviews appeal cases and/or attends hearings for discussion of utilization management decisions. + Strong partnership with Physician Business… more
- Abbott (San Diego, CA)
- …drivers license. Embrace the vision of becoming the leading diagnostic service provider by achieving customer loyalty and economic profitability through passion, ... performance. Efficiently provide technical support solutions including installation, corrective, pre -emptive and proactive maintenance. Go above and beyond to… more
- Global Foundries (Santa Clara, CA)
- About GlobalFoundries: GlobalFoundries is a leading full- service semiconductor foundry providing a unique combination of design, development, and fabrication ... their markets. For more information, visit www.gf.com. Summary of Role:The Product Management of Embedded Non-Volatile Memory in Ultra-low Power (ULP) CMOS is… more
- Evolent (Sacramento, CA)
- …Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- IGT (CA)
- Field Service Tech III Location: CA Statewide, CA, US Requisition ID: 17178 IGT (NYSE:IGT) is a global leader in gaming. We deliver entertaining and responsible ... world, and create value by adhering to the highest standards of service , integrity, and responsibility. IGT has approximately 10,500 employees. For more information,… more
- Global Foundries (Santa Clara, CA)
- About GlobalFoundries: GlobalFoundries is a leading full- service semiconductor foundry providing a unique combination of design, development, and fabrication ... + Language Fluency - English (Written & Verbal) Preferred Qualifications: + Project management skills - ie, the ability to innovate and execute on solutions that… more