- Battelle Memorial Institute (Oceanside, CA)
- …with the referring provider, behavioral health consultant and/or psychiatry consultant + Perform case management functions **Key Qualifications** + Master ... and Analytics (HRA) business line is seeking a highly motivated, full-time **Licensed Clinical Social Worker (LCSW)** to join our team in support of our government… more
- CVS Health (Sacramento, CA)
- … clinical skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Conduct clinical reviews for adult ... internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and… more
- CVS Health (Sacramento, CA)
- …Must have active current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include ... in med surg or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing in PST zones **Education**… more
- Guidehouse (Los Angeles, CA)
- …efficiency, quality, and reliability. Areas of expertise include care and utilization management , throughput, post-acute care and readmissions, pharmacy and ... and operational improvement across business and purchased services, supply cost, and clinical supply utilization at client provider organizations. Our team of… more
- Guidehouse (Los Angeles, CA)
- …efficiency, quality, and reliability. Areas of expertise include care and utilization management , throughput, post-acute care and readmissions, pharmacy and ... and operational improvement across business and purchased services, supply cost, and clinical supply utilization at client provider organizations. Our team of… more
- BD (Becton, Dickinson and Company) (San Jose, CA)
- …This position reports to the Regional Business Manager and supports the Specimen Management business unit. This role observes current clinical practice and ... responsibilities will include:** + Fosters a continually evolving partnership between Specimen Management and our valued customers in a Clinical Process advisory… more
- Child Communication and Behavior Specialists (CA)
- …culturally inclusive environment. The Position We are seeking a Hybrid BCBA Supervisor & Clinical Consultant to join our team. This role offers 50-75% remote ... individualized, high-quality ABA programs. Key Responsibilities + Provide hands-on clinical supervision using Behavioral Skills Training (BST). + Facilitate… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for...external committees as delegated or assigned. Serves as a consultant to other departments or organizations as needed. Responsible… more
- Highmark Health (Sacramento, CA)
- …needs and the analytical technology team. The Senior Decision Support Consultant will leverage technical, analytical, and business expertise to design, develop, ... while also being capable of developing technical solutions. The consultant will act as a senior resource within the...the impact of Highmark's business decisions on Informatics, personnel utilization , and the use and planning of technology. The… more
- J&J Family of Companies (Los Angeles, CA)
- …more at https://www.jnj.com **Job Function:** MedTech Sales **Job Sub** **Function:** Clinical Sales - Surgeons (Commission) **Job Category:** Professional **All Job ... We are searching for the best talent for Sales Consultant to be in Los Angeles. **About** **Orthopaedics** Fueled...than 6 million people moving each year while delivering clinical and economic value to surgeons and healthcare systems.… more
- Dignity Health (Bakersfield, CA)
- …as an expert clinical and education resource; staff and leadership development consultant ; and Utilization Management content expert for staff, leaders, ... physicians and customers across the ePH Utilization Management . This position will assist with...role. Specific process will include how to use essential clinical applications and how to perform essential job functions.… more
- The County of Los Angeles (Los Angeles, CA)
- …NICU, Burn ICU), Oncology, Parenteral Nutrition, Ambulatory Care, Drug Utilization Review, Anti-Coagulation, Purchasing Consultant , Drug Information, ... NICU, Burn ICU), Oncology, Parenteral Nutrition, Ambulatory Care, Drug Utilization Review, Anti-Coagulation, Purchasing Consultant , Drug Information,… more
- Deloitte (Los Angeles, CA)
- Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk ... for both formal and informal education of physicians, CDI team, health information management and other clinical staff + Develop in-service education tools as… more
- The County of Los Angeles (Los Angeles, CA)
- …NICU, Burn ICU), Oncology, Parenteral Nutrition, Ambulatory Care, Drug Utilization Review, Anti-Coagulation, Purchasing Consultant , Drug Information, ... CLINICAL PHARMACIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1221716) Apply CLINICAL PHARMACIST Salary $164,533.20 - $188,433.84… more
- Sharp HealthCare (La Mesa, CA)
- …interns and interdisciplinary team.Provides leadership as role model and/or consultant to develop/retain professional clinical staff.Foster the integration ... Variable **FTE** 0 **Shift Start Time** **Shift End Time** California BBS Licensed Clinical Social Worker (LCSW) - CA Board of Behavioral Sciences; AHA Basic Life… more
- BD (Becton, Dickinson and Company) (Irvine, CA)
- …field, with 8 years of previous related experience with direct healthcare management of large clinical organizations required. Master's Degree or equivalent ... BD, we are seeking a highly motivated and experienced Clinical Services Group Manager to lead our efforts in...work in a team environment, including serving as a consultant to management . + Open to extensive… more
- Sharp HealthCare (San Diego, CA)
- …Day **FTE** 0 **Shift Start Time** **Shift End Time** California BBS Licensed Clinical Social Worker (LCSW) - CA Board of Behavioral Sciences; AHA Basic Life ... involved in Admission & Triage, Discharge planning, and case management of chemical dependency patients. + AHA Basic Life...CA Board of Registered Nursing **OR** California BBS Licensed Clinical Social Worker (LCSW) - CA Board of Behavioral… more
- University of Southern California (Los Angeles, CA)
- …patient populations. The RN case manager role integrates the functions of utilization management , quality management , discharge planning assessment, and ... * Completes disposition form for medicare patients timely. + Consultant * Demonstrates sound clinical knowledge base....+ Pref Bachelor's degree + Pref 1 year Case management or utilization review experience within the… more
- University of Southern California (Alhambra, CA)
- …Nursing + Req 5 years Clinical experience + Req 2 years Ambulatory case management or utilization review experience within the last three years + Req Ability ... populations. The role integrates the functions of complex case management , utilization management , quality ...12. Completes disposition form for medicare patients timely. + Consultant 1. Demonstrates sound clinical knowledge base… more
- Sutter Health (Oakland, CA)
- …Advisor will work closely with the medical staff, including house staff, and all utilization management (UM) personnel, Care Management (CM) personnel to ... quality regulations. The PA will act as a liaison between the CDI ( Clinical Documentation Improvement) professional, HIM (Health Information Management ) ,and… more
