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Kaiser Permanente
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Los Angeles, California
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BSN or bachelors degree in healthcare related field such as management, health services administration ...
Job Summary:
Manages the day-to-day operations of the Utilization Management Program
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Kaiser Permanente
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Los Angeles, California
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Job Summary:
Manages the day-to-day operations of the Utilization Management Program ... procedures for the Service Area or Medical Center related to Utilization Management
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UCLA Health
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Los Angeles, California
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Description
*Under the general direction of the Manager of Support Services, Admin Nurse, Asst. Dir Nursing & Operations OR and the Hospital Lab Tech Supervisor the Patient Specialty Services
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UCLA Health
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Los Angeles, California
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services within NPH. This role entails overseeing a team of utilization review nurses, ensuring compliance ... .
In this role as a Utilization Review Supervisor within our utilization department you would be
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UCLA Health
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Los Angeles, California
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Description
*Under the general direction of the Manager of Support Services, Admin Nurse, Asst. Dir Nursing & Operations OR and the Hospital Lab Tech Supervisor the Patient Specialty Services
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UCLA Health
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Los Angeles, California
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Description
*Under the general direction of the Manager of Support Services, Admin Nurse, Asst. Dir Nursing & Operations OR and the Hospital Lab Tech Supervisor the Patient Specialty Services
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Kaiser Permanente
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Los Angeles, California
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providing continuity of care, including Utilization management, Transfer coordination, Discharge planning ... .
Conducts daily clinical reviews for utilization/quality management activities based on guidelines/standards
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Kaiser Permanente
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Los Angeles, California
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providing continuity of care, including Utilization management, Transfer coordination, Discharge planning ... .
Conducts daily clinical reviews for utilization/quality management activities based on guidelines/standards
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Kaiser Permanente
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Los Angeles, California
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(e.g., drug therapy, physical therapy).
Coordinates care/services with utilization and ... interdisciplinary approach to providing continuity of care, including utilization management, transfer coordination
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Element Consulting
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Los Angeles, California
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construction management services. We invite you to join us in 'Bringing the Right Elements Together for Our ... Labor Compliance Program in accordance with the LACCD and DIR accepted practices. Additionally, the
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Molina Healthcare
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Los Angeles, California
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Authorizations, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines ... .
JOB DESCRIPTION
Job Summary
Molina Healthcare Services (HCS) works with members
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Kaiser Permanente
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Los Angeles, California
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providing continuity of care, including Utilization management, Transfer coordination, Discharge planning ... .
Conducts daily clinical reviews for utilization/quality management activities based on guidelines/standards
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Kaiser Permanente
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Los Angeles, California
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providing continuity of care, including Utilization management, Transfer coordination, Discharge planning ... .
Conducts daily clinical reviews for utilization/quality management activities based on guidelines/standards
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Kaiser Permanente
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Los Angeles, California
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Additional Requirements:
Demonstrated knowledge of operations and healthcare management ... /critical care, maternal child health, pediatric and periop services. Directs the delivery of services that
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L.A. Care Health Plan
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Los Angeles, California
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effective utilization of available Health Plan, Home and Community Based Services (HCBS), and MLTSS ... functions and must adhere to regulatory mandates that apply to Utilization Management (UM) and Care
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Dignity Health
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Los Angeles, California
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’s emphasis will be on care coordination, communication and collaboration with utilization management ... skills.
Understand how utilization management and case management programs integrate.
Ability
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UCLA Health
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Los Angeles, California
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counselors. Primary duties include:
Monthly analysis of clinic utilization data
Assist ... degree in business, finance, or related field
(preferred)
Prior experience in a Healthcare
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Sage Therapeutics
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Los Angeles, California
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product knowledge and utilization needs.
Analyzes the market to understand the local healthcare ... to find success through ambiguity, problem solving and project management in an innovative and
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Cedars-Sinai
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Los Angeles, California
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Foundation, including patient assignment, risk and specialty network structures, and utilization management ... support the organizational culture
Qualifications
8 years experience in Healthcare management
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L.A. Care Health Plan
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Los Angeles, California
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Committee on Quality Assurance (NCQA) CM Certification, Management Services Agreements & Other Contracts ... Utilization Management and other relevant committees.
Supports the maintenance of positive
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Cedars-Sinai
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Los Angeles, California
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administrative support activities including facilities management, patient billing, utilization management, quality management, risk management, human resources, and payroll. Ability to establish and maintain
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Amity Foundation
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Los Angeles, California
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Program Manager oversees the Enhanced Care Management (ECM)- Community Supports (CS) project in the assigned County. Supports the Management Team, as well as oversee the day-to-day administration of
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Kaiser Permanente
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Los Angeles, California
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24 months of hire OR Professional in Healthcare Risk Management Certificate within 24 months of hire ... responsible for directing clinical quality and patient safety management programs including budgets, annual
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Elevance Health
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Los Angeles, California
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to, potential for high risk complications) are coordinated with the clinical healthcare management ... efficient utilization of long term services and supports.
Audits the short and long term service and
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Molina Healthcare
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Los Angeles, California
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screening and preventive primary care services delivered in the home, community, and nursing facility ... coordination to reduce hospital readmission rates and emergency room utilization
Perform face-to-face in
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Cedars-Sinai
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Los Angeles, California
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Job Description
Grow your career at Cedars-Sinai!
The Enterprise Information Services ... , and technologies. Cedars-Sinai has once again solidified its position as a global healthcare
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UCLA Health
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Los Angeles, California
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function, and trouble-shooting)
Strictly obeys the healthcare regulations for infection control ... a high degree of accuracy and attention to detail.
Actively participates in Quality Management
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Elevance Health
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Los Angeles, California
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with development of utilization/care management policies and procedures.
Participates in or leads ... The Nurse Care Mgr II is responsible for collaborating with healthcare providers and/or consumer to
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Cedars-Sinai
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Los Angeles, California
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management, and revenue enhancement.
•Develops business and operations plans for unit and specific programs and services within it.
•Establishes patient assessment process and treatment care plans for
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Elevance Health
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Los Angeles, California
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products (i.e. HMO, POS, PPO, EPO, CDHP, and indemnity) related to clinical and non clinical services ... documents to convey the determination.
Responsibilities exclude conducting any utilization or medical
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