- The Arora Group (Twentynine Palms, CA)
- …(WII) under the Psychological Health Transition to Care Initiative in the Case Management / Utilization Management Division at Naval Hospital 29 Palms . ... process, including assessment, planning, implementation, coordination, and monitoring. + Integrate case management (CM) with utilization management (UM) and… more
- Stanford Health Care (Palo Alto, CA)
- …(SHC) and Stanford Children's Health (SCH). In addition, there is the management of organizational systems and workflow, continuous quality improvement, fiscal ... management , and departmental goals and programs for the Office...Manager. + Manages, coaches, and trains staff for proper utilization of personnel in relation to the level and… more
- Sharp HealthCare (San Diego, CA)
- …position, and employer business practices. **What You Will Do** To provide comprehensive utilization management and coordination of care for members who are ... contracted health plan requirements for documentation of concurrent SNF review and utilization management activities performed in a manner consistent with… more
- TEKsystems (San Mateo, CA)
- …voluntary participation. Fiscal Responsibility (includes productivity, HHRG rating, supply management , utilization review) * Contributes to the achievement ... and caregivers are relayed in a timely manner. Demonstrates effective liaison activities and interdepartmental and branch communication and cooperation to support… more
- STG International (Lancaster, CA)
- …to ensure compliance and patient safety. + Participate in quality improvement, care management , risk management , peer review, utilization review, clinical ... with the veteran and assists in making referrals for services and/or admissions to the VAMC as medically appropriate. Determine which referrals are required… more
- Cedars-Sinai (Los Angeles, CA)
- …+ As liaison coordinates administrative support activities including facilities management , patient billing, utilization management , quality ... staff, insurance plans and other departments. + Actively participate in lean management processes by detailing, monitoring and updating department specific data. +… more
- Cedars-Sinai (CA)
- …+ As liaison coordinates administrative support activities including facilities management , patient billing, utilization management , quality ... staff, insurance plans and other departments. + Actively participate in lean management processes by detailing, monitoring and updating department specific data. +… more
- Sharp HealthCare (San Diego, CA)
- …a health care system revenue cycle. + Previous social work or case management experience. + California Notary Public - California Secretary of State -PREFERRED ... COBRA, and Health Care Exchange Qualified Plan Enrollment.Identifies all unfunded admissions and completes face to face interview and application within 24… more
- Stanford Health Care (Palo Alto, CA)
- …screening/education of patients, intake, insurance verification, consult assignment, liaison with inpatient/outpatient providers, assisting and guiding patients and ... and psychiatry staff for patient and ECT service issues. + Utilization and review- Reviews prospectively, concurrently, and retrospectively for ECT patient's… more
- UCLA Health (Santa Monica, CA)
- …to the team, individual, family or group psychotherapeutic treatment; liaison with community agencies; treatment plan documentation; and disposition planning ... to improve access to psychiatric care and to prevent unnecessary ED admissions and hospitalizations. The clinical advisor has three main functions: 1. Resource… more