- Prime Healthcare (Inglewood, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/200257/ director -of- case - management utilization - ... 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 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
- 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
- UCLA Health (Los Angeles, CA)
- …healthcare delivery for + Ensure seamless integration of various clinical functions including Utilization Management , Population Health, Case and Care ... in a healthcare organization with a focus on clinical services, and expertise utilization management , required + In-depth understanding of managed (value based)… more
- Grifols Shared Services North America, Inc (Los Angeles, CA)
- …**Position Overview:** We are seeking a dynamic Health Systems Engagement Associate Director to drive the adoption and integration of A1 EMR Screening Protocols ... candidate will have a strong background in disease state management and EMR screening protocols, excellent communication skills, and...Protocols & AlphaID (TM) . + Use data and case studies to support points and engage the audience… 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
- UCLA Health (Los Angeles, CA)
- …work with clinicians, families and other state agencies for patient care. 7. Case management / utilization management , health education and/or discharge ... Description Under general supervision of the Program Director at the UCLA Area Service Center (ASC),...ASC operations as well as will participate in direct case management activities and client contact with… more
- GAF (Los Angeles, CA)
- …team and works closely with corporate peers focusing on Reliability Engineering, Materials Management , and Training pillars. This role will report to the Sr. ... Director of Operations Maintenance Transformation. **Job Summary** This collaborative...deploy the adoption of technology, and improve Maintenance Work Management Processes. This is a dynamic role, working with… more
- Cedars-Sinai (Los Angeles, CA)
- …Demonstrated fiscal management capabilities, including effective expense reduction, utilization management , and budget control. Cedars-Sinai is an EEO ... what our Nurse Managers do. They've got a strong combination of clinical skills, management abilities, and integrity, and they devote every ounce of their hearts to… 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
- 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
- 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