- HCA Healthcare (Thousand Oaks, CA)
- …in your career path, we encourage you to apply for our RN Med Surg Clinical Nurse Coordinator opening. We review all applications. Qualified candidates will be ... range. **Introduction** Do you have the career opportunities as a(an) RN Med Surg Clinical Nurse Coordinator you want in your current role? We invest in what matters… more
- Elevance Health (Los Angeles, CA)
- …of 4 years managed care experience and requires a minimum of 2 years clinical , utilization review , or case management experience; or any combination of education ... granted as required by law. The **Medical Management Nurse** is responsible for review of the most complex or challenging cases that require nursing judgment,… more
- UCLA Health (Los Angeles, CA)
- …and other relevant documents, and conducting a pre-operative phone interview (or on-site clinical review ) of the patient. The RN will apply critical thinking ... staff. The RN is responsible for maintaining efficient patient flow, clinical assessment, planning, initiating medical interventions and diagnostic work-ups, and… more
- Sutter Health (Sacramento, CA)
- …ensure accurate reporting of diagnoses and to alert the physician of potential clinical conditions that may require review . **Job Description** : **EDUCATION:** ... SHSO-Sutter Health System Office-Bay **Position Overview:** This position conducts review of outpatient medical records using International Classification of Disease… more
- Centene Corporation (Sacramento, CA)
- …(BCBA) required. Master's degree for behavioral health clinicians preferred. Behavioral health clinical knowledge and ability to review and/or assess ABA ... 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
- BrightSpring Health Services (Sacramento, CA)
- …of death and submit to State Health Services Director and Assigned Director, Clinical Practice* Review utilization report at least monthly to ensure adequate ... health services for all assigned service sites. Provides oversight and direction for clinical services, and health & wellness for all clients in assigned area of… more
- Prime Therapeutics (Rancho Cordova, CA)
- …not limited to: Microsoft Office Suite, RxCLAIM, Benefit Edit Tool, IBM Notes, CoverMyMeds, Clinical Review Engine, MSA, Clinical Operations Review ... and implement writing and documentation projects including a rotating review and maintenance of existing documentation. This position will...Engine, and Prime Knowledge Resources + Write, edit, review and publish all documentation still in use on… more
- Evolent (Sacramento, CA)
- …operations, ensuring accurate and timely ICD-10 coding of claims via progress note clinical documentation review . + Ensure compliance and quality for all coding ... and that impact the team. Provide individual and team training on clinical documentation requirements, risk adjustment coding guidelines, and updates. + Oversee and… more
- Edwards Lifesciences (Irvine, CA)
- …reports to the Senior Director, Regulatory Counsel and will be responsible for timely review and analysis of clinical contracts, review and approval of ... needed. The Manager provides legal guidance to Marketing and Clinical teams in each of the business units (Transcatheter...and assess corporate risk. + Reviewing and advising on clinical contracts and a variety of legal issues related… more
- Sharp HealthCare (La Mesa, CA)
- …+ Professional developmentMeets with CF supervisor to discuss caseload issues and review clinical documentation (all CF's documentation must be approved and ... completion and acceptance of applications to proceed to enter Clinical Fellowship (CF) experience from the American Speech-Language-Hearing Association (ASHA).… more