- Elevance Health (Cerritos, CA)
- …Elevance Health PulsePoint location. **Schedule:** First shift PST daytime hours **Behavioral Health** ** Case Manager II** The Behavioral Health Case ... Manager II is responsible for performing case management telephonically within the scope of licensure for members with behavioral health disorder needs. **_How… more
- Elevance Health (Costa Mesa, CA)
- …of one of our listed California Elevance Health PulsePoint locations. The **Behavioral Health Case Manager 1** is responsible for performing telephonic case ... an impact:_** + Uses appropriate screening criteria, knowledge, and clinical judgment to assess member needs. + Conducts assessments...care team. + Serves as a resource to other Case Managers. + Participates in cross-functional teams projects and… more
- Elevance Health (Costa Mesa, CA)
- **Telephonic Nurse Case Manager II** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.** ... of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for performing...a BA/BS in a health-related field; 5 years of clinical experience; or any combination of education and experience,… more
- Elevance Health (Costa Mesa, CA)
- …location. **Schedule:** First shift PST daytime hours The **Behavioral Health Care Manager I** is responsible for performing case management telephonically ... will make an impact:** + Uses appropriate screening criteria knowledge and clinical judgment to assess member needs. + Conducts assessments to identify individual… more
- J&J Family of Companies (Irvine, CA)
- Biosense Webster Inc. is recruiting a Manager , Clinical Science & External Research (Scientific Communications) located in Irvine, California. This role will ... office on assigned days 2-3 times per week. The Manager , Clinical Science & External Research (CSER)...and Education to conduct literature reviews and gap analyses, lead strategic analysis of scientific data, craft and implement… more
- Illumination Foundation (Orange, CA)
- …Los Angeles County and the Inland Empire. Job Description The Children and Families Lead Care Manager is responsible for coordinating the care of children and ... on experience. Responsibilities Administrative/ Record Keeping + Maintain updated & accurate case notes within 24 - 48 hours of services provided, records, &… more
- Elevance Health (Costa Mesa, CA)
- …and providers. **How you will make an impact:** + Ensures timely completion of clinical case reviews for their board certified specialty. + Makes physician to ... MD and minimum of 1 year of experience with clinical case reviews for medical necessity. +...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Elevance Health (Cerritos, CA)
- …procedures. Medical Directors determine the medical necessity of requests using clinical appropriateness guidelines. The **Associate Medical Director, Clinical ... an impact:** + Determine medical necessity of requests using applicable clinical criteria, which may include AIM Appropriateness Guidelines, client-specific health… more
- Volunteers of America Los Angeles (Pomona, CA)
- …that must be managed appropriately for a successful re-entry into society. As the Lead Case Manager , this position is responsible for managing most ... MSW Lead Location:Pomona, CA Job ID:2653 Salary:$33.59 - $36.36...and screenings of potential clients. + Designates clients to case manager for intake and ensures all… more
- Elevance Health (Cerritos, CA)
- …imaging, cardiac testing and sleep management services. Medical Directors in Clinical Operations determine the medical necessity of outpatient radiology, cardiology, ... sleep management, endoscopies and surgical site of care requests using clinical guidelines, state mandates, health plan medical policy and Medicare Coverage… more
- Deloitte (Costa Mesa, CA)
- …from senior colleagues, and contributing to the development of junior staff. As a Manager , you will lead and deliver small engagements, or components of large, ... Manager , Operations and Technology Transformation, Integrated Healthcare, Epic...implementations in healthcare systems such as electronic health records/EHRs, clinical , revenue cycle systems, etc. + 6+ years' experience… more
- Sysco (Walnut, CA)
- …SUMMARY** This Operating Company (OpCo) based position will establish and lead the planning, directing, administering and evaluating of Occupational Health Services ... Emergency Response Team and other Occupational Health topics as necessary. + Execute clinical services and direct nursing care, consistent with the scope of State… more
- Envista Holdings Corporation (Brea, CA)
- …individual to join the Customer Experience team. The **Customer Experience Program Manager ** will play a crucial role in enhancing our customers' experience by ... customer journey in conjunction with the analyst team + Lead cross-functional teams to close gaps in the customer...are dependent on the facts and circumstances of each case . The total compensation package for this position may… more
- Envista Holdings Corporation (Brea, CA)
- …planning initiatives, and tax law changes. + Oversee external advisors and lead Envista's global transfer pricing compliance, including the preparation and review of ... master file, local files, and cost sharing documentation. + Lead the operational transfer pricing (OTP) for Envista, including...are dependent on the facts and circumstances of each case . The total compensation package for this position may… more
- Elevance Health (Cerritos, CA)
- …imaging, cardiac testing and sleep management services. Medical Directors in Clinical Operations determine the medical necessity of outpatient radiology, cardiology, ... sleep management, endoscopies and surgical site of care requests using clinical guidelines, state mandates, health plan medical policy and Medicare Coverage… more
- Elevance Health (Costa Mesa, CA)
- …make an impact:** + Determines the medical necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization ... ** Clinical Ops Associate Medical Director** **Orthopedic Surgery** **Location:**...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Elevance Health (Costa Mesa, CA)
- …and providers. **How you will make an impact:** + Ensures timely completion of clinical case reviews for their board certified specialty. + Makes physician to ... ** Clinical Operations Associate Medical Director** **Carelon Medical Benefits...necessity decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review or… more
- Envista Holdings Corporation (Brea, CA)
- …motivate and inspire top talent. **Key Responsibilities** **Total Rewards** + Lead and influence a compelling and innovative compensation and benefits strategy ... impact through systems and process improvements that streamline ways of working + Lead systems governance and data accuracy needed for proactive people analytics to… more
- Envista Holdings Corporation (Brea, CA)
- …within the corporate offices and their respective affiliates. Understanding the clinical , economic and business needs and aligning platform-wide resources across the ... DEXIS territory sales managers, marketing, product management, customer care and clinical affairs. **Essential Duties and Responsibilities:** + Grow annual sales… more
- WelbeHealth (Long Beach, CA)
- …of our program is guided by our interdisciplinary team (IDT) - composed of clinical and non- clinical members who work cohesively to provide quality comprehensive ... safely in the community. Our values and participant focus lead the way no matter what. The WelbeHealth Social...achieve their full potential. Reporting to the Social Work Manager , the Social Worker maintains a caseload of participants… more