- STG International (Rancho Cucamonga, CA)
- STGi is currently seeking a Clinical Pharmacy Specialist (CPS) to provide services at our Community Based Outpatient Clinic. JOB SUMMARY: The Clinical ... experience within the past three (3) years as a provider in a related area of clinical ...a fast walk or job may be necessary to provide assistance. Pay rate: $65/hour STGi is a workforce… more
- Dignity Health (Redding, CA)
- …with coding specialists to assure that coding outcomes accurately reflect the clinical episode and the provider documentation of the diagnoses, treatments, ... **Responsibilities** Responsible for reviewing and evaluating clinical records to determine accuracy and integrity of... documentation, and quality reporting rules and procedures to provide a second level review of codes assigned to… more
- Elevance Health (Los Angeles, CA)
- …team of clinical , analytic, and pharmacy subject matter experts. + Provide regulatory/legislative expertise on pharmacy issues. + Provide support to grow ... of companies, leverages the power of new technologies and a strong, clinical -first lens to deliver member-centered, lasting pharmacy care. **Staff VP, Specialty… more
- Dignity Health (Bakersfield, CA)
- …goals. Responsibilities may include: - Directs and leads Dignity Health MSO clinical informatics analytics division. Will provide strategical data and ... including but not limited to analysis of population health metrics, network clinical , financial, utilization, and patient satisfaction in support of the optimization… more
- IQVIA (Fountain Valley, CA)
- …sponsorship._ \#LI-CES and #LI-DNP #LI-HCP #ONSITE IQVIA is a leading global provider of clinical research services, commercial insights and healthcare ... and welfare and/or other benefits. IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life… more
- Evolent (Sacramento, CA)
- …ongoing activities which monitor established quality of care standards in the participating provider network and for other clinical staff. + Converses with ... for the culture. **What You'll Be Doing:** As a Clinical Reviewer, Nurse, you will be a key member...Documents all communication with medical office staff and/or treating provider . + Practices and maintains the principles of utilization… more
- Evolent (Sacramento, CA)
- …ongoing activities which monitor established quality of care standards in the participating provider network and for other clinical staff. + Converses with ... company behind it. **What You'll Be Doing:** As a Clinical Reviewer, Nurse, you will be a key member...Documents all communication with medical office staff and/or treating provider . + Practices and maintains the principles of utilization… more
- CVS Health (Sacramento, CA)
- …evidence, supporting allegations of fraud and abuse. + Research and prepare cases for clinical and legal review. + Provide day-to-day support and guidance for ... in clinical meetings with care management and utilization management. Provide subject matter expertise on all ABA-related questions and member issues. +… more
- Elevance Health (Walnut Creek, CA)
- **Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually full-time, ... accommodation is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to… more
- CommonSpirit Health (Santa Maria, CA)
- **Responsibilities** **J** **OB** **S** **UMMARY** **/ P** **URPOSE** The Clinical Research Nurse (CRN) works with the CommonSpirit Health Research Institute Market ... Research Manager (MCRM), Principal Investigators, co- and sub-investigators, clinical and ancillary departments, IRBs, and industry or government sponsors… more