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165 Jobs

  • Director Utilization Management

    Moreno Valley, California
    ... of Utilization Management for Moreno Valley Hospital, South Riverside County and Coachella Valley affiliate hospitals COMPANY: KAISER TITLE: Director Utilization Management ...
  • Director Utilization Management

    San Diego, California
    ... . COMPANY: KAISER TITLE: Director Utilization Management LOCATION: San Diego, California ... Job Summary: Develops, manages and directs the Utilization Management programs in a ...
  • Care at Home Director

    Atlanta, Georgia
    ... provision of care coordination, case management, utilization management, and quality improvement for members ... . Demonstrated understanding of utilization management concepts, practices, and criteria preferred ...
  • Quality Utilization Coordinator Home Health Hospice

    San Francisco, California
    ... reports for state, federal, and local agencies. Assists the director of quality and utilization ... Job Summary: Coordinates quality, utilization and risk management activities for the ...
  • Quality Utilization Coordinator Home Health Hospice

    Vallejo, California
    ... reports for state, federal, and local agencies. Assists the director of quality and utilization ... Job Summary: Coordinates quality, utilization and risk management activities for the ...
  • Clinical Department Director - Rehab Services

    Martinez, California
    ... , personnel administration, daily operations, quality, and utilization management of large ancillary and/or ... identifies and implements strategies to reduce costs, control utilization, and improve quality of care ...
  • Director Nursing Services RN - Magnet Program Director/Care Experience

    Moreno Valley, California
    ... the service line for KP members by directing the development, evaluation and utilization of safe, cost ... appropriate delivery and level of services. Directs budget management and resource allocation ...
  • Clinical Pharmacy Director

    Santa Rosa, California
    ... Job Summary: Under the direction of the Area Pharmacy Director, is responsible for the overall management and performance of Clinical Pharmacy Services across the Service Area. Ensures ...
  • Coordinator, Behavioral Health Care

    Atlanta, Georgia
    ... necessary, discharge planning, identification of patients for case management, quality improvement reviews ... requirements and laws that affect managed care and case/utilization management. Maintains ...
  • Director Nursing Services RN - Magnet Program Director

    San Diego, California
    ... within the service line for KP members by directing the development, evaluation and utilization of safe ... . Hires, fires and disciplines as part of performance management. Directs compliance with ...
  • Coordinator, Drug Use Management

    Sterling, Virginia
    ... Chain Executive Director of Pharmacy for MAPMG, coordinates and manages pharmaceutical education for ... service in the delivery of pharmaceutical care. Assists in directing quality and utilization ...
  • Director Nursing Services RN - Adult Services

    Anaheim, California
    ... within the service line for KP members by directing the development, evaluation and utilization of safe ... . Hires, fires and disciplines as part of performance management. Directs compliance with ...
  • Executive Director, Actuarial Services-Medicare

    Oakland, California
    ... among all the regions. Control systems that support the needs of management and the business ... Services and Kaiser Permanente Regions. This position plays a vital role in support of actuarial methods ...
  • Inpatient Pharmacist Lead

    Walnut Creek, California
    ... Job Summary: Under the direction of the Inpatient Pharmacy Director or Inpatient ... : Under the direction of the Inpatient Pharmacy Director or Inpatient Pharmacy Supervisor, provides ...
  • Clinical Nursing Director - Perioperative Services

    Vacaville, California
    ... Administrative Director peers, Chiefs of Service, other department directors reporting to Assistant ... utilization standards across the continuum of care to ensure coordinated plans of treatment, patient focused ...
  • Director, Senior Continuum Services

    Rockville, Maryland
    ... Job Summary: The Senior Director of Continuum Services, is responsible for the development, planning, management, and integration and delivery of Kaiser Foundation Health Plan Continuum of ...
  • Manager - Hospital Coding Operations

    Pasadena, California
    ... management functions of the regional coding operations department, in order to ensure the quality of coded ... , and by consulting with other departments who utilize such data for management, quality, utilization ...
  • Hospital Case Manager - OnCall - Maui Memorial Medical Center

    Wailuku, Hawaii
    ... of care and readiness for discharge. Escalates utilization and system problems which have not been ... findings to Hospital Administration, Director of Continuing Care and/or Community Medical Services. Keeps ...
  • Inpatient Case Manager

    Atlanta, Georgia
    ... ) years of experience in utilization review, case management, and discharge planning preferred ... optimize quality and efficiency of care for hospitalized members by carrying out daily utilization and ...
  • Inpatient Case Manager

    Atlanta, Georgia
    ... ) years of experience in utilization review, case management, and discharge planning preferred ... optimize quality and efficiency of care for hospitalized members by carrying out daily utilization and ...
  • Director Clinical Diagnostic Molecular Genetics Laboratory

    San Jose, California
    ... /reports results to providers. Develops, justifies, and assures efficient utilization of the ... ). Directs a laboratory performing mutation studies for an expanding list of genetic disorders. Ensures ...
  • Clinical Nursing Director - Perioperative Services

    Antioch, California
    ... Administrative Director peers, Chiefs of Service, other department directors reporting to Assistant ... utilization standards across the continuum of care to ensure coordinated plans of treatment, patient focused ...
  • Clinical Nursing Director - Adult Services

    Sacramento, California
    ... ). Maintains key Relationships with Clinical and Administrative Director peers, Chiefs of Service, other ... partner, directs development and implementation of quality and utilization standards across the continuum ...
  • Director Inpatient Pharmacy

    Los Angeles, California
    ... the management of all aspects of Inpatient Pharmacy Services at one or multiple locations. Ensures ... Minimum three (3) years of supervisory/management experience (in a comparable pharmaceutical setting ...
  • Clinical Nursing Director - Maternal Child Health

    Santa Clara, California
    ... . With TPMG partner, directs development and implementation of quality and utilization standards across ... and cost effective utilization of necessary services. Builds trust with the nursing team through ...
  • Executive Director, Medi-Care Strategy - SCAL

    Pasadena, California
    ... provider setting. Minimum seven (7) years of Leadership management experience in the health care ... to improve quality and service and ensure appropriate utilization. Develop and implement a ...
  • Pathology Unit Manager

    San Rafael, California
    ... 22, federal, state, and local requirements. Assists the Chief of Pathology/Laboratory Director in ... . Assists in Chief of Pathology/Laboratory Director in developing and monitoring budgets and resource ...
  • Inpatient Pharmacist Lead

    South San Francisco, California
    ... Job Summary: Under the direction of the Inpatient Pharmacy Director or Inpatient ... : Under the direction of the Inpatient Pharmacy Director or Inpatient Pharmacy Supervisor, provides ...
  • Director, Security, Threat Management - Northern California

    Oakland, California
    ... , data-driven threat assessment and management processes; and championing the utilization of current best ... is also responsible directing the development of KPs threat management strategy, plan and process to ...
  • RN, Inpatient Case Manager, $10K SOB

    Decatur, Georgia
    ... ) years of experience in utilization review, case management, and discharge planning preferred ... optimize quality and efficiency of care for hospitalized members by carrying out daily utilization and ...
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