- Sutter Health (Berkeley, CA)
- …with hospital administration, medical staff, patient registration and representatives of review organizations and others to ensure effective utilization of ... to justify acute hospital admission, need for continued stay, and proper utilization of physician, nursing, and ancillary services. Responsible for concurrent … more
- Battelle Memorial Institute (Oceanside, CA)
- …(HRA) business line is seeking a highly motivated, full-time **Cognitive Performance Specialist ** to join our team in support of our government customer, US ... ensuring comprehensive support for those who serve. As a Cognitive Performance Specialist , you will contribute to impactful research and analytics that drive… more
- HCA Healthcare (Campbell, CA)
- …find this opportunity compelling, we encourage you to apply for our Contract Specialist opening. We promptly review all applications. Highly qualified candidates ... individual is recognized. Submit your application for our Contract Specialist opening with HCA Healthcare today and find out...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
- LA Care Health Plan (Los Angeles, CA)
- …by health risk assessment (HRA), risk stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health ... Care Management Specialist II, D-SNP Team (12 month Assignment) Job...the most complex cases involving highly acute physical health, behavioral health, complex/catastrophic and/or psychosocial issues to determine and… more
- Sharp HealthCare (La Mesa, CA)
- …**What You Will Do** The purpose of the Sr. Performance Improvement Specialist is to improve clinical outcomes including responsibilities relating to leading teams ... in the utilization of Change Acceleration Process and PI tools and...through measurement and analysis along with concurrent and retrospective review of performance information. Assists with operational planning and… more