- Elevance Health (Costa Mesa, CA)
- ** Utilization Management Representative II** **Location** : This is a remote position. Candidates must live in the state of **California** . Seeking candidates ... Alto, Walnut Creek, Rancho Cordova and Sacramento, CA.** The ** Utilization Management Representative II** is responsible for...of community resources and social determinants of health. + Case management experience. + For URAC accredited… more
- Providence (Anaheim, CA)
- …in Oncology, Rehab, Pediatrics, Transplant, or Wound Care. + 3 years Experience in utilization management or case management . **Why Join Providence?** ... Master's Degree Related field. + upon hire: Certification in Case Management (CCM, ACM). + upon hire:...time **Job Shift:** Day **Career Track:** Nursing **Department:** 7520 CASE MANAGEMENT CA HERITAGE SERVICES **Address:** CA… more
- Edwards Lifesciences (Irvine, CA)
- …cross-functionally, you will lead development, launch, and management of the case scheduling process to ensure efficient utilization of resources to meet ... reports, and other analyses to provide deep insights into Case Scheduling for better business planning and management... Case Scheduling for better business planning and management decision making. + Development & governance of the… more
- Amergis (Orange, CA)
- The LPN/LVN Case Manager is responsible for coordinatingcontinuum of care activities for assigned patients and ensuring optimumutilization of resources, service ... for psychosocial needs + Participates in Quality Assurance and Utilization Reviewactivities, as directed + Empowers patients in decision-making...in state practicing + At least one year of Case Management experience preferred + Complies with… more
- Molina Healthcare (Long Beach, CA)
- …to a 3 day/12 hour shift from then on._** **_Previous experience with Emergency Room Utilization Management / Utilization Review is required for this role. ... Experience with Case Management is a plus._** **_This is...or ER unit. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current… more
- Molina Healthcare (Long Beach, CA)
- …(RN) Registered Nurse with previous experience in Hospital Acute Care, Concurrent Review/ Utilization Review / Utilization Management and knowledge of ... Medical, or ER unit. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current Molina… more
- Providence (Orange, CA)
- …Rehab, Pediatrics, Transplant, or Wound Care upon hire. + 3 years Experience in utilization management or case management . **Why Join Providence?** ... through effective resource coordination. The goal of the Care Manager is to advocate for and assist the patient...+ Master's Degree in Related field. + Certification in Case Management (CCM, ACM) upon hire. +… more
- Providence (Mission Viejo, CA)
- **Description** Care Manager RN is a Per Diem role that will...Wound Care upon hire. + 3 years Experience in utilization management or case management ... or + Master's Degree In a related field. + Certification in Case Management (CCM, ACM) upon hire. + Specialty Certification in Oncology, Rehab, Pediatrics,… more
- Providence (Orange, CA)
- … (CCM, ACM) upon hire + LCSW upon hire + 3 years of Experience in utilization management or case management + Experience with psychiatric chemical ... **Description** Care Management is a collaborative practice model including the...**Job Shift:** **Career Track:** Clinical Professional **Department:** 7540 SJO CASE MGMT **Address:** CA Orange 1100 W Stewart Dr… more
- Deloitte (Costa Mesa, CA)
- …phrases like "global effective tax rate reduction" and "efficient global cash utilization " peak your interest? Do you enjoy providing international compliance and ... Tax Services practice. What you'll do As a Tax Manager , you will work within an engagement team and...Professional Scrum Product Owner (PSCPO) - SCRUM.org and Project Management Professional (PMP + CBAP - Certified Business Analysis… more
- Envista Holdings Corporation (Brea, CA)
- …dollar region to achieve growth targets through account acquisition and increasing customer utilization . The Regional Sales Manager will contribute to the rapid ... **Job Description:** **US Regional Sales Manager : General Dentist Market** We know that dental...and strategy + Work in partnership with Envista Field Management Team to develop effective sales and training strategies… more
- Deloitte (Costa Mesa, CA)
- …on project delivery covering aspects such as quality, timelines, risk, and issue management . + Track internal metrics such as utilization , Budget Vs Spend, ... and Economic Trade Sanctions domain. As a Data Analytics Manager focusing on AML, you will have the opportunity...communicate effectively to all levels of client and engagement management . + Capable of balancing multiple projects with strong… more
- Dignity Health (Northridge, CA)
- …effectively with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs ... Visit dignityhealth.org/northridgehospital (https://www.dignityhealth.org/socal/locations/northridgehospital) for more information. RN Care Coordinator Case Manager Northridge Hospital Medical Center The… more
- Dignity Health (Long Beach, CA)
- …effectively with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs ... emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post… more
- Deloitte (Costa Mesa, CA)
- …phrases like "global effective tax rate reduction" and "efficient global cash utilization " peak your interest? Do you enjoy providing international compliance and ... + CBAP - Certified Business Analysis Professional + Certified SAFe Lean Portfolio Manager + Certified SAFe Architect + Certified SAFe Agile Software Engineer +… more
- Deloitte (Costa Mesa, CA)
- …phrases like "global effective tax rate reduction" and "efficient global cash utilization " peak your interest? Do you enjoy providing international compliance and ... + CBAP - Certified Business Analysis Professional + Certified SAFe Lean Portfolio Manager + Certified SAFe Architect + Certified SAFe Agile Software Engineer +… more
- Illumination Foundation (Orange, CA)
- …The Program Coordinator is an administrator role dedicated to upkeep, management , and oversight of front-end and back-end programmatic processes. These include ... skills. This individual will also be centrally involved in communicating information to management and lead housing entities, and will be relied on for insight into… more
- Illumination Foundation (Orange, CA)
- …Angeles County and the Inland Empire. Job Description The Enhanced Care Management Program Coordinator is an administrator role dedicated to upkeep, management ... skills. This individual will also be centrally involved in communicating information to management and lead housing entities, and will be relied on for insight into… more
- Elevance Health (Costa Mesa, CA)
- …diploma or equivalent and a minimum of 3 years acute care clinical experience or case management , utilization management or managed care experience; or ... ensure medically appropriate, high quality, cost effective care throughout the medical management process. + Collaborates with providers to assess member's needs for… more