Healthcare Services Clinical Governance Lead
2 weeks ago
About the Job: We are seeking a skilled Utilization Management Policy Initiatives Nurse II to join our team at Scout Exchange. As a key member of our Utilization Management Department, you will be responsible for managing, reviewing, updating and creating Healthcare Services clinical policies, guidelines, protocols and related documentation.
Responsibilities:
- Manage and review existing Healthcare Services clinical policies due for review as needed to meet state regulatory and compliance requirements.
- Develop and implement clinical policies and procedures that meet regulatory and accreditation requirements.
- Liaise with internal and external stakeholders to determine needs and goals of existing healthcare services clinical policies.
- Collaborate with certified coders to develop and ensure proper clinical coding documentation and policies.
- Present results and recommendations with subsequent action plans as necessary.
Requirements:
- At least 8 years of previous experience in Clinical Nursing.
- At least 3 years of experience with Medi-Cal and Medicare in a managed care environment.
- Experience in performing and creating clinical documentation.
- Experience in regulatory compliance for a health plan.
Salary Range: $85,000 - $115,000 per year depending on qualifications and experience.
-
Los Angeles, California, United States JGMS Government Services, LLC Full timeCompany OverviewJGMS Government Services, LLC is a leading provider of technology, engineering, science, and management services to government and private sector clients nationwide.We pride ourselves on meeting the needs of our clients and delivering real solutions that effectively and efficiently meet all budgetary and scheduling requirements.Salary &...
-
Los Angeles, California, United States Healthcare Staffing Professionals, Inc Full timeAbout the Role:We are seeking a highly motivated Business Development Strategist to join our team at Healthcare Staffing Professionals, Inc. This is a 100% remote position with travel as needed.Key Responsibilities:Identify New Business Opportunities: Research and identify potential clients in the government and private sector healthcare markets, leveraging...
-
Chief Corporate Governance Officer
1 week ago
Los Angeles, California, United States NewGen Administrative Services Full timeJob SummaryWe are seeking a highly skilled Chief Corporate Governance Officer to join our team at NewGen Administrative Services.
-
Los Angeles, California, United States eTek IT Services, Inc. Full timeAbout eTek IT Services, Inc.We are a leading provider of innovative IT solutions to the healthcare industry. Our team is committed to delivering high-quality services that meet the evolving needs of our clients.
-
Skilled Nursing Facility Clinical Lead
2 weeks ago
Los Angeles, California, United States Regency Integrated Health Services Full timeJob OverviewThe Regency Integrated Health Services is seeking a highly skilled and dedicated RN Charge Nurse to lead our clinical team in providing exceptional care to our residents.
-
Healthcare Consultant
1 week ago
Los Angeles, California, United States Infosys Limited Full timeSenior Principal - Health Management, Clinical ConsultingWe are seeking a Senior Principal-level healthcare professional with extensive experience in health management and clinical consulting to join our growing healthcare practice at Infosys Limited.The ideal candidate will possess a deep understanding of healthcare workflows, industry regulations, and...
-
Los Angeles, California, United States ExamWorks Full timeAbout ExamWorksExamWorks is a leading provider of innovative healthcare services, including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management, and related services.Our clients include property and casualty insurance carriers, law firms, third-party claim administrators,...
-
Gastroenterology Clinic Support
6 days ago
Los Angeles, California, United States 365 Healthcare Staffing Services, Inc. Full timeAre you a dedicated and compassionate Vocational Nurse looking to take your career to the next level? Look no further than this exciting opportunity to join our team as a Healthcare Coordinator at 365 Healthcare Staffing Services, Inc!About the Role:In this pivotal position, you will play a critical role in ensuring the smooth operation of our...
-
Los Angeles, California, United States Providence Health & Services Full timeAbout the RoleAs a Technical Lead for Software Development in Healthcare, you will take end-to-end ownership of developing and delivering solutions that improve patient care. You will collaborate with cross-functional teams to design, implement, and deploy software systems that meet business requirements.
-
Transformative Healthcare Leader
1 week ago
Los Angeles, California, United States Vynca Full timeDynamic Clinical Lead Care Manager OpportunityWe are seeking an exceptional Clinical Lead Care Manager to join our team in Los Angeles, CA. This is a hybrid position that requires traveling throughout the Los Angeles County area.This role is crucial in ensuring seamless care coordination for our clients. As a Clinical Lead Care Manager, you will serve as the...
-
Los Angeles, California, United States ZipRecruiter Full timeEstimated salary range for this position is $87,500 to $95,000 Annually.About the RoleThe Senior Manager of Quality and Risk Governance will provide strategic support to the Agency's Quality Management/Risk Management Program. This includes overseeing the effective management of quality metrics, collaborating with key stakeholders to improve governance...
-
Lead Healthcare Interpreter
6 days ago
Los Angeles, California, United States County of Los Angeles, CA Full timeAbout the RoleWe are seeking a highly skilled Healthcare Interpreter to join our team at the County of Los Angeles, CA. As a Healthcare Interpreter, you will be responsible for providing interpretation services to patients, physicians, nurses, and other health professionals in one or more foreign languages.Your duties will include serving as a lead...
-
Healthcare Supervisor
6 days ago
Los Angeles, California, United States Kheir Clinic (FQHC) Full timeJob DescriptionThe Kheir Clinic (FQHC) is seeking a skilled Healthcare Supervisor to oversee the day-to-day operations of our health centers. As a key member of our team, you will be responsible for managing workflow, ensuring quality patient care, and providing support to medical providers.ResponsibilitiesOversee health center operations to ensure...
-
IT Governance Manager
1 week ago
Los Angeles, California, United States City National Bank Full timeAbout the RoleCity National Bank is seeking a highly skilled Senior Manager of IT PMO Governance to lead our technology project management office. This is a highly visible position that requires regular collaboration with IT and business senior leadership teams.Key ResponsibilitiesProject Intake and AlignmentThe ideal candidate will be responsible for...
-
Clinical Nutrition Specialist
1 week ago
Los Angeles, California, United States Healthcare Services Group Full timeOverviewHCSG is an experienced partner in managing clinical nutritional, dining, and environmental services within the healthcare industry.We are passionate about positively impacting the communities we serve. If you share our commitment to excellence and enhancing customer and resident experiences, join us and make a difference.ResponsibilitiesProvide...
-
Medical Coordinator
1 week ago
Los Angeles, California, United States Premier Infusion and Healthcare Services, Inc. Full timePremier Infusion and Healthcare Services, Inc. is a leading provider of home healthcare services in Southern California.We are seeking a highly skilled Medical Coordinator to join our team at Premier Infusion and Healthcare Services, Inc. As a Medical Coordinator, you will play a key role in coordinating infusion services for patients and ensuring the smooth...
-
Nursing Supervisor
6 days ago
Los Angeles, California, United States Genesis HealthCare Full timeGenesis HealthCare - Clinical Operations Supervisor OpportunityWe are seeking a dedicated and experienced Registered Nurse to join our team as a Clinical Operations Supervisor. This is an exciting opportunity to advance your career in nursing while supporting the Director of Nursing with patient care and clinical operations.About Genesis HealthCareAs a...
-
Healthcare Data Analytics Lead
1 week ago
Los Angeles, California, United States Wellth Full timeAbout WellthWellth is a leading digital health startup that provides daily care motivation to people living with chronic conditions. Our mission is to empower individuals to make healthier choices every day.Job OverviewWe are seeking an experienced Senior Health Analytics Engineer to join our team. This role will be responsible for architecting and...
-
Chief Data Governance Strategist
1 week ago
Los Angeles, California, United States Irvine Technology Corporation Full timeJob SummaryWe are seeking a seasoned AVP - Master Data Management (MDM) Platform Specialist to lead our data management efforts. As a critical member of the Information Technology department, you will oversee the Semarchy xDM platform, driving efficient data management and governance across the global enterprise.About the RoleYou will define and manage the...
-
Healthcare Unit Manager Leader
6 days ago
Los Angeles, California, United States TriVent Healthcare LLC Full timeTriVent Healthcare, a leading healthcare provider, is expanding its services in the Los Angeles area. We are seeking an experienced Unit Manager to lead our team at East Los Angeles Doctors Hospital.About UsWe are the country's preeminent leader in ventilator liberation and rehabilitation. Our elite team of acute care professionals treats medically complex...