Utilization management jobs in San Bernardino, CACreate job alerts

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Riverside/San Bernadino area. Work from home, and on the road. Monday – Friday, regular business hours. As a Medical Case Manager you will make a meaningful...

Maintains a solid working knowledge of specialized case and utilization management methodologies and practices and applies concepts to everyday practice. Ensures medical appropriateness criteria ...

The role integrates and coordinates utilization management, care facilitation and discharge planning functions. The Care Manager is accountable for a designated patient caseload and plans effectively ...

Basic knowledge of care and utilization management practices and methodologies. Understanding of PACE regulations. Knowledge of aging process and related psychosocial issues. Strong assessment ...

The Coordinator-Utilization Management/Review functions effectively in a tertiary care academic medical center with level one trauma designation, ST-Elevation Myocardial Infarction (STEMI) receiving ...

They will be responsible for complete inpatient hospital setting case management in acute care looking after Utilization review, Discharge planning of the inpatient. * They are part of the care team ...

... management duties, thus assuring proper utilization providing maximum quality of patient care. Serves as a resource for staff in the area of Joint Commission standards and those of private ...

Understanding of managed care data analytics is required, including capitation and sub-capitation, utilization management, claims, case management, financial analysis, and HCC coding, and knowledge ...

Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift, night shift, and ... management, preferably within a healthcare or hospital setting Exceptional interpersonal and ...

... effective utilization of resources and optimal care coordination. Participates in developing ... Knowledge of sickle cell disease management and treatment protocols; proficient competencies in ...

This position also includes overseeing day-to-day medical operations, managing a talented medical team, and contributing to budget management, quality improvement, and resource utilization. Key ...

Contribute to case review, consultation, and utilization review * Research and utilize evolving ... Experience with conflict management, mediation, de-escalation, and crisis mitigation * Knowledge of ...

They assist with keeping expenses with department budget, quality initiatives, utilization and resource management. Physical attendance at our facility and/or the participant home is essential to ...

... and efficient utilization of resources. Collaborates with Central Staffing, Transfer Center ... Demonstrates competencies in clinical nursing, leadership, supervision, management and ...

The Center Medical Director assists with keeping expenses with department budget, quality initiatives, utilization and resource management and providing support to Executive staff. Highlights: * 4-6 ...

This position will ensure effective utilization of space and equipment in all distribution centers ... Bachelor's degree in Logistics, Supply Chain Management or related field or equivalent work ...

The Center Medical Director assists with keeping expenses with department budget, quality initiatives, utilization and resource management and providing support to Executive staff. Highlights: * 4-6 ...

The Center Medical Director assists with keeping expenses with department budget, quality initiatives, utilization and resource management and providing support to Executive staff. Highlights: * 4-6 ...

The Center Medical Director assists with keeping expenses with department budget, quality initiatives, utilization and resource management and providing support to Executive staff. Highlights: * 4-6 ...

The Center Medical Director assists with keeping expenses with department budget, quality initiatives, utilization and resource management and providing support to Executive staff. Highlights: * 4-6 ...

Manages acute and long-term medical needs of participants in collaboration with other primary care ... utilization of high-cost care settings. As an equal opportunity/affirmative action employer ...

Software Utilization: Regularly utilize customer resource software to track leads, manage accounts, and identify potential business opportunities. Outside Sales Preferred Qualifications: * Sales ...

AccentCare is seeking a Registered Nurse (RN) Case Manager, Home Health for a nursing job in Fontana, California. Job Description & Requirements * Specialty: Home Health * Discipline: RN * Duration

Applies clinical knowledge as well as specialized emergency medicine case management and care coordination methodologies and practices in a tertiary care facility with level one trauma designation