- Prime Healthcare (Inglewood, CA)
- …status, ie full-time or part-time. Responsibilities We are seeking a strategic and compassionate Director of Case Management to lead our dynamic Case ... of staff and systems to effectively operate a comprehensive Case Management Program. The Director ...supervision to case managers, social workers and case management coordinators/discharge planners, utilization … more
- University of Southern California (Los Angeles, CA)
- …populations. The RN case manager role integrates the functions of utilization management , quality management , discharge planning assessment, and ... Participates in InterQual competency testing as requested by department director . + Outcomes Management * Participates in...Qualifications: + Pref Bachelor's degree + Pref 1 year Case management or utilization review… more
- University of Southern California (Alhambra, CA)
- … of specific patient populations. The role integrates the functions of complex case management , utilization management , quality management ... as requested by department director or Medical Director . + Outcomes Management 1. Participates in...5 years Clinical experience + Req 2 years Ambulatory case management or utilization review… more
- The County of Los Angeles (Los Angeles, CA)
- …the following: + Additional experience in clinical nursing. + Supervisory** experience in Utilization Review and/or Case Management . SPECIAL REQUIREMENT ... appropriateness of the level of care. For this examination, Case Management is a collaborative process that...vacancy in Department of Health Services, Harbor-UCLA Medical Center, Utilization Management Division. May also be used… 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
- Elevance Health (Los Angeles, CA)
- **Clinical Operations Medical Director ** **Medical Oncology** **Carelon Medical Benefit Management ** **Virtual** : This role enables associates to work virtually ... domains, including radiology, cardiology and oncology._ The **Clinical Operations Medical Director ** is responsible for supporting the medical management staff… more
- Molina Healthcare (Los Angeles, CA)
- …of health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies ... the most appropriate care at the most effective setting. *Evaluates effectiveness of utilization management (UM) practices - actively monitoring for over and… more
- Elevance Health (Los Angeles, CA)
- …Capabilities and Experiences:** + Child and Adolescent experience preferred. + Utilization Management experience. + Applied Behavior Analysis (ABA) experience. ... **Behavioral Health Medical** ** Director -Psychiatrist** **Appeals** **Location:** This role enables associates to...aspects of a program. + Conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers… more
- UCLA Health (Los Angeles, CA)
- …of experience working managed care + Knowledge of Medicare Advantage experience with utilization management , quality improvement, or case management ... + Contribute to interdisciplinary care team rounds for complex case management . The UCLA Health salary range...required + Minimum of 2 years of experience in Utilization Management + 2 or more years… more
- Elevance Health (Los Angeles, CA)
- **Clinical Operations Associate Medical Director ** **Carelon Medical Benefits Management ** **Post Acute Care Benefit Utilization Management ** ... of care for the people we serve._ The **Clinical Operations Associate Medical Director ** is responsible for supporting the medical management staff ensuring… more
- Howmet Aerospace (Torrance, CA)
- Howmet Fastening Systems (HFS) is seeking an IT Director to develop and deliver an IT strategy to modernize the technology of the HFS business unit. This role will ... Total Number of IT Department Employees: ~80 + The Director of Information Technology develops and drives global Information...solutions throughout each business unit. + Ensure the efficient utilization of IT resources - personnel and equipment -… more
- University of Southern California (Los Angeles, CA)
- …services through appropriate levels of qualified, competent staff. + Assists the Director in staff performance appraisals and performance management activities ... includes creating staff schedules, daily assignments, vacation approvals, timecard management , contributing toward department goals, and participating in necessary… more
- University of Southern California (Los Angeles, CA)
- …budget preparation, expense monitoring, productivity monitoring, payor mix, FTE tracking/ utilization , revenue tracking, and billing integrity. Works with Clinical ... related to data analysis, process improvement, and strategic/operational project management , and will work closely with managers, directors, clinicians, quality… more
- Sevita (Signal Hill, CA)
- …all every day. Join us today, and experience a career well lived. **Operations Management Area Director ** Everybody needs a job but only extraordinary people ... documentation. + Implement area core growth strategy to increase census, maximize utilization and occupancy percentages, and assist with new start development. +… more
- Cedars-Sinai (Beverly Hills, CA)
- …to the TPL carrier of all injured worker cases receiving case management services. + Ensures appropriate utilization of medical services within the ... The Case Manager is responsible for the case management of patient while hospitalized and...date of discharge. + Communicates regularly with CSMPN Medical Director , Employee Health Services, Risk Management , and… more
- Cedars-Sinai (Beverly Hills, CA)
- …Research Operations is accountable to the Department Chair and/or Institute Executive Director and serves as the primary source of information for the department. ... Investigators (PIs), staff and students to provide analytical support and project management in fulfilling the established goals and objectives for the department… more
- University of Southern California (Arcadia, CA)
- …AND CORE RESPONSIBILITIES * Accountable to the unit Manager and/or the Director of the department.* Adherence to identified nursing standards of practice.* Annually ... and patient care interactions.* Performs other duties as assigned by Manager / Director / Clinical Lead RN.* Prioritizes cases to provide service to most urgent… more
- University of Southern California (Los Angeles, CA)
- …Experience in OR/acute hospital as an RN and understands departmental capital expenditure, case management and operational budget process experience. + Req OR ... for the quality of patient care, efficiency of operations, and human resources management for area(s) assigned. S/he will strive to achieve the optimal patient… more
- UCLA Health (Los Angeles, CA)
- …The Home Health ICM Coordinator plays a key role in supporting our Utilization Management team to ensure safe, high-quality, and cost-effective care for ... patients enrolled in UCLA Medicare Advantage and Intensive Case Management programs. Under the supervision of the RN Assistant Director , you will coordinate… more
- UCLA Health (Los Angeles, CA)
- …or health care experience or knowledge of maternal child health agencies. + Case management / utilization management , health education and/or discharge ... Description Under general supervision of the Program Director (PD) at the UCLA Area Service Center...CL will offer some administrative support and will maintain case management activities for non-positive NBS results… more