- Molina Healthcare (Los Angeles, CA)
- …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... compliance with all state and federal regulations and guidelines. + Analyzes clinical service requests from members or providers against evidence based clinical… more
- Elevance Health (Los Angeles, CA)
- …II Behavioral Health Services** **Location:** This position will work a hybrid model ( remote and office). Ideal candidates must live within 50 miles of our ... companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive… more
- Veterans Affairs, Veterans Health Administration (Long Beach, CA)
- …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Former EDRP participants ineligible to apply. ... Suicide Prevention National Telehealth Program in Tele-Mental Health within VISN 22 Consolidated Clinical Resource Hub (CRH). CRH is a repository of clinical and… more
- Veterans Affairs, Veterans Health Administration (Long Beach, CA)
- …Pharmacy and Therapeutics (P&T) committee and the ACOS/Research on investigational drug utilization review or other pertinent topics Process and dispense ... of Health and Human Services and Department of Veterans Affairs' policy Review proposed protocols prior to consideration by the Research and Development Committee… more
- Veterans Affairs, Veterans Health Administration (Los Angeles, CA)
- …coordinated care delivery model. Coordinates with the patient care team to review clinic appointment availability ( utilization ) to ensure that clinic schedules ... not limited to: Specialized Experience - In an advanced or complex clinical setting utilizing numerous advanced patient care systems, scheduling appointments across… more