- Prime Healthcare (Inglewood, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/200257/ director -of- case - management utilization - ... Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities The Director of Case Management … more
- LA Care Health Plan (Los Angeles, CA)
- …of varied clinical experience in an acute hospital setting. At least 2 years of Utilization Management / Case Management experience in a hospital or HMO ... Utilization Management Nurse Specialist RN II...Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent, post-service and retrospective claims… more
- Providence (Torrance, CA)
- **Description** Under the supervision of Regional Director of Care Management , the Utilization Management Coordinator is responsible for providing ... hire: CHAA (If in California) + 3 years EPIC Case Management and ADT Patient Access. **Why...Multiple shifts available **Career Track:** Admin Support **Department:** 7000 UTILIZATION MGMT CA SOCAL **Address:** CA Torrance 4180 W… more
- Cedars-Sinai (Los Angeles, CA)
- …with internal and external stakeholders. + Promotes the role of Case management , medical social work & utilization management within the organization ... **Key Job Responsibilities** Provides overall strategic and operational leadership of the Case Management Department which encompasses the disciplines of Care… more
- UCLA Health (Los Angeles, CA)
- … and behavioral health support. Under the supervision of the Utilization Management Operations Manager and the RN Assistant Director , the ICM Behavioral ... Description We are seeking for a detail-oriented Intensive Case Management (ICM) Behavioral Coordinator dedicated...factors, care gaps, and barriers, escalating concerns to RN Case Managers, the RN Assistant Director , and… more
- The County of Los Angeles (Los Angeles, CA)
- …the following: + Additional experience in clinical nursing. + Supervisory** experience in Utilization Review and/or Case Management . SPECIAL REQUIREMENT ... appropriateness of the level of care. For this examination, Case Management is a collaborative process that...vacancy in Department of Health Services, Harbor-UCLA Medical Center, Utilization Management Division. May also be used… more
- Genesis Healthcare (Los Angeles, CA)
- …of the rehab department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient identification ... Area Director ). 11. Assumes responsibility for daily staffing and utilization with input from treating therapists, consideration of clinical requirements, and… more
- LA Care Health Plan (Los Angeles, CA)
- …that the programs align with our operational systems and tools while also performing utilization review of cases. The Medical Director reports to the Senior ... review of cases and participates in our care management programs periodically. Provide utilization review and...and State Fair Hearings and periodically attend the inter-disciplinary case conferences with our Care Management teams.… more
- CenterWell (Los Angeles, CA)
- …a part of our caring community and help us put health first** The Manager Care/ Case Management is responsible for managing a team of nurses, community health ... and coordinating care to reduce acute and post-acute care utilization . The Manager role is hybrid with travel requirements...RN license + 5 years or more prior nursing, case management , disease management and/or… more
- The Walt Disney Company (Santa Monica, CA)
- …workflows and related policies within account management & billing, Salesforce CRM case management , NICE CXone Omnichannel, and NICE IEX agent interface. + ... DTC - Viewer Experience (VX) team is seeking a Director , Contact Center Tools & Workflows to lead the...compliant policies are in place for assisted service account management and utilization of the related tools.… more
- LA Care Health Plan (Los Angeles, CA)
- …Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary ... and receives clinical supervision as needed from the Medical Director of Care Management . The position is...care with internal LA Care departments such as Care Management (CM), Utilization Management (UM),… more
- Elevance Health (Los Angeles, CA)
- …critical thinking skills and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring patient has appropriate ... not in line with diagnosis. Provide consultation to Medical Director on particularly peculiar or complex cases as the...about plan benefits and physicians and may assist with case management . + Collaborates with leadership in… more
- UCLA Health (Los Angeles, CA)
- …and fax portal of received complaints, appeals and grievances. The management of grievances includes initial intake and triage, independently determining priority, ... information needed, creation of the case in the medical records system, and appropriate assignment...Plan initiated grievances and appeals received within the Quality Management department. This position will act as the primary… more
- Providence (Santa Monica, CA)
- …in Healthcare related field (Acute, Ambulatory, Post-Acute, etc.) + 2 years Experience in Case Management (Care Coordination or Utilization Management ) ... care coordination along a continuum through effective transitional care management and utilization management . Recognizing...-by- case basis at each ministry by the Director of Care Management in consultation with… more
- Cedars-Sinai (West Hollywood, CA)
- …guidance, including aiding in resolving any conflicting project decisions. Discusses business case scenarios, presents to senior management and guides team(s) on ... responsible for managing budget, costing, timing and other resources including vendor management , staffing and/or deliverables to ensure utilization within the… more
- Providence (Burbank, CA)
- …Healthcare related field (Acute, Ambulatory, Post-Acute, etc.) + 2 years of experience in Case Management (Care Coordination or Utilization Management ) ... institution known for its clinical excellence and compassionate care. Case Management is a collaborative practice including...-by- case basis at each ministry by the Director of Care Management in consultation with… more
- UCLA Health (Los Angeles, CA)
- …work with clinicians, families and other state agencies for patient care. 7. Case management / utilization management , health education and/or discharge ... Description Under general supervision of the Program Director at the UCLA Area Service Center (ASC),...ASC operations as well as will participate in direct case management activities and client contact with… more
- GAF (Los Angeles, CA)
- …team and works closely with corporate peers focusing on Reliability Engineering, Materials Management , and Training pillars. This role will report to the Sr. ... Director of Operations Maintenance Transformation. **Job Summary** This collaborative...deploy the adoption of technology, and improve Maintenance Work Management Processes. This is a dynamic role, working with… more
- Griffith Company (Los Angeles County, CA)
- …and sequence of operations. + Coordinate manpower and equipment utilization . + Assist project manager in conducting effective pre-construction/pre-planning meetings. ... perform the essential functions of the job. + Must utilize effective management techniques to maximize project performance. + Thorough understanding of corporate and… more
- The County of Los Angeles (Los Angeles, CA)
- …to a line operation responsible for the delivery of psychological rehabilitation, case management and/or Psychiatric Emergency Service of the Department of ... resources. + Provides consultation to community agencies in the utilization of mental health and support services provided by...caseload of clients and facilitate routine follow up and case management services as needed. + Works… more