- Prime Healthcare (Inglewood, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/189094/ 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
- Sevita (Alhambra, CA)
- …strategy to manage census, maintain occupancy, improve daily attendance, and/or maximize utilization + Financial Management + When applicable, approve purchase ... us today, and experience a career well lived. **Program Director for Family Home Agency (FHA) Host Home Program**...services_** Are you an experienced human services professional with management ability and the energy and focus to run… more
- Elevance Health (Cerritos, CA)
- …policies, and CMS Coverage Determinations, as applicable. + Perform physician-level case review of utilization requests involving radiology imaging requests, ... maintain knowledge of applicable clinical criteria and relevant Carelon Medical Benefits Management policies pertaining to utilization review. + Demonstrate and… more
- Elevance Health (Cerritos, CA)
- …reviews of high-tech diagnostic 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… more
- Elevance Health (Cerritos, CA)
- …to work in a dynamic, fast-paced environment. + Preferred interest in Sleep management utilization review. For candidates working in person or remotely in ... reviews of high-tech diagnostic imaging, cardiac testing and sleep management services. Medical Directors in Clinical Operations determine the medical… more
- Elevance Health (Costa Mesa, CA)
- …**Preferred skills, qualifications and experiences:** + Prior experience in inpatient Utilization Management , preferred. + Knowledge and/or experience of MCO, ... in process improvement initiatives to improve the efficiency and effectiveness of the utilization reviews within the medical management processes. + Assesses and… more
- Abbott (Anaheim, CA)
- …This includes influencing stakeholders within the hospital, driving product utilization , support on contracting, relationship development, relationship management ... Account Manager will work with, and report to, the Regional Sales Director to identify/evaluate market opportunities, business potential, and to achieve annual sales… 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