- 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
- Providence (Santa Monica, CA)
- **Description** ** Lead Care Manager LCSW at St. Johns Health Center, located in Santa Monica, CA. The position available is for Full Time, 12:00pm-8:30pm ... Join our Care Management Team at Providence Saint Johns! Case Management is a collaborative practice including patients, caregivers,...Work from an accredited program. + Upon hire: California Clinical Social Worker License + 2 years of experience… more
- Medtronic (Los Angeles, CA)
- …and meetings to increase product awareness. + Works closely with the DBS Sales and Clinical teams to provide customer case coverage and sales support. + Serves ... helping champion healthcare access and equity for all. You'll lead with purpose, breaking down barriers to innovation in...**A Day in the Life** At Medtronic, the Senior Clinical Specialist supports the Deep Brain Stimulation (DBS) Therapy… 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
- LA Care Health Plan (Los Angeles, CA)
- …the needs of LA Care's culturally diverse membership. The position supports the A&G Clinical Manager . This role also assists the A&G Leadership in identification ... Supervisor, Appeals and Grievances Clinical Operations RN Job Category: Clinical ...health plan setting. Minimum of 2 years in a lead /supervisory experience. Equivalency: Completion of the LA Care Management… 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
- Zimmer Biomet (Los Angeles, CA)
- …a strong sense of belonging. **What You Can Expect** The Senior Clinical Implementation Specialist will promote and support technology centric product launches at ... plan to enable locally sustainable support & use of new technologies + Lead surgical teams through training pathways designed to educate and train surgeons, staff,… 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
- J&J Family of Companies (Los Angeles, CA)
- Johnson & Johnson is recruiting for an Associate Regional Manager , Trauma Sales for Depuy Synthes located in Northern Los Angeles, CA. Region will cover the Northern ... impact health for humanity. Learn more at https://www.jnj.com/. The Associate Regional Manager , Sales will be responsible for the DePuy Synthes Trauma portfolio;… more
- UCLA Health (Los Angeles, CA)
- …regulations + Ability to travel/attend off-site meetings and conferences + ACM - Accredited Case Manager preferred + CCM - Certified Case Manager ... all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll provide direct...managerial experience required + Four or more years of clinical experience providing direct patient care + experience in… more
- Elevance Health (Los Angeles, 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)
- …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 (Los Angeles, 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 (Los Angeles, 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
- University of Southern California (Los Angeles, CA)
- …an initial contact for individuals seeking various wellbeing services, and provides non- clinical case management support. The Coordinator works in collaboration ... with demonstrated experience developing and maintaining relationships with diverse populations. - Lead guidance skills, able to manager , balance, and prioritize… more
- Envista Holdings Corporation (Los Angeles, 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
- The County of Los Angeles (Los Angeles, CA)
- …approved residency in psychiatry. Mental Health Psychiatrist may function as the clinical lead for multidisciplinary treatment team. Essential Job Functions ... interventions and medical and diagnostic work performed and participates in clinical case conferences. Performs medication support services by evaluating… more
- WelbeHealth (Carson, 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 (Torrance, 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
- Elevance Health (Cerritos, CA)
- …Coordinator - RN Clinician** is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN ... clinicians participating in the member's case in accordance with applicable state law and contract; develops , monitors, evaluates, and revises the member's care… more