- Volunteers of America Los Angeles (North Hollywood, CA)
- Clinical Case Manager Lead Location:North Hollywood, CA Job ID:2527 Salary:$34.77 - $36.6 Per Hour Area of Interest: Clinical Division:Adult Services ... crisis intervention methods in order to prepare individuals for further success. The Lead Clinical Case Manager supervises the services provided to… more
- Elevance Health (Cerritos, CA)
- The **Behavioral Case Manager II (Part-Time)** is responsible for performing case management telephonically and/or by home visits within the scope of ... substance abuse disorder needs. Subject matter expert in targeted clinical areas of expertise such as Eating Disorders (ED)...providers. . Serves as a resource to other BH Case Managers. . Participates in cross-functional teams projects and… 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 (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
- 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 - Ortho** **Location:**...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… 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
- Veterans Affairs, Veterans Health Administration (Long Beach, CA)
- …cross-covering Nurse Manager will be designated to handle administrative and clinical issues, such as staffing coverage, granting leave, and patient and/or staff ... nursing care which complies with generally accepted standards of clinical practice. This includes the authority to accept, amend,...years) as a manager or assistant nurse manager or charge/ lead RN. 3-5 years of… more
- Elevance Health (Cerritos, CA)
- …to care, care transitions, and changes in health status. + Implements a comprehensive clinical case management plan for each patient. + Obtains input from ... **JR136704 CareMore Care Manager ** Responsible for managing quality, cost effective care...implements discharge planning for patients in conjunction with hospital-based case managers. + Performs telephonic, fax and/or on-site reviews… 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
- Edwards Lifesciences (Irvine, CA)
- …Heart Valve (THV) business unit continues to partner with cardiologists and clinical teams to transform patient care with devices supported by clinical ... a direct link to that patient impact. **How you will make an impact:** + Lead design and execution of the annual strategic planning process while contributing to the… 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)
- …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 (Costa Mesa, CA)
- …require nursing judgment, critical thinking, and holistic assessment of member's clinical presentation to determine whether to approve requested service(s) as ... Works with healthcare providers to understand and assess a member's clinical picture. Utilizes nursing judgment to determine whether treatment is medically… more
- Elevance Health (Cerritos, CA)
- …office visits with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering ... programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical /strategic advisor...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… 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)
- …and providers. **How you will make an impact:** + Ensures timely completion of clinical case reviews for their board-certified specialty. + Makes physician to ... ** Clinical Ops Associate Medical Director** **Location:** **This is...necessity decisions. + Brings to their supervisor's attention, any case review decisions that require Medical Director review or… 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
- Elevance Health (Placentia, CA)
- …ensuring appropriate, consistent administration of plan benefits by reviewing clinical information and assessing medical necessity under relevant guidelines and/or ... medical policies. May collaborate with healthcare providers. Focuses on relatively complex case types that do not require the training or skill of a registered… more