UTILIZATION MANAGEMENT CLINICAL QUALITY jobs in LOS ANGELES CA, United Kingdom

and quality standards. Be critical part of a collaborative regional management team to locate, recruit and hire top clinical... development / coaching of clinical representatives, as well as administrative management tasks. Partner with Regional Sales...

The Utilization Management Clinical Quality Nurse Reviewer RN II, under the purview the Utilization Management... on audit findings, as well as make recommendations, to submit to the department's Quality Assurance Team and UM Management...

seeks a Utilization Clinical Reviewer to join our growing team. Job Summary As a Utilization Clinical Reviewer, you'll..., services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the...

. Responsible for providing non-clinical support to the utilization management team in maintaining and managing the utilization... as described in the Utilization Management plan. Volunteers are needed for holidays, if not enough volunteers then a holiday...

The Utilization Management Nurse Specialist LVN II will facilitate, coordinate and approve medically necessary referrals... a patient care setting and/or combination in utilization management, appeals and grievances, delegation oversight, and/or CNA...

The Supervisor of Utilization Management (UM) RN is responsible for executing the day-to-day operations of the... Care/Case/Utilization Management and supporting regulations, policies, protocols, and procedures. This position serves...

for Quality Assurance (NCQA) requirements for Utilization Management or Care Management (CM). Knowledge of Department of Health... The Utilization Management Nurse Specialist RN II will facilitate, coordinate, and approve medically necessary referrals...

Summary:­­ The LVN Utilization Manager ensures that health care services are administered with quality, cost efficiency... of all patient related interactions Prepare monthly patient management and cost savings report Performed utilization review...

The Enhanced Care Management (ECM) Clinical Specialist II is responsible for the management and oversight activities... Providers with the coordination of member care with internal L.A. Care departments such as Care Management (CM), Utilization...

Job Description Clinical Document Improvement (CDI) Specialist 2557071 A leading hospital is seeking a skilled Clinical Document Improvement... (CDI) Specialist. The successful candidate will be responsible and accountable for the day-to-day management and success...

Clinical Document Improvement (CDI) Specialist 2557071 A leading hospital is seeking a skilled Clinical Document... Improvement (CDI) Specialist. The successful candidate will be responsible and accountable for the day-to-day management...

of the interdisciplinary team to attain high quality patient care outcomes and leading integration of clinical practice.../support. Work with a diverse customer base of clinical and support staff, management, and physicians. Must have excellent oral...

coordination and documentation of Utilization Management (UM) and CM element. Provide training, education and consultation... at the right time. Mission: L.A. Care's mission is to provide access to quality health care for Los Angeles County...

, pharmacy, utilization management, quality management, risk management, human resources, payroll, clinical services and systems... guidelines. 7. Works in a collaborative role with the management team, staff and physicians in the clinical practices...

The Clinical Account Manager will report directly to the Regional Vice President in each region and is the direct... liaison between Kreg Therapeutics and the clinicians at each hospital we operate. Each Clinical Account Manager will manage 2...

primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre... for some of the roles Experience in utilization and clinical coverage review Proven excellent oral, written, and interpersonal...

primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre... for some of the roles Experience in utilization and clinical coverage review Proven excellent oral, written, and interpersonal...