- Novo Nordisk Inc. (West Hollywood, CA)
- …sales and marketing resources to expand the breadth and depth of appropriate utilization Novo Nordisks products, consistent with label and company policy Analyze and ... more
- UCLA Health (Los Angeles, CA)
- Description As the Utilization Management & Quality Review Nurse, you will be responsible for: + Ensuring appropriate, cost-effective, and high- ... more
- Emanate Health (Covina, CA)
- …Education Requirement:** **Minimum Experience Requirement:** Minimum of three years of utilization management experience. Experience in quality - related ... more
- UCLA Health (Los Angeles, CA)
- …leader with: + Current CA LVN licensure required + Two or more years of utilization review / utilization management experience in an HMO, MSO, IPA, ... more
- UCLA Health (Los Angeles, CA)
- …for assessing and coordinating care for a diverse group of patients. This in-patient utilization review case manager position will work on-site at our UCLA ... more
- LA Care Health Plan (Los Angeles, CA)
- …Knowledge of National Committee for Quality Assurance (NCQA) requirements for Utilization Management or CM. Knowledge of Department of Health Care Services ... more
- Prime Healthcare (Lynwood, CA)
- …Responsibilities Responsible for the quality and resource management ... more
- LA Care Health Plan (Los Angeles, CA)
- …Knowledge of National Committee for Quality Assurance (NCQA) requirements for Utilization Management or Care Management (CM). Knowledge of Department ... more
- Prime Healthcare (Ontario, CA)
- … Utilization Management (UM) provides comprehensive oversight of the Utilization Review process for the self-insured Employee Health Plans, according to ... more
- Prime Healthcare (Inglewood, CA)
- …Provides leadership and supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and ... more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …one of the following areas: Case Management ; use of Clinical pathways; or Quality / Utilization Management and/or Review . Ability to utilize managed ... more
- Cedars-Sinai (Los Angeles, CA)
- …situations regarding reimbursement issues, social work, discharge planning, utilization review , continuity of care, and systems management . + Collaborates ... more
- LA Care Health Plan (Los Angeles, CA)
- …in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer: The expected pay range ... more
- Molina Healthcare (Long Beach, CA)
- …or Interqual criteria **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current Molina ... more
- Prime Healthcare (Lynwood, CA)
- … Program. Provides leadership and supervision to case managers, case management coordinators/discharge planners, utilization review coordinators and ... more
- Elevance Health (Los Angeles, CA)
- …or equivalent. + Requires a minimum of 6 years of clinical experience and/or utilization review experience. + Current active, valid and unrestricted LPN/LVN or ... more
- Fresenius Medical Center (Irwindale, CA)
- …to quality improvement. This includes promoting the adoption and utilization of Corporate Medical Advisory Board Recommended Algorithms and Standing Orders, ... more
- UCLA Fielding School of Public Health (Los Angeles, CA)
- Healthcare Quality Performance Improvement and Patient Safety Instructor - UCLA Extension Apply now to Healthcare Quality Performance Improvement and Patient ... more
- Cedars-Sinai (Los Angeles, CA)
- …participating in other activities as required. + Directs and oversees department quality management activities and provide leadership and clinical direction in ... more
- LA Care Health Plan (Los Angeles, CA)
- …health care resource utilization . Assures appropriate staff support of Utilization Management and other relevant committees. Supports the maintenance of ... more