- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Quality Reporting and Auditing Specialist I Job Category: Clinical Department: Utilization Management Location: Los ... required to achieve that purpose. Job Summary The Utilization Management (UM) Quality Reporting and Auditing Specialist I is responsible for dynamically… 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 ... Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and...to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for… more
- LA Care Health Plan (Los Angeles, CA)
- Lead Utilization Management Correspondence Job Category: Administrative, HR, Business Professionals Department: Utilization Management Location: Los ... the safety net required to achieve that purpose. Job Summary The Lead Utilization Management (UM) Correspondence reviews, process and corresponds to all incoming… more
- UCLA Health (Los Angeles, CA)
- …+ Ensure seamless integration of various clinical functions with Utilization Management , such as Case Management , Quality Improvement, Credentialing, and ... programs and medical services with an emphasis on optimizing Utilization Management for the Faculty Practice Group... Management for the Faculty Practice Group (FPG) Management Services Organization (MSO). Reporting to Chief… more
- Cedars-Sinai (Los Angeles, CA)
- …feedback and assistance to staff. + Collects data to support performance indicators and quality assurance reporting . Monitors management and quality ... are worked according to established policies and procedures to meet data quality goals, comply with department policies and procedures, optimize point of service… more
- Tutor Perini (Los Angeles, CA)
- …to start construction activities are identified and completed. + Manage the effective utilization of technical expertise within the Project Management team. + ... $100,000 - $125,000 depending on experience. Tutor Perini Corporation is seeking a ** Quality Control Engineer (MEP/Systems)** to join our office in Los Angeles, CA… more
- University of Southern California (Los Angeles, CA)
- … to strengthen their specific knowledge/skill areas needed for progression. Holds direct reporting management team accountable for the development of staff to ... for the strategic direction, operational oversight, and leadership for facilities management functions across Keck Medical Center of USC, ensuring the safety,… more
- Stantec (Long Beach, CA)
- …development, communication, and management of key performance indicators for team utilization , safety, and quality - Project management responsibilities ... market sectors that leads to an expected 60% direct utilization - Primary point-of-contact for planning-related pursuits, inputs to...procedures, good organization skills and a passion for people management and high quality of work -… more
- Cedars-Sinai (Los Angeles, CA)
- …promote patient safety, continuous performance and quality improvement, risk management , and efficient resource utilization , all linked to evidence-based ... with other faculty and scientists across other departments. **Resource and Quality Management ** + Contribute to the development, implementation, and… more
- UCLA Health (Los Angeles, CA)
- Description At UCLA Health, the Utilization Management (UM) Review Nurse plays a vital role in ensuring the delivery of high- quality , evidence-based care. ... Documents all review findings and decisions in the case management system and supports reporting initiatives. +...+ A minimum of three years of experience in utilization management , preferred + Team leading or… more
- Cedars-Sinai (Beverly Hills, CA)
- …reporting to the TPL carrier of all injured worker cases receiving case management services. + Ensures appropriate utilization of medical services within the ... Award 19 years in a row for providing the highest- quality medical care in Los Angeles. We were also...The RN Care Coordinator is responsible for the case management of patient while hospitalized and upon discharge from… more
- Molina Healthcare (Long Beach, CA)
- …submitted to the Eastern US Quality Improvement Collaborative (EQIC) and/or utilization management committees. * Participates as needed in joint operation ... Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified Professional in Healthcare Quality … more
- Molina Healthcare (Long Beach, CA)
- …submitted to the Eastern US Quality Improvement Collaborative (EQIC) and/or utilization management committees. * Participates as needed in joint operation ... Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified Professional in Healthcare Quality … more
- UCLA Health (Los Angeles, CA)
- …and Performance (ATP) team, responsible for developing and delivering advanced reporting and analytics solutions to support the ATP mission in ensuring ... development of actionable insights through advanced analytics. Responsible for developing reporting and analytics solutions for the department/health system users by… more
- Fresenius Medical Center (Los Angeles, CA)
- …with physicians, reporting on assigned topics. + May assist facility management in working with the physicians and staff to verify all necessary instruments ... outcomes following facility policies and procedures. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** ** QUALITY :** + Responsible for supporting and driving FVC quality … more
- Molina Healthcare (Long Beach, CA)
- …services professionals in some or all of the following functions: care management , utilization management , behavioral health, care transitions, long-term ... * Assists in implementing health management , care management , utilization management , behavioral health...Management certification (CPHM), Certified Professional in Health Care Quality (CPHQ) or other health care or management… more
- University of Southern California (Los Angeles, CA)
- …as organ procurement organizations. The Transplant Finance Officer maintains a dual reporting relationship to the Keck Medical Center CFO and the Transplant ... and activities in accordance with applicable regulatory requirements for CMS cost reporting . The Transplant Finance Officer will work directly with the Associate… more
- Dexter Magnetic Technologies (Torrance, CA)
- …lead our team of machinists in an AS9100 compliant shop. Drive quality , productivity and compliance improvements for the CNC department. Complete production orders ... not limited to; staffing/hiring, policy adherence, time and attendance management (payroll), coaching, training, performance managing, discipline and termination.… more
- Prime Healthcare (Inglewood, CA)
- …and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting . Able to work independently ... of professionals are committed to our core values of quality , compassion, and community. As a member of Prime...Health and Human Services field is highly preferred. 2. Utilization Review/Case Management experience is highly preferred.… more
- City National Bank (Beverly Hills, CA)
- …WHAT IS THE OPPORTUNITY? Responsible for the day-to-day interaction and relationship management support of an assigned portfolio of high value and/or complex branch ... servicing needs, enhance relationship profitability while adhering to CNB's credit quality standards, and mitigate operational risk. Success in the role will… more