- Centene Corporation (Sacramento, CA)
- …administered with quality, cost efficiency, and are within compliance. + Performs a clinical review of post-care services by reviewing medical records against ... Remote Role, California RN Licensing Highly Preferred **Position Purpose:** Performs a clinical retrospective review of services previously provided to determine… more
- Centene Corporation (Sacramento, CA)
- …with interdepartmental teams on projects within utilization management as part of the clinical review team + Partners and works with Medical Affairs and/or ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
- Wolters Kluwer (Torrance, CA)
- … Content Specialist - Nursing, you will work closely with the PreView & ReView Manager/Senior Clinical Content Specialists to plan and deliver high quality NCLEX ... virtually or in person. + Run evaluations, send to facilitator PreView & ReView Content Management Consultant/Senior Clinical Content Specialist and file. +… more
- Centene Corporation (Sacramento, CA)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... current CA license.** **Must have** **2-4 years related** **experience in UM-Concurrent Review . 2+ years of acute care experience required. 10% Travel required.**… more
- UCLA Health (Santa Monica, CA)
- …for the identification, collection, and entry of quality data for the Clinical Registries, Patient Safety Indicators (PSIs), and Hospital Acquired Conditions (HACs) ... program.This will involve applying your clinical knowledge to analyze data and identify trends and...improvement. You will serve as a liaison between the clinical stakeholders, clinical registries, and outsourced registry… more
- Evolent (Sacramento, CA)
- …staff and Field Medical Directors. **What You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases, which do not pass the ... record documentation in order to approve services that meet clinical review criteria. + Conducts ongoing activities which monitor established quality of… more
- Evolent (Sacramento, CA)
- …staff and Field Medical Directors. **What You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases, which do not pass the ... record documentation in order to approve services that meet clinical review criteria. + Conducts ongoing activities which monitor established quality of… more
- Veterans Affairs, Veterans Health Administration (San Diego, CA)
- …such as capturing images, collecting data, and transmitting them electronically for clinical review in accordance with VHA national guidelines. Monitors and ... Summary The Lead Health Technician (Telehealth Clinical ) provides direct leadership to a team of...) provides direct leadership to a team of Telehealth Clinical Technicians as well as leading initiatives designed to… more
- Abbott (Sylmar, CA)
- …new product/feature development and facilitates the translation into new projects through clinical review and evaluation. Works with field and medical personnel ... You'll Work On** + Leads by example as the clinical engineering lead responsible for major programs accountable for... engineering lead responsible for major programs accountable for clinical risk burn down and program technical execution. +… more
- Abbott (Sylmar, CA)
- …Customer in product development cycle, and drives the translation into new projects through clinical review and evaluation. + Lead the work with field and ... large group of engineers and scientists and manage the clinical development work for multiple projects within a function,...requirements. + Understands the business units products and related clinical workflows and know or able to learn about… more