- 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
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Corporate Director of Clinical ... or another relevant field + A minimum of seven (7) years' experience in Clinical Utilization Review or Case Management with a large Health Plan +… more
- HCA Healthcare (Riverside, CA)
- …**Introduction** Do you want to join an organization that invests in you as a Director Case Management ? At Riverside Community Hospital, you come first. HCA ... make a difference. We are looking for a dedicated Director Case Management like you...to ensure continuity of care and optimal clinical resource utilization . The Director has oversight for all… 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
- US Marine Corps (Oceanside, CA)
- …internal and interdisciplinary clinical team meetings and to communicate effectively with management and command toward understanding and utilization of SAP ... Community Services and works under the overall supervision of the SACC Director (or the MCCS designee). Independently oversees professional counseling staff and the… 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