- Rady Children's Hospital San Diego (San Diego, CA)
- …as assigned. JOB SUMMARY: Responsible for a variety of high-complexity, clinical laboratory testing in Chemistry, Hematology, Microbiology and Blood Bank. Perform ... QC/QA procedures, preventive maintenance, and test validation. Review and report test results in accordance with laboratory standards. Maintain working knowledge of… more
- Dignity Health (Bakersfield, CA)
- … management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals health ... for ensuring the integrity of the adverse determination processes and accuracy of clinical decision making, as it relates to the application of criteria and… more
- Centene Corporation (Sacramento, CA)
- … process required. Experience working with providers and healthcare teams to review care services related to Applied Behavior Analysis Services preferred. ... Behavioral Analysis (ABA) services provided to determine medical appropriateness. Monitors clinical effectiveness and efficiency of member's care in accordance… more
- CenterWell (San Diego, CA)
- **Become a part of our caring community and help us put health first** The Clinical Manager coordinates and oversees all direct care patient services provided by ... + Assesses staff education needs based on own the review of clinical documentation in addition to... of the appropriate number of Case Managers and clinical staff documentation to include starts-of- care , resumption-of-cares,… more
- Molina Healthcare (Los Angeles, CA)
- …Bachelor's Degree in Nursing **Preferred Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization ... California residents preferred.** **EMERGENCY ROOM ADMISSIONS REVIEW NURSE** **_3-12 DAY SHIFT 7:30AM - 08:30PM...assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long… more
- Ventura County (Ventura, CA)
- Pharmacist - Clinical Coordinator Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5008907) Apply Pharmacist - Clinical Coordinator Salary ... CA Job Type Full-Time Regular Job Number 2166HCA-25AA (EN) Department Health Care Agency Opening Date 07/21/2025 + Description + Benefits + Questions Description… more
- Veterans Affairs, Veterans Health Administration (Loma Linda, CA)
- … care . The HH RN possesses intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, ... clinical documentation requirements, community care regulations, and Veterans Health Administration (VHA) standards and guidelines. The HH RN uses nursing… more
- Pfizer (South San Francisco, CA)
- …results + Support execution for all FIH programs through proof-of concept + Set the clinical data review strategy, ensure quality data and conduct review of ... emerging clinical data and trends; review and query data; present and discuss relevant data...reports payments and other transfers of value to health care providers as required by federal and state transparency… more
- US Marine Corps (Twentynine Palms, CA)
- …functioning smoothly and effectively. Responsibilities Incumbent serves as the clinical counselor for the Substance Abuse Counseling Center (SACC), Substance ... Assurance projects as required. Receives general supervision from the SACC Director and Clinical Supervisor who allows the clinical counselor freedom of action… more
- Pfizer (San Francisco, CA)
- …as appropriate. + Reviews and queries safety and efficacy data in support of the clinical data review strategy and collection of quality data and review ... and other internal and external stakeholders. + Sets the clinical data review strategy and leads the...reports payments and other transfers of value to health care providers as required by federal and state transparency… more