8 jobs found

Job description   Manages the delivery of nursing services and safe patient care within assigned department and across the continuum of care. Manages the delivery of services that add value and are integrated with nursing standards of practice, service priorities and performance/outcome measures, as well as with strategic, business and organizational goals/objectives.   Essential Responsibilities: Manages on a 24 hour basis the delivery of nursing services and safe patient care which meet or exceed cost, quality, and clinical and utilization standards and performance measures. Establishes, implements, and maintains patient care and service standards to meet members' and internal clients' expectations and needs in a changing, competitive health care market.  Holds staff accountable in providing the highest quality of care while in compliance with the Nursing Practice Act, TJC, federal, state, and local requirements. Works with Nursing...

Job description Sign-on bonus eligible 10% of annual salary offered, some restrictions apply. For one large unit or more than one smaller unit within a 24 hour department, supervises the implementation, delivery and evaluation/improvement of quality patient care/nursing operations and services that add value and are integrated with nursing standards of practice, service priorities and performance/outcomes measures, as well as with departmental, business and organizational goals/objectives. Essential Responsibilities: Supervises the delivery of nursing services and patient care within one unit(s) which are integrated with business and department plans and meet or exceed cost, quality, clinical and utilization standards and performance measures. Ensures that unit(s) services meet members', physician and internal clients' needs in a changing, competitive health care market. Supervises a single unit (8 to 24 hours) of approximately 20 or more...

Job description   Manages the delivery of nursing services and safe patient care within assigned department and across the continuum of care. Manages the delivery of services that add value and are integrated with nursing standards of practice, service priorities and performance/outcome measures, as well as with strategic, business and organizational goals/objectives.   Essential Responsibilities: Manages on a 24 hour basis the delivery of nursing services and safe patient care which meet or exceed cost, quality, and clinical and utilization standards and performance measures. Establishes, implements, and maintains patient care and service standards to meet members' and internal clients' expectations and needs in a changing, competitive health care market.  Holds staff accountable in providing the highest quality of care while in compliance with the Nursing Practice Act, TJC, federal, state, and local requirements. Works with Nursing...

Job description Job Summary The Utilization Management Policy Initiatives Nurse RN II, under the purview the Utilization Management (UM) Department Leadership Team, is responsible for managing, reviewing, updating and creating Healthcare Services clinical policies, guidelines, protocols and related documentation.  This role ensures that the day to day functions of Utilization Management initiatives comply with regulatory and accreditation requirements such as those stated in contracts, CalAIM Population Health Management (PHM) Policy Guide, National Committee on Quality Assurance (NCQA) Department of Health Care Services (DHCS) All Plan Letters (APLs), and Centers for Medicare and Medicaid Services (CMS) Model of Care (MOC) through sound clinical policy maintenance.  This position will be responsible for curating our clinical decision making resources, using data on clinical polices and authorizations to update our prior authorization rules,...

Job description Manages the delivery of nursing services and safe patient care within assigned department and across the continuum of care. Manages the delivery of services that add value and are integrated with nursing standards of practice, service priorities and performance/outcome measures, as well as with strategic, business and organizational goals/objectives.   Essential Responsibilities: Manages on a 24 hour basis the delivery of nursing services and safe patient care which meet or exceed cost, quality, and clinical and utilization standards and performance measures. Establishes, implements, and maintains patient care and service standards to meet members' and internal clients' expectations and needs in a changing, competitive health care market.  Holds staff accountable in providing the highest quality of care while in compliance with the Nursing Practice Act, TJC, federal, state, and local requirements. Works with Nursing...

Job description   For one large unit or more than one smaller unit within a 24 hour department, supervises the implementation, delivery and evaluation/improvement of quality patient care/nursing operations and services that add value and are integrated with nursing standards of practice, service priorities and performance/outcomes measures, as well as with departmental, business and organizational goals/objectives.   Essential Responsibilities: Supervises the delivery of nursing services and patient care within one unit(s) which are integrated with business and department plans and meet or exceed cost, quality, clinical and utilization standards and performance measures. Ensures that unit(s) services meet members', physician and internal clients' needs in a changing, competitive health care market. Supervises a single unit (8 to 24 hours) of approximately 20 or more employees or more than one smaller unit. Ensures patient care and quality...

Job description Job Summary The Lead Product Solutions Manager provides program support (end to end) for the ongoing operations of the product line annual cycle.  This role is cross functional.  The Lead Product Manager must partner closely with key stakeholders including but not limited to Information Technology ( I.T.), Operations, Health Services, Marketing & Sales to develop, organize, and execute the department priorities, resource commitments and deliverables.  The ideal candidate has extensive healthcare knowledge and experience (Commercial, Cal MediConnect and/or D-SNP, Medi-Cal) and will work independently to lead and facilitate complex projects, initiatives that ensure deliverables are aligned with the line of business objectives, on time, and aligned with product retention and growth objectives.  Responsible for the daily workflow and leading the work of assigned staff.  This role will mentor, coach, act as a resource and...

Job description   Manages the delivery of nursing services and safe patient care within assigned department and across the continuum of care. Manages the delivery of services that add value and are integrated with nursing standards of practice, service priorities and performance/outcome measures, as well as with strategic, business and organizational goals/objectives.   Essential Responsibilities: Manages on a 24 hour basis the delivery of nursing services and safe patient care which meet or exceed cost, quality, and clinical and utilization standards and performance measures. Establishes, implements, and maintains patient care and service standards to meet members' and internal clients' expectations and needs in a changing, competitive health care market.  Holds staff accountable in providing the highest quality of care while in compliance with the Nursing Practice Act, TJC, federal, state, and local requirements. Works with Nursing...