- 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
- 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: Full ... Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and...to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for… more
- LA Care Health Plan (Los Angeles, CA)
- Lead Utilization Management Correspondence Job Category: Administrative, HR, Business Professionals Department: Utilization Management Location: Los ... the safety net required to achieve that purpose. Job Summary The Lead Utilization Management (UM) Correspondence reviews, process and corresponds to all incoming… more
- Ventura County (Ventura, CA)
- …of the following: + Certified in Case Management , CCM. + Experience with Utilization Management and/or Quality Assurance in a Managed Health Care Plan. ... direction, the Senior Medical Management Nurse is responsible for performing utilization review, case management , and quality improvement functions to… more
- Sharp HealthCare (La Mesa, CA)
- … Quality -PREFERRED + Certified Professional in Healthcare Risk Management (CPHRM) - American Hospital Association -PREFERRED + Certified Professional in ... performing case reviews and directing the assignment and completion of high quality reviews by others.Coordinates the Behavioral Variance Reporting (BVR) process… more
- Cedars-Sinai (CA)
- …enhancing data integrity and information usability. This pivotal role supports our Data Quality Management program, ensuring that our data meets the highest ... various partners across administrative and financial domains, applying modern data quality management principles. **Key Responsibilities** **Primary Duties &… more
- Ross Stores, Inc. (Dublin, CA)
- …contracts, identifies embedded leases and applies proper accounting treatment for management utilization in decision making process\. * Drive cross\-functional ... and methodology\. * Analyze and interpret of the financial results for management 's utilization in business decision\-making processes\. Responsible for monthly… more
- Dignity Health (Bakersfield, CA)
- …populations. This leader will have direct oversight of the Medical Director of Utilization Management (UM) and the Medical Director of Physician Engagement and ... and experience leading complex and innovative delivery models. + Experience in Utilization Management activities. + Strong communication skills, and ability to… more
- UCLA Health (Los Angeles, CA)
- …+ Ensure seamless integration of various clinical functions with Utilization Management , such as Case Management , Quality Improvement, Credentialing, and ... programs and medical services with an emphasis on optimizing Utilization Management for the Faculty Practice Group... Management for the Faculty Practice Group (FPG) Management Services Organization (MSO). Reporting to Chief… more
- US Tech Solutions (Mountain View, CA)
- …our AI models learn and perform. + This role blends operational rigor, quality management , and strategic vendor partnership to deliver measurable improvements in ... teams on forecasting, backlog reduction, and operational readiness initiatives. **4. Performance Management & Reporting ** + Track and report on key vendor… more
- Cedars-Sinai (Los Angeles, CA)
- …feedback and assistance to staff. + Collects data to support performance indicators and quality assurance reporting . Monitors management and quality ... are worked according to established policies and procedures to meet data quality goals, comply with department policies and procedures, optimize point of service… more
- Tutor Perini (Los Angeles, CA)
- …to start construction activities are identified and completed. + Manage the effective utilization of technical expertise within the Project Management team. + ... $100,000 - $125,000 depending on experience. Tutor Perini Corporation is seeking a ** Quality Control Engineer (MEP/Systems)** to join our office in Los Angeles, CA… 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
- City and County of San Francisco (San Francisco, CA)
- … duties in a variety of functional areas, such as: office/operations management ; budget development, administration, and fiscal reporting ; development and ... County of San Francisco is looking to hire multiple management assistants to be part of the City workforce...San Francisco's $14 billion budget is used to provide high- quality services for residents, workers, and visitors. We are… more
- City and County of San Francisco (San Francisco, CA)
- … duties in a variety of functional areas, such as: office/operations management ; budget development, administration, and fiscal reporting ; development and ... utilization of space. 2. Manages or assists in management of the functions of an office, section, operation...and hearings on specific issues. 5. Performs and/or assists management in a variety of research and reporting… more
- Stanford Health Care (Palo Alto, CA)
- …and collaborating with multidisciplinary teams, influence and direct the delivery and quality of patient care. A hospital-based case management system has ... and maintains records as required; collects, analyzes and reports ondata for utilization , quality improvement, compliance, and other areas as assigned. +… more
- Stanford Health Care (Palo Alto, CA)
- …and collaborating with multidisciplinary teams, influence and direct the delivery and quality of patient care. A hospital-based case management system has ... and maintains records as required; collects, analyzes and reports on data for utilization , quality improvement, compliance, and other areas as assigned. +… more
- Humana (Sacramento, CA)
- …Professional plays a pivotal role in supporting Medicaid Inpatient and Outpatient Utilization Management (UM) forecasting and staff planning activities. This ... caring community and help us put health first** The Senior Workforce Management Professional applies and integrates advanced and predictive analysis, people metrics… more
- Gilead Sciences, Inc. (Foster City, CA)
- …within US Medical Affairs for a Director, Portfolio Strategy in our Patient Access and Quality of Care (PAQ) team. This role is office-based in our Foster City, CA ... NJ office. **Director, US Medical Affairs, Patient Access and Quality of Care (PAQ) -** **Portfolio Strategy** The role...in Gilead such as Patient Safety + Own the reporting for LRC, including tracking studies and publications +… more
- Sharp HealthCare (San Diego, CA)
- …care related field **Other Qualification Requirements** + Utilization , Case Management , or Quality Management certification preferred. **Essential ... all Care Management activities.Implementation and maintenance of the regular reporting system for operational and utilization outcome indicators.Leads groups… more