- The County of Los Angeles (Los Angeles, CA)
- …Department of Justice Consent Decree to improve conditions and mental health care in County jails, as well as supporting justice-involved populations post-release. ... 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… more
- VNA Health (Santa Barbara, CA)
- …inservice and nursing staff meetings. + Participate in Quality Management and Utilization Review Activities. + Maintain necessary records and reports in ... driving positive change in healthcare. Join us in our mission to provide exceptional care and improve the health and dignity of those we serve. Why Join Us:… 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
- Ventura County (Ventura, CA)
- …and staff development programs; + May participate in quality assurance/ utilization review or other non-direct patient care nursing assignments; + May ... County, CA Job Type Various Job Number 0305HCA-25AE (MD) Department Health Care Agency Division Ventura County Medical Center and/or Santa Paula Hospital Opening… more
- Cedars-Sinai (Marina Del Rey, CA)
- …the established/communicated timeframe + Documents appropriate reviews for assigned patients using utilization review tool. + Provides telephonic review for ... 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)
- …a Department of Justice Consent Decree to improve conditions and mental health care in County jails, as well as support justice-involved populations post-release. We ... and an expanded network of community partner clinics - DHS annually provides direct care for 600,000 unique patients, employs over 23,000 staff, and has an annual… more
- The County of Los Angeles (Los Angeles, CA)
- …medical work or procedure of the organization in order to improve the level of care and service or the utilization of personnel. + Plans, directs and supervises ... medical specialty and subspecialty. In addition, to its direct clinical services, DHS also runs the Emergency Medical Services...medical research and the presentation and review of findings. + Reviews the care … more
- The County of Los Angeles (Los Angeles, CA)
- …of care and establishes and modifies program monitoring and review methods as necessary. Oversees audits and the implementation of audit recommendations ... and implements reporting procedures to ensure that program services utilization and revenue data are reported accurately and in...I: A valid, current license to practice as a clinical social worker, marriage and family therapist, psychologist, or… more
- Travelers Insurance Company (Sacramento, CA)
- …and analysis skills **What is a Must Have?** + Licensed MD + 5 years clinical and utilization management experience + Certified by the American Board of Medical ... **Who Are We?** Taking care of our customers, our communities and each...can impact claim outcomes. Organize and coordinate Travelers' medical review functions. This includes interpreting Federal and State regulations… more
- Sutter Health (Yuba City, CA)
- …of recent relevant experience. **SKILLS AND KNOWLEDGE:** + Knowledge of Drug Utilization Review Procedures and Therapeutic Drug Monitoring. + Demonstrated ... Department in the areas of staff supervision, maintenance of clinical programs, effective intra- and inter-departmental communication, workload assignment and… more