- CenterWell (Sacramento, CA)
- …evaluation of variable factors. The Medicaid Drug Strategy Pharmacist Lead uses clinical and financial data driven methods to develop and influence drug strategies ... Translates information from multiple sources to clearly communicate a compelling clinical , data-driven message to executive-level audiences on our drug strategies. +… more
- Sutter Health (Santa Rosa, CA)
- …Santa Rosa Reg Hospital **Position Overview:** The Medical Social Work Associate (MSW) provides crisis intervention, information, referrals, and discharge planning ... members of the health care team. Works closely with Clinical Reviewers to achieve the highest quality care and...Reviewers to monitor acute care criteria (InterQual) Notify Risk Manager of possible risk issues. Maintains accurate, current legible… more
- Veterans Affairs, Veterans Health Administration (San Diego, CA)
- …offers a comprehensive total rewards package. Duties may be discussed with hiring manager . Work Schedule: Monday through Friday, 8:00 am to 4:30 pm or department's ... criteria must be met in determining the appropriate grade assignment of candidates. Associate Grade VP-11. None beyond the basic requirements. Full Grade VP-12. Two… more
- LA Care Health Plan (Los Angeles, CA)
- …II is responsible for assisting the Appeal and Grievances Compliance, Training and QA Manager to develop a successful and cohesive unit with a high level of ... on implementing, executing, tracking, and assessing targeted and random audits for non- clinical grievance and appeal case documentation. Ensure A&G Non- Clinical … more
- CenterWell (Alameda, CA)
- …signature and implemented + Report patient's progress to the patient's physician, Clinical Manager , staff, patient and family. Submit evaluation, treatment ... treatment as needed to achieve maximum results. + Confer with physician and clinical team members to obtain additional patient information and assist in developing,… more
- The County of Los Angeles (Los Angeles, CA)
- …in nearly every medical specialty and subspecialty. In addition, to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the ... quarterly basis and reports any malfunction or variation to the mammography manager , maintenance, or service provider. Oversees and inspects quality control per MQSA… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …licensed care practitioner, the Patient Care Assistant II provides and documents clinical care and associated tasks as assigned. Applies appropriate age and ... care by assisting patient care delivery team with emergency calls and clinical communications and performing admission discharge and transfer workflows. Responds to… more
- Alameda Health System (Oakland, CA)
- …Interqual(R) clinical guidelines; refers questionable cases to the CM Manager or physician advisor for determination. + Takes appropriate action when cases ... assigned patients; develops plans of care and discharge plans, monitors all clinical activities, makes recommendations for alternative levels of care, and identifies… more
- CenterWell (Sacramento, CA)
- …and help us put health first** The Medical Coding Professional extracts clinical information from a variety of medical records and assigns appropriate procedural ... Coder** The Consultative Coder provides medical coding expertise to support clinical staff (Physicians and Advanced Practice Providers) to ensure the documentation… more
- Alameda Health System (Oakland, CA)
- …satisfaction in connection with the delivery of services. + Work with the quality manager to improve clinical outcomes, the quality of patient care and the ... Leandro Hospitals (###@alamedahealthsystem.org) (###@alamedahealthsystem.org) + Jorge Aceves MD - Associate Medical Director of Emergency Medicine at Alameda and San… more