- CVS Health (Sacramento, CA)
- …transferring patients to lower levels of care . + 1+ years' experience in Utilization Review . + CCM and/or other URAC recognized accreditation preferred. + 1+ ... self-insured clients. + Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures… more
- Sharp HealthCare (San Diego, CA)
- …therapeutic interventions via collateral calls, conjoint therapy sessions, utilization review process, and/or referrals and revises care plan as necessary. ... (psychosocial, SI/HI, safety, DC planning) as related to the clinical services provided.Formulates plan of care based...to the clinical services provided.Formulates plan of care based on clinical assessment.Develops and implements… more
- Banner Health (Susanville, CA)
- …for key initiatives utilizing a systems perspective; evaluating the processes by which clinical care and patient services are delivered, identifying areas for of ... direction, and administration of day-to-day operations associated with direct patient care activities and clinical education and development, including… more
- Veterans Affairs, Veterans Health Administration (Oakland, CA)
- …including journal clubs, grand rounds and in-service trainings. The acupuncturist will review referrals, screen for appropriateness of care , and direct Veterans ... and acupuncture may be used alone or as an adjunct to traditional medical care . The acupuncturist includes the stimulation of specific points along the skin of the… 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 ... to senior leadership. - Analyzes network performance, including cost, quality, and utilization data to identify trends, opportunities, and areas for improvement. -… more
- Cedars-Sinai (Beverly Hills, CA)
- …Pool **Department** : Ops - Float Pool **Business Entity** : Cedars-Sinai Medical Care Foundation **Job Category** : Clinical Operations **Job Specialty** : ... that fuels innovation. Are you ready to bring your clinical competencies to a world-class Medical Group known for...The Cedars-Sinai Medical Network is committed to helping primary care and specialist physicians provide excellent care … more
- Sharp HealthCare (San Diego, CA)
- …**Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** California Clinical Microbiologist Scientist License - CA Department of Public Health; Bachelor's ... Degree; California Clinical Toxicologist Scientist License - CA Department of Public...and enhancement of pathology services through collaboration with patient care and support services to provide optimal patient … more
- Veterans Affairs, Veterans Health Administration (Fresno, CA)
- …standards of care ; Performance measures and descriptive measures; Frequency of clinical contacts based on the stage of case management being provided; and HOMES ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- Dignity Health (Bakersfield, CA)
- …committees. The coordinator is an active participant in the quarterly business review to integrate drug procurement and drug utilization . The coordinator ... **Responsibilities** The Clinical Pharmacy Coordinator is responsible for coordinating the...that all the activities for the provision of pharmaceutical care at their campus are carried out in full… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …documentation of admissions to the Business Office, Admitting Unit and the Utilization Review Department. + Maintains knowledge of developmental tasks and ... manner and are based on current chemical dependency and psychiatric nursing/ clinical knowledge and standards; care is evaluated against the goals and plan of … more