- Deluxe (Monterey Park, CA)
- …+ We value our people so offer the typical benefits (401K, PTO, Medical , Dental) PLUS: Flexible time off, volunteer time off, paid maternity/paternity leave, tuition ... for project revenue and billable service hours. Ensure optimal resource utilization by managing and updating project and resource schedules. Release resources… more
- Amphenol CIT (Cerritos, CA)
- …world's leading designers and manufacturers of high-performance wire, cable, and medical devices. We provide complete interconnect solutions to industries like ... Aerospace, Military & Defense Electronics, Space, Medical , Test & Measurement, and Industrial. Our talented team of employees worldwide helps bring movies to your… more
- Endo International (Glendale, CA)
- …maintain performance guidelines for the following metrics: call activity, appropriate utilization of samples, Quarterly Business Plan update. + Incorporate and ... future call objectives, sampling data and overall territory performance. Territory Management + Effectively manage sample accountability program. + Execute all… more
- Southland Industries (Garden Grove, CA)
- …with an emphasis on **program cost analysis, compliance, and vendor management ** . This role requires experience with **self-insured program administration** and ... tools. **Reporting & Collaboration** + Provide reporting and analysis on benefits utilization and cost trends to HR and Finance leadership. + Support benefits… more
- Elevance Health (Los Angeles, CA)
- Utilization Management / Medical Management Nurse - CA (JR169412) **Virtual:** This role enables associates to work virtually full-time, with the ... 8am - 6pm PST. Rotating Weekends and holidays. The ** Medical Management Nurse** is responsible for review...Med/Surg, Critical Care, ER, Telemetry, etc. strongly preferred. + Utilization management /review within managed care or hospital… more
- Molina Healthcare (Los Angeles, CA)
- …Monitoring team responsible for prior authorizations, inpatient/outpatient medical necessity/ utilization review, and/or other utilization management ... clinical and non-clinical team activities to facilitate integrated, proactive utilization management , ensuring compliance with regulatory and accrediting… more
- LA Care Health Plan (Los Angeles, CA)
- …observation) admission in the acute setting. Works with UM leadership, including the Utilization Management Medical Director, on requests where determination ... Utilization Management Admissions Liaison RN II...acute care facilities. Acts as a department resource for medical service requests/referral management and processes. Actively… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for...Off (PTO) + Tuition Reimbursement + Retirement Plans + Medical , Dental and Vision + Wellness Program + Volunteer… more
- Prime Healthcare (Inglewood, CA)
- …Workers, and Clinical Coordinators. This leader will oversee all facets of utilization management , discharge planning, and care coordination to ensure patients ... Overview AtCentinela Hospital Medical Center, our dedicated team of professionals are...and supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and… more
- Elevance Health (Los Angeles, CA)
- ** Utilization Management Representative II** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... an accommodation is granted as required by law._ The ** Utilization Management Representative II** is responsible for...and/or eligibility information. + May act as liaison between Medical Management and internal departments. + Responds… more
- TEKsystems (Los Angeles, CA)
- …3 days remote and 2 on-site (Tues/Thurs). M-F 8am - 5pm.Position Overview The Utilization Management Specialist plays a critical role within the Quality ... Management department, serving as the last line of defense...be comfortable interacting with Doctor Offices, Health Plans, and Medical Directors throughout the appeals process. Key Responsibilities +… more
- The County of Los Angeles (Los Angeles, CA)
- …staff training is needed, and to make recommendations on potential areas for medical care evaluation studies. + Attends Utilization Review Committee meetings to ... I:One year of experience performing the duties of a Utilization Review Nurse* or Medical Service Coordinator,... Review Nurse is an RN that has Case Management experience whose primary charge is to ensure that… more
- Prime Healthcare (Lynwood, CA)
- …Us! (https://careers-primehealthcare.icims.com/jobs/228577/rn-case-manager utilization -review/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySt. ... Overview St. Francis Medical Center is one of the leading comprehensive...and service! Responsibilities Responsible for the quality and resource management of all patients that are admitted to the… more
- Elevance Health (Los Angeles, CA)
- …or healthcare leadership preferred. + Experience advising medical cost management , utilization management , payment integrity, or provider performance ... & Analytics (RDA)** + **Cost of Care / Payment Integrity** + **Care Management / Utilization Management (CM/UM) Modernization** + **Provider Networking… more
- The County of Los Angeles (Los Angeles, CA)
- …DIRECTOR, ADMINISTRATION (Director, Workforce Management and Operations) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3110377) Apply ... NURSING DIRECTOR, ADMINISTRATION (Director, Workforce Management and Operations) Salary $163,996.80 - $255,048.48 Annually Location Los Angeles County, CA Job Type… more
- LA Care Health Plan (Los Angeles, CA)
- …the coordination of member care with internal LA Care departments such as Care Management (CM), Utilization Management (UM), Managed Long Term Services and ... ECM and receives clinical supervision as needed from the Medical Director of Care Management . The position... Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer:… more
- UCLA Health (Los Angeles, CA)
- …multiple clinical programs and medical services with an emphasis on optimizing Utilization Management for the Faculty Practice Group (FPG) Management ... etc.), required + 3-5 years of executive leadership experience with a focus on Utilization Management for a medical group, IPA, or Health Plan, required +… more
- Rising Medical Solutions (Los Angeles, CA)
- …the following specialties: industrial rehabilitation nursing, medical case management , occupational health, orthopedics, home health care, utilization ... of dedicated professionals committed to elevating the standards of medical case management for workplace injuries and find a collaborative environment where… more
- Molina Healthcare (Los Angeles, CA)
- …of health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies ... the most appropriate care at the most effective setting. *Evaluates effectiveness of utilization management (UM) practices - actively monitoring for over and… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- …and demand reporting + Stakeholder communication + Risk assessment & mitigation + Utilization of project management core principles (PMP certification a plus) + ... cancer therapies, and help shape where our business and medical science goes next. We believe every employee deserves...+ The **Senior Manager, Planisware Clinical Trial Planning, Resource Management , and Reporting** is a member of the Portfolio,… more
