- Prime Healthcare (Inglewood, CA)
- …Status Full Time Shift Days Connect With Us! (https://careers-primehealthcare.icims.com/jobs/209416/ director -of- case - management utilization - management ... https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities We are seeking a strategic and compassionate Director of Case Management to… more
- LA Care Health Plan (Los Angeles, CA)
- …of work/licensure. The Supervisor is a subject matter expert (SME) in Care/ Case / Utilization Management and supporting regulations, policies, protocols, and ... of 7 years of acute/clinical care experience. Minimum of 2 years of experience in Case /Care/ Utilization Management in an acute care or health plan setting.… more
- LA Care Health Plan (Los Angeles, CA)
- …of varied RN clinical experience in an acute hospital setting. At least 2 years of Utilization Management / Case Management experience in a hospital or HMO ... Utilization Management Nurse Specialist RN II...Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent, post-service and retrospective claims… more
- Dignity Health (Glendale, CA)
- …+ Five (5) years experience in utilization review and discharge planning, case management and managed care. Other qualifications: + Knowledge of the ... that are capitated to the Dignity Health hospitals (as well as participation in In-Network Utilization management ). in the GSSJSA and to provide support to the … more
- The County of Los Angeles (Los Angeles, CA)
- …the following: + Additional experience in clinical nursing. + Supervisory** experience in Utilization Review and/or Case Management . SPECIAL REQUIREMENT ... appropriateness of the level of care. For this examination, Case Management is a collaborative process that...vacancy in Department of Health Services, Harbor-UCLA Medical Center, Utilization Management Division. May also be used… more
- Genesis Healthcare (Los Angeles, CA)
- …of the rehab department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient identification ... Area Director ). 11. Assumes responsibility for daily staffing and utilization with input from treating therapists, consideration of clinical requirements, and… more
- Sanofi Group (Los Angeles, CA)
- …of short- and long-term business plans that will optimize appropriate coverage, coding, Utilization Management , payment of and patient access to Sanofi products. ... with the Sanofi Value and Access, Pricing and Contracting, Analytics, PSS, case management , reimbursement support (ie, FRMs, FAS), medical, government and… more
- Elevance Health (Los Angeles, CA)
- …Candidates must live in California. The **Medical Director ** will be responsible for utilization review case management for Medicare and Medicaid in the ... **Medical Director - Medicare and Medicaid** Location: This role enables...and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers… more
- Elevance Health (Los Angeles, CA)
- **Clinical Operations Associate Medical Director ** **Carelon Medical Management ** **Outpatient Rehab Utilization Management ** **Virtual:** This role ... including radiology, cardiology and oncology._ The **Clinical Operations Associate Medical Director ** is responsible for supporting the medical management staff… more
- NBC Universal (Universal City, CA)
- …content. The spin-off is expected to be completed during 2025. The Director , Facilities Maintenance & Utilities is a hands-on leadership role that oversees ... electrical, plumbing/water treatment, kitchen/refrigeration, and HazMat teams. Oversee the utilization of third-party services that support and augment routine… more
- Providence (Tarzana, CA)
- …in Healthcare related field (Acute, Ambulatory, Post-Acute, etc.) + 2 years Experience in Case Management (Care Coordination or Utilization Management ) ... care coordination along a continuum through effective transitional care management and utilization management . Recognizing...-by- case basis at each ministry by the Director of Care Management in consultation with… more
- Cedars-Sinai (Torrance, CA)
- …patient outcomes to upper management . + Collaborate closely with hospital-based case management to design systems, workflows, and protocols that ensure ... specific to the department(s) below: **Department Duties and Responsibilities** ** Utilization Management ** Maintain compliant UM processes that are… more
- The County of Los Angeles (Los Angeles, CA)
- …to a line operation responsible for the delivery of psychological rehabilitation, case management and/or Psychiatric Emergency Service of the Department of ... resources. + Provides consultation to community agencies in the utilization of mental health and support services provided by...caseload of clients and facilitate routine follow up and case management services as needed. + Works… more
- J&J Family of Companies (Los Angeles, CA)
- …or product indications to grow and develop the company's product and technology utilization . The ULS CAS directly partners with a Regional Business Director , ... Territory Managers, EP CAS, Field Service Engineers and Field Management to ensure alignment and coordination of activities to..., CARTOMERGE (TM) and the Stockert RF generator) during case procedures within an assigned geography, and in a… more
- Dignity Health (Long Beach, CA)
- …when appropriate, discharge planning activities, and coordination with the multidisciplinary team/ Utilization Review Case Manager for referral to a CCS-paneled ... **Responsibilities** Under the general guidance of the Director and Manager of Rehabilitation Services, the Occupational Therapist administers patient evaluations,… more
- Dignity Health (Long Beach, CA)
- …when appropriate, discharge planning activities, and coordination with the multidisciplinary team/ Utilization Review Case Manager for referral to a CCS-paneled ... **Responsibilities** Under the general guidance of the Director of Rehabilitation Services and Therapy Manager; the Physical Therapist administers patient… more
- UCLA Health (Los Angeles, CA)
- …Strong knowledge of social work services, and familiarity with evidenced based practices, case management , utilization review, discharge planning, home care, ... for complex clinical cases, working closely with the Clinical Director . They will be a resource for social work...or managed care + Strong knowledge of human resources management policies, with the ability to train, monitor, evaluate,… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …facilitation of groups. Employs evidence-based psychological treatment interventions and provides case management services as needed. Provides mental health ... manages clinical staff schedules, maintains compliance with routine audits of staff, utilization management , performance improvement, and other duties, as deemed… more
- The County of Los Angeles (Los Angeles, CA)
- …assigned to a line operation responsible for delivering psychological rehabilitation, case management , and/or psychiatric emergency services in the Department ... and significant others. + Provides consultation to community agencies on the utilization of mental health and support services provided by department-owned clinics,… more
- The County of Los Angeles (Los Angeles, CA)
- …swabs, etc.) + Maintains a caseload of clients and facilitate routine follow up and case management services as needed. + Works in conjunction with other team ... to community resources. + Provides consultation to community agencies in the utilization of mental health and support services provided by directly operated clinics,… more