This is an internal consulting generalist role that will put solid business analysis skills to use on a fast-paced team that is developing an unprecedented new population health management service. Work experience within healthcare or consulting, with a preference towards candidates who have experie...
Key Responsibilities:Lead and manage prior authorization, concurrent review, retrospective review, and care management staffParticipate in hiring, training, and development of staff within the Medical Management ProgramsCollaborate with Management staff and Medical Directors to review cases and data...
This is an internal consulting generalist role that will put solid business analysis skills to use on a fast-paced team that is developing an unprecedented new population health management service. Work experience within healthcare or consulting, with a preference towards candidates who have experie...
Key Responsibilities:Utilize clinical experience to assess treatment plans and apply evidence-based standardsCoordinate and evaluate healthcare services for membersProvide triage, crisis support, and facilitate optimal care/treatmentRequired Qualifications:3+ years of clinical practice experience po...
This is an internal consulting generalist role that will put solid business analysis skills to use on a fast-paced team that is developing an unprecedented new population health management service. Work experience within healthcare or consulting, with a preference towards candidates who have experie...
Key Responsibilities:Perform utilization management and review of behavioral health and substance abuse casesDetermine appropriateness of inpatient and outpatient servicesManage inpatient and outpatient mental health/substance abuse cases throughout treatment planRequired Qualifications:Licensed Mas...
Stability Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Irvine, California. Day 1 health insurance with United Healthcare *PTO plan -- start accruing on day 1, use during contract or cash out at the end! *Guaranteed stipend if facility calls you off *Extra hour ...
This position offers an exciting opportunity to innovate within the healthcare sector, making a tangible impact through data-driven insights. Experience with healthcare data analytics. We celebrate diversity and are united in our mission to create healthier and happier team members. ...
Host Healthcare is an award-winning travel healthcare company with an immediate opening for this Registered Nurse - Case Management in Orange, CA. Host Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Orange, California. Our passionate and transparent team members ...
The role involves investigating data issues, monitoring reports, and contributing to the design and implementation of Electronic Health Records (EHR). Team leadership experience, including talent development and performance management. ...
Understands and has significant experience in the use of tools for process improvement to include lean methodologies, project management, change management, and other improvement techniques. Senior Project Manager - Program & Performance Management Office - F/T - 64401-1A. The incumbent will pla...
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits,...
The Utilization Management Nurse, Senior will report to the Utilization Management Nurse Manager. The Utilization Management team reviews the inpatient stays for our members and correctly applies the guidelines for nationally recognized levels of care. Refer to Case Management when there are acute i...
Ability to establish & maintain effective working relationships across the Health System. ...
Stability Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Irvine, California. Day 1 health insurance with United Healthcare *PTO plan -- start accruing on day 1, use during contract or cash out at the end! *Guaranteed stipend if facility calls you off *Extra hour ...
Hold for Maria FerreiraUC Job Code: 007589ACCOUNTABILITY: Responsible for the achievements and success of UC Irvine Health. Takes pride in their work, being honest and accountable in their words and actions; meets or exceeds department defined service expectations; makes the right decision in the be...
Health Carousel Nursing and Allied Health is seeking a qualified. ...
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. The health of our associates and communities...
As a valued member of our team, the Health & Safety Director will provide strategic and tactical leadership for the company’s health and safety program by developing a culture that focuses on loss control, fleet safety, safety and health compliance in all work performed. This critical position i...
Cash In Lieu of Health and/or Dental Benefits (Cash Option). Allows you to receive cash in lieu of state-sponsored health and/or dental benefits insurance if you have other qualifying medical and/or dental coverage through a spouse, domestic partner, parent or other source. Provides a benefit allowa...
This upstream product management role plans, coordinates, and leads products within the Respiratory Health home and acute care space from conceptual stages, through development to launch and manages product life cycle - including sustainment and discontinuation. Product Management/marketing experien...
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Behavioral health experience - mental health and substance use disorders preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a...
Experience in materials management, inventory control, or a related field, preferably in a healthcare setting: Preferred. Stocks and maintains inventory within the healthcare facility. Assists with data entry into the hospital's materials management software. Trains hospital staff on proper inventor...
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Nurse Medical Management II - Utilization Management. Requires minimum of 3 years acute care clinical experience or case management, utilization management or managed care experience; or...
The Children’s Health Program (CHP) team provides identification, referrals, and care management for all Medi-Cal members under years old and collaborates within Promise Clinical Team. The Case Management Nurse, Senior will report to the CHP Manager. Responsible in assisting and working daily inven...