- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Quality Reporting and Auditing Specialist I Job Category: Clinical Department: Utilization Management Location: Los ... required to achieve that purpose. Job Summary The Utilization Management (UM) Quality Reporting and Auditing Specialist I is responsible for dynamically… more
- Prime Healthcare (San Dimas, CA)
- …and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting . Able to work independently ... https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Connect With Us! (https://careers-primehealthcare.icims.com/jobs/234286/ utilization -review-coordinator utilization -… more
- UCLA Health (Los Angeles, CA)
- …+ Ensure seamless integration of various clinical functions with Utilization Management , such as Case Management , Quality Improvement, Credentialing, and ... programs and medical services with an emphasis on optimizing Utilization Management for the Faculty Practice Group... Management for the Faculty Practice Group (FPG) Management Services Organization (MSO). Reporting to Chief… more
- Dignity Health (Los Angeles, CA)
- **Job Summary and Responsibilities** As our Quality Coordinator, you will be a pivotal driver of excellence, implementing and overseeing initiatives to enhance ... you'll lead and support QI projects, meticulously collecting, analyzing, and reporting data to identify opportunities and measure impact. You'll facilitate teams,… more
- University of Southern California (Los Angeles, CA)
- …survey process. Facilitates survey readiness teams. Cross-trained in the functions of Quality and Outcomes Management and Peer Review processes to collaborate ... The Quality Regulatory Specialist is responsible for leading system-wide...the leadership team including but not all inclusive: KPI, Utilization , Patient satisfaction, After hours care. Prepares reports for… more
- University of Southern California (Los Angeles, CA)
- … to strengthen their specific knowledge/skill areas needed for progression. Holds direct reporting management team accountable for the development of staff to ... for the strategic direction, operational oversight, and leadership for facilities management functions across Keck Medical Center of USC, ensuring the safety,… more
- University of Southern California (Arcadia, CA)
- …timely and accurate information to payers. The role integrates and coordinates utilization management , care facilitation, and discharge planning functions. The ... follows up to resolve problems with payers as needed. + Completes utilization management for assigned patients. + Coordinates/facilitates patient cares… more
- Stantec (Long Beach, CA)
- …development, communication, and management of key performance indicators for team utilization , safety, and quality - Project management responsibilities ... market sectors that leads to an expected 60% direct utilization - Primary point-of-contact for planning-related pursuits, inputs to...procedures, good organization skills and a passion for people management and high quality of work -… more
- Cedars-Sinai (Los Angeles, CA)
- …promote patient safety, continuous performance and quality improvement, risk management , and efficient resource utilization , all linked to evidence-based ... with other faculty and scientists across other departments. **Resource and Quality Management ** + Contribute to the development, implementation, and… more
- UCLA Health (Los Angeles, CA)
- Description At UCLA Health, the Utilization Management (UM) Review Nurse plays a vital role in ensuring the delivery of high- quality , evidence-based care. ... Documents all review findings and decisions in the case management system and supports reporting initiatives. +...+ A minimum of three years of experience in utilization management , preferred + Team leading or… more
- Cedars-Sinai (Beverly Hills, CA)
- …reporting to the TPL carrier of all injured worker cases receiving case management services. + Ensures appropriate utilization of medical services within the ... Award 19 years in a row for providing the highest- quality medical care in Los Angeles. We were also...The RN Care Coordinator is responsible for the case management of patient while hospitalized and upon discharge from… more
- UCLA Health (Los Angeles, CA)
- …and Performance (ATP) team, responsible for developing and delivering advanced reporting and analytics solutions to support the ATP mission in ensuring ... development of actionable insights through advanced analytics. Responsible for developing reporting and analytics solutions for the department/health system users by… more
- Sevita (Fontana, CA)
- …care, advocacy, stakeholder relations, regulatory compliance, staffing, training, financial management and maintenance of the physical environment. ESSENTIAL JOB ... to satisfactorily perform each essential function listed below. Staff Management : Oversees implementation of human resource practices including recruitment,… more
- Fresenius Medical Center (Los Angeles, CA)
- …with physicians, reporting on assigned topics. + May assist facility management in working with the physicians and staff to verify all necessary instruments ... outcomes following facility policies and procedures. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** ** QUALITY :** + Responsible for supporting and driving FVC quality … more
- Newegg Inc. (Diamond Bar, CA)
- …+ Vendor management experience related to customer service technology or reporting systems is highly desirable. Technical Skills + Advanced proficiency in Excel ... Job Description Data Analysis & Reporting + Extract, analyze, and interpret large data...metrics such as ASA, AHT, SLA compliance, and agent utilization . + Analyze reason-for-contact trends and customer survey results… more
- Toyota (Costa Mesa, CA)
- …with engineering, quality , and supply chain departments. + Strong project management skills with the ability to prioritize competing demands in a fast-paced, ... brands, Toyota is growing and leading the future of mobility through innovative, high- quality solutions designed to enhance lives and delight those we serve. We're… more
- University of Southern California (Los Angeles, CA)
- …as organ procurement organizations. The Transplant Finance Officer maintains a dual reporting relationship to the Keck Medical Center CFO and the Transplant ... and activities in accordance with applicable regulatory requirements for CMS cost reporting . The Transplant Finance Officer will work directly with the Associate… more
- Dexter Magnetic Technologies (Torrance, CA)
- …lead our team of machinists in an AS9100 compliant shop. Drive quality , productivity and compliance improvements for the CNC department. Complete production orders ... not limited to; staffing/hiring, policy adherence, time and attendance management (payroll), coaching, training, performance managing, discipline and termination.… more
- Cushman & Wakefield (Costa Mesa, CA)
- …+ Manage supplier audits, business reviews and other supplier relationship management partnership strategies to enhance delivered value, quality , innovation ... KEY ACCOUNTABILITIES + Directly engage with the Client, Account Management Team, Suppliers, C&W Corporate and other key stakeholders...utilization and maintenance of data in tracking & reporting tools. + Utilize technology and tools to manage… more
- Burns & McDonnell (Brea, CA)
- …Manager is responsible for managing the construction project safety, quality , schedule, cost control, contracts, subcontractors, suppliers, proposals, estimates, ... documentation turnover, client relations/ management , field staff and other duties required to execute EPC, Construction Management , Construction, and Program … more