- Prime Healthcare (Inglewood, CA)
- …director -of-case- management utilization - management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityCentinela Hospital ... 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 is responsible… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates,...requests by Providers. Acts as a department resource for medical service requests /referral management and processes.… more
- Molina Healthcare (Long Beach, CA)
- …, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management , risk management , risk ... resource management . + Develops and implements a Utilization Management program and action plan, which...activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. +… more
- LA Care Health Plan (Los Angeles, CA)
- …operational systems and tools while also performing utilization review of cases. The Medical Director reports to the Senior Medical Director , ... Medical Director , Community Health Job Category:... review of cases and participates in our care management programs periodically. Provide utilization review and… more
- Providence (Santa Monica, CA)
- **Description** **THE ROLE** The Director , Case Management promotes and supports the mission, vision and objectives of Saint John's Health Center and is ... line through strategic plans/policies, in collaboration with CMO, Administrative Director , Safety and medical /program directors. Implements strategies that… more
- LA Care Health Plan (Los Angeles, CA)
- …and motivating direct-reports. Duties General Essential functions: Collaborating with the Medical Director , responsible for the operations, programming and ... LA Care members healthy and access appropriate services. The Director will also work with the CM Medical...resource utilization . Assures appropriate staff support of Utilization Management and other relevant committees. Supports… more
- Cedars-Sinai (Los Angeles, CA)
- … Director collaborates with other CSMN providers of Population Health services, the Medical Director of Pain Management , and Population Health leadership, ... Management & ISP, Contracting, and Quality. The MH Medical Director provides direct supervision to licensed...community MH provider as needed. + Supports and advises Utilization Management , CS 360, and population health… more
- Elevance Health (Cerritos, CA)
- …of applicable clinical criteria and relevant Carelon Medical Benefits Management policies pertaining to utilization review. + Demonstrate and maintain ... necessity of requests using clinical appropriateness guidelines. The **Associate Medical Director , Clinical Operations (Surgery)** is responsible for supporting… more
- Genesis Healthcare (Los Angeles, CA)
- …Area Director ). 11. Assumes responsibility for daily staffing and utilization with input from treating therapists, consideration of clinical requirements, and ... management of the rehab department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient… more
- Elevance Health (Los Angeles, CA)
- **Clinical Ops Associate Medical Director ** **Orthopedic Surgery** **Location:** This is a virtual position. Candidates must reside within 50 miles of an ... analytics to improve the delivery of care. The **Clinical Ops Associate Medical Director - Ortho** is responsible for performing pre-authorizations and… more
- Elevance Health (Cerritos, CA)
- … Medical Director , Clinical Operations** is responsible for supporting the medical management staff ensuring timely and consistent medical decisions ... testing. + Determine medical necessity of requests using Carelon Medical Benefits Management Medical Necessity Guidelines, client-specific health… more
- The County of Los Angeles (Los Angeles, CA)
- …will be primarily used to fill a vacancy in Department of Health Services, Harbor-UCLA Medical Center, Utilization Management Division. May also be used to ... + Additional experience in clinical nursing. + Supervisory** experience in Utilization Review and/or Case Management . SPECIAL REQUIREMENT INFORMATION:… more
- Elevance Health (Costa Mesa, CA)
- …Medical Director ** **Carelon Medical Benefits Management ** **Radiology Benefit** ** Management / Utilization ** **Review** **Schedule:** ... Associate Medical Director ** responsible for supporting the medical management staff ensuring timely and consistent medical decisions to members… more
- Grant Thornton (Los Angeles, CA)
- As a Transaction Management Director , you'll focus on buy-side and sell-side transaction management engagements, serving dynamic organizations with ... teams + Provide expertise in the following: + Deal Management Office support + Standalone, one-time, and stranded cost...professional development + Meeting or exceeding targeted billing hours ( utilization ) + Other duties as assigned You have the… more
- Elevance Health (Cerritos, CA)
- … Medical Director , Sleep Medicine** is responsible for supporting the medical management staff ensuring timely and consistent medical decisions to ... to work in a dynamic, fast-paced environment. + Preferred interest in Sleep management utilization review. For candidates working in person or remotely in… more
- The County of Los Angeles (Los Angeles, CA)
- CLINICAL NURSING DIRECTOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3136407) Apply CLINICAL NURSING DIRECTOR I Salary $152,555.76 ... PLAN (MAPP) : This position is subject to the provisions of the Management Appraisal of Performance Plan (MAPP). Initial salary placement and subsequent salary… more
- Jacobs (Los Angeles, CA)
- As a Market Growth Director you report to your assigned Executive Director of Sales (EDS). You are responsible for the development of a water market strategy ... include input and create alignment with the Lead Account Strategist (LAS), the Director of Operations (DO) aligned to your market, and Market Solutions Leadership… more
- University of Southern California (Los Angeles, CA)
- …(https://usc.wd5.myworkdayjobs.com/ExternalUSCCareers/job/Los-Angeles-CA Downtown/Art- Director \_REQ20156518/apply) Communications Los Angeles, California Art ... to the Special Advisor/Associate Vice President, Advancement Communications, the Art Director will oversee the visual identity and branding of all marketing… more
- Providence (Torrance, CA)
- **Description** **THE ROLE** The Torrance Imaging Services Director provides strategic leadership and business development, as well as financial and operational ... management and direction for Diagnostic Imaging Services. Accountable for...components to achieve the desired outcomes in Torrance. The director is responsible for managing the delivery of all… more
- Cedars-Sinai (Los Angeles, CA)
- … medical center + Maintains division fiscal affairs, including expense reduction, utilization management and budget control + Oversees the division compliance ... in order to provide quality, individualized patient care and support of Medical Center philosophies. The Associate Director assumes fiscal responsibility through… more