- Prime Healthcare (Inglewood, CA)
- …status, ie full-time or part-time. Responsibilities We are seeking a strategic and compassionate Director of Case Management to lead our dynamic Case ... of staff and systems to effectively operate a comprehensive Case Management Program. The Director ...supervision to case managers, social workers and case management coordinators/discharge planners, utilization … more
- Prime Healthcare (Ontario, CA)
- …seeking new members to join our corporate team! Responsibilities The Corporate Director of Clinical Utilization Management (UM) provides comprehensive ... another relevant field + A minimum of seven (7) years' experience in Clinical Utilization Review or Case Management with a large Health Plan + An active CA… 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
- UCLA Health (Los Angeles, CA)
- …delivery for MSO members. + Ensure seamless integration of various clinical functions with Utilization Management , such as Case Management , Quality ... Description We are seeking a highly skilled and dynamic Director of Clinical Services to lead the development, evaluation,...programs and medical services with an emphasis on optimizing Utilization Management for the Faculty Practice Group… 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
- Elevance Health (Costa Mesa, CA)
- …preferred. + Extensive orthopedic surgery experience preferred. + Experience with utilization management , especially with CMS guidelines preferred. For ... **Clinical Operations Associate Medical Director ** **Orthopedic Surgery** **Virtual** : This role enables...necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. +… 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
- Bayer (Santa Clarita, CA)
- …minds to make a real difference, there's only one choice.** **Associate Director , Regional Marketing, Cardiovascular - California** **PURPOSE** As part of the ... incumbent will be responsible for activities across five key areas, in each case , acting as a champion to deliver brand communication strategy. 1. Strategic Thought… more
- HCA Healthcare (Riverside, CA)
- …care issues. Offers clinical support for appeals and denials process, discharge planning, case management , and utilization review/ management + You ... will consult with facility-level staff regarding delegated utilization management and disease management ...the denial and appeals process, as requested by the Case Management Department and Patient Accounting Services… 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
- 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
- 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)
- …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