- Sharp HealthCare (San Diego, CA)
- …guidelines.Complies with contracted health plan requirements for documentation of concurrent SNF review and utilization management activities performed ... Day **FTE** 1 **Shift Start Time** **Shift End Time** California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians; Other… more
- Sacramento County (Sacramento, CA)
- …Psychologist, Licensed Clinical Social Worker, Marriage Family Therapist, or Registered Nurse . Note: Failure to maintain a required license may be cause for ... improperly rejected may request the Employment Services Division to review its decision to reject the application. If the...Clinical Social Worker, Marriage Family Therapist, or Registered Nurse . Note: Failure to maintain a required license may… more
- Sharp HealthCare (San Diego, CA)
- …patient care areas. This position requires the ability to combine clinical /quality considerations with regulatory/financial/utilization review demands to assure ... Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse (RN) - CA Board of Registered Nursing; Accredited Case Manager (ACM)… more
- Sharp HealthCare (La Mesa, CA)
- …patient care areas. This position requires the ability to combine clinical /quality considerations with regulatory/financial/utilization review demands to assure ... Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse (RN) - CA Board of Registered Nursing **Hours** **:** **Shift Start… more
- Dignity Health (Sacramento, CA)
- …mock survey tracers. **Job Requirements** **Education and Experience:** + Licensed Registered Nurse , Licensed Clinical Pharmacist, or other Licensed Clinical ... initiatives, including but not limited to, activities focused on clinical quality improvement, patient safety and risk reduction, patient...root cause analyses and medical staff improvement (eg case review for peer review , OPPE, FPPE). +… more
- Dignity Health (Northridge, CA)
- …around critical quality and safety initiatives. **Job Requirements** + Licensed Registered Nurse , Licensed Clinical Pharmacist, or other Licensed Clinical ... and attention to detail will shine through as you review patient records, distill complex information into clear case...team member, etc.) required. + CA License in the clinical field of practice. + Certified Professional in Healthcare… more
- Dignity Health (Rancho Cordova, CA)
- … clinical social work and best practice in medical necessity determination and concurrent review . This position will supervise the department in an efficient ... manner to ensure timely and compliant care coordination, discharge planning, utilization review and social work interventions resulting in quality patient care. The… more
- Oracle (Sacramento, CA)
- …(ECD) alignments, Critical Care workflow implementation, Multi-Disciplinary Rounding, and various nurse chart review and documentation optimizations. The ideal ... of analysts providing support for operationally required changes and enhancements to clinical applications, and aa group of analysts leading projects that will… more
- Molina Healthcare (San Bernardino, CA)
- …requests in timely support of nurse reviewers, reviews cases requiring concurrent review and manages the denial process. * Monitors appropriate care ... for national committee for quality assurance (NCQA) and utilization review accreditation commission (URAC) certifications. * Provides leadership and consultation… more
- Prime Healthcare (Victorville, CA)
- …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity ... top 5% of more than 4,500 hospitals nationwide for clinical performance. The hospital has achieved numerous quality award...accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April 1, 2015. Minimum… more