- Molina Healthcare (Los Angeles, CA)
- JOB DESCRIPTION Job Summary Provides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel ... quality and cost-effective member care. Essential Job Duties * Provides general medical care and care coordination to various and/or specific patient member… more
- Unknown (Los Angeles, CA)
- …in clinical and operational management , particularly in the area of Utilization Management . Responsibilities include managing a team that monitors clinical, ... 5 years of progressive national leadership experience in managing Utilization Management teams. A solid business foundation,...belief in evidence-based medicine. Hiring Manager Title National Chief Medical Officer of Medical Management … more
- Unknown (Los Angeles, CA)
- …risk management health plan replacement medical networks care management & navigation utilization review disease management data transparency ... primary ppo and alternative repricing administration edi and clearinghouse solutions medical management data warehousing data analytics and plan modeling… more
- Unknown (Los Angeles, CA)
- …a proven track record in clinical team management , with previous experience in utilization management and a preference for those with a background in case ... high-cost and payment integrity initiatives. Collaboration with the Chief Medical Officer and other departments is essential, as is...management and workers' compensation. The role demands a leader… more
- Unknown (Los Angeles, CA)
- …a proven track record in clinical team management , with previous experience in utilization management and a preference for those with a background in case ... high-cost and payment integrity initiatives. Collaboration with the Chief Medical Officer is essential for continuous process and quality...management and workers' compensation. The role demands an individual… more
- EV Realty (Los Angeles, CA)
- …multiple fleets onto shared, private infrastructure, we reduce costs, improve truck utilization , and deliver services that critical commercial fleets require to keep ... codes and standards. Site operations includes property and building management such as security, cameras, lighting, janitorial, site-access, internet, traffic… more
- Teleflex (Los Angeles, CA)
- …four-year college or university. - Minimum 2+ years of experience in a sales management role within medical devices. - Proven success in Emergency Medicine, ICU, ... 50% **Requisition ID** :12959 **About Teleflex Incorporated** As a global provider of medical technologies, Teleflex is driven by our purpose to improve the health… more
- Organon & Co. (Los Angeles, CA)
- …District Business Manager and be responsible for driving product awareness and utilization . The Territory Business Manager will work towards achieving and exceeding ... healthcare office and to deliver outstanding customer service through total account management . + Develop relationships and maintain an active presence in the… more
- Providence Little Company of Mary Medical Center - San Pedro (San Pedro, CA)
- …Job Title Registered Nurse - Case Manager @ Providence Little Company of Mary Medical Center San Pedro - Case Management Weekly Pay $2440.0 Shift Details ... Details Client Name Providence Little Company of Mary Medical Center - San Pedro Job Type Travel...Job Title: Case Manager Profession: Registered Nurse Specialty: Case Management Duration: 13 weeks Shift: Day 5x8-Hour Hours per… more
- Providence Little Company of Mary Medical Center San Pedro-… (San Pedro, CA)
- …ensure timely, efficient, and effective discharge planning and transitions. Supports utilization management and ensures compliance with payer guidelines. ... Details Client Name Providence Little Company of Mary Medical Center San Pedro- Case Management ...BLS - AHA Must-Have: Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates… more
- 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
- 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
- Monte Nido (Agoura Hills, CA)
- …and outpatient providers + Interact with insurance companies for pre-certification and utilization management + Participating in discharge and aftercare planning ... prioritize your success and well-being, providing: + Competitive compensation + Medical , dental, and vision insurance coverage (Benefits At a Glance… 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
- 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
