- Sharp HealthCare (San Diego, CA)
- …with department standard. + Completes insurance verification and evaluationInsurance/ Plan Selection:After medical screening (ER settings), obtain health benefit ... Medical Group on Health Maintenance Organizations (HMO) patients. Notify the clinical staff, including physician, on patients that are out-of-network.Follow process… more
- Ventura County (Ventura, CA)
- …are not limited to the following: + Collaborates with the lead dietitians to oversee, plan , and review the work and activities of Registered Dietitians and Food ... Paula, CA Job Type Full-Time Job Number 1707HCA-25AA (EN) Department Health Care Agency Opening Date 06/16/2025 + Description + Benefits + Questions Description… more
- Sharp HealthCare (San Diego, CA)
- …utilization review , appeals or member services in a managed care environment **Preferred Qualifications** + Bachelor's Degree Business Administration or Health ... **Facility:** Health Plan **City** San Diego **Department** **Job Status** Regular...Officer (CMO) who is responsible for all decisions regarding clinical appeals and grievances and the Chief Operations Officer… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …part of the greater Santa Rosa and Northern California mental health system of care . Conveniently located in the North Bay, this hospital consists of 144 acute ... part of the greater Santa Rosa and Northern California mental health system of care . Conveniently located in the North Bay, SRBHH serves adolescents and adults. We… more
- KBR (Coronado, CA)
- …within the ATC's scope of practice. + Participate in periodic meetings to review the care provided to patients and identifies opportunities for improvement. ... + Assist the HP program Manager and/or Coordinator in developing and maintaining clinical practice guidelines to ensure consistency of care across all Human… more
- HCA Healthcare (San Jose, CA)
- …maternal and newborn and reassessments as per policy.** + **You will formulate an individualized plan of care , revise plan as indicated by the patient's ... administration based on age of the patient and their clinical condition.** + **You will perform a head-to-toe assessment...patient/family and involve patient/family in the formation of the plan of care .** + **You will maintain… more
- Ventura County (Ventura, CA)
- …the following: + Uses the full scope of the Nurse Practice Act to assess, plan , organize, and provide nursing care to assigned patients; + Follows prescribed ... staff development programs; + May participate in quality assurance/utilization review or other non-direct patient care nursing...and patient and staff education methods. Working ability to: plan and organize nursing care ; train and… more
- Cedars-Sinai (Marina Del Rey, CA)
- …professionally with patient/family/caregivers and involves them in the formation of the plan of care and discharge needs. + Coordinates with multidisciplinary ... years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded the...social worker. Participates in education on and implementation of clinical guidelines and protocols. Provides or arranges patient teaching… more
- The County of Los Angeles (Los Angeles, CA)
- …DHS operates as an integrated health system, operating 25 health centers and four acute care hospitals, in addition to providing health care to youth in the ... in the LA County jails. Across the network of DHS' directly operated clinical sites and through partnerships with community-based clinics, DHS cares for about… more
- The County of Los Angeles (Los Angeles, CA)
- …DHS operates as an integrated health system, operating 25 health centers and four acute care hospitals, in addition to providing health care to youth in the ... in the LA County jails. Across the network of DHS' directly operated clinical sites and through partnerships with community-based clinics, DHS cares for about… more