- Insight Global (Orange, CA)
- Job Description As a technical leader in clinical applications, applies advanced professional concepts and extensive industry knowledge to lead and / or work on ... and maintains LIS performance and integrity to ensure highest standards of patient care and compliance with all applicable regulations. Incumbent may be required to… more
- Elevance Health (Walnut Creek, CA)
- … clinical consultation and serve as clinical /strategic advisor to enhance clinical operations. May identify cost of care opportunities. **How you will ... with attending physicians or other ordering providers to discuss review determinations. + Serves as a resource and consultant...Leads, develops, directs, and implements clinical and non- clinical activities that impact health care quality… more
- Prime Healthcare (Sherman Oaks, CA)
- Overview Sherman Oaks Hospital is a 153-bed, not-for-profit, acute- care community hospital located in Sherman Oaks, California. Staffed with over 500 employees and ... team of physicians, the hospital is recognized for advanced technology and compassionate care and provides 24/7 emergency care in addition to a full… more
- Sevita (Whittier, CA)
- …day. Join us today, and experience a career well lived. **Program Clinical Coordinator (Case Management)** **Office location: Alhambra** **Program area: East LA, ... the lives of the people we serve. + Coordinate the development, review , and implementation of services, case management, behavior intervention plans, and treatments… more
- Dignity Health (Woodland, CA)
- …CA, with occasional onsite meetings in Woodland.** **Position Summary:** The Utilization Review LVN uses clinical judgement in providing utilization management ... services. The focus is to provide high quality, cost-effective care which will enable patients to achieve maximum medical improvement while receiving care deemed… more
- Veterans Affairs, Veterans Health Administration (San Francisco, CA)
- …within a multidisciplinary team matrix, actively collaborates, and coordinates Veteran care with other clinical and administrative supporting services. Duties ... by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities Total Rewards of a Allied Health… more
- Evolent (Sacramento, CA)
- …Provides clinical rationale for standard and expedited appeals. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the MD ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...Director, MSK Surgery you will be a specialty match reviewer for Spine Surgery cases. you will be a… more
- CVS Health (Sacramento, CA)
- …in a collaborative process to implement, coordinate, monitor and evaluate medical review cases. + Applies the appropriate clinical criteria/guideline and plan ... client. + Applies critical thinking, evidenced based clinical criteria and clinical practice guidelines. Med Review nurses use specific criteria to authorize… more
- Sharp HealthCare (San Diego, CA)
- …patient assessments (psychosocial, SI/HI, safety, DC planning) as related to the clinical services provided.Formulates plan of care based on clinical ... response to therapeutic interventions via collateral calls, conjoint therapy sessions, utilization review process, and/or referrals and revises care plan as… more
- Stanford University (Stanford, CA)
- …Hematologyis a progressive and dynamic center for basic and translational science, clinical research, patient care , and teaching, where clinicians, scholars, ... procedures and protocols in collaboration with senior researcher. + Review literature on an ongoing basis to remain current...We provide superb retirement plans, generous time-off, and family care resources. + **A healthier you.** Climb our rock… more
Recent Jobs
-
Front End Vue Engineer
- HCA Healthcare (Nashville, TN)
-
Safety and Quality Patient Experience (SQPE) Specialist II
- Cleveland Clinic (Dover, OH)
-
CRNA
- Avera (Pipestone, MN)
-
Physical Security and Resilience Specialist
- Tri-State Generation and Transmission Association, Inc. (Westminster, CO)