- Cedars-Sinai (Los Angeles, CA)
- …defined in the Utilization Review Plan in accordance with the CMS Conditions of Participation for Utilization **Qualifications** **Qualifications:** Education: + ... Association or American Red Cross required + Certified Case Management RN preferred **Experience:** + A minimum of 5...required + A minimum of 2 years of case management experience required + At least 3 of years… more
- Cedars-Sinai (Los Angeles, CA)
- …one of America's Best Hospitals. Summary of Essential Duties: + The Utilization Management (UM) Registered Nurse - Medicare Short Stay & Concurrent Denials supports ... clinical reviews for Medicare Short Stay cases and assists with real-time management of concurrent payer denials. + This role ensures timely, accurate, and… more
- Prime Healthcare (La Palma, CA)
- …Palma Intercommunity Hospital benefit from the expertise of a large hospital system in a smaller, more personal setting. For more information visit ... population. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Registered Dietitian Required ( CMS requirement)2. One year healthcare experience desirable. Pay Transparency… more
- Dignity Health (Long Beach, CA)
- …be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post acute service ... hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year...in a fast paced, self-directed environment. + Knowledge of CMS standards and requirements. + Proficient in prioritizing work… more
- Southern California Edison (Ontario, CA)
- …quality improvement + Oversees the analysis and effectiveness of the quality system and coordinates quality related issues with other departments, suppliers and ... rights and the rights check process. + Experience in the use of the CMS field tool. + Experience with QC inspection and testing techniques of electrical distribution… more
- Providence (Fortuna, CA)
- …healthcare, earning a 5-star rating from the Center for Medicare and Medicaid Services ( CMS ) as well as a Top Performing Hospital rating from the Partnership Health ... Plan's Hospital Quality Improvement Program in 2024. Join our reputable team and be part of a healthcare institution known for its clinical excellence and compassionate care. The Senior Staff Speech-Language Therapist (ST) is responsible for completing… more
- Robert Half Office Team (San Diego, CA)
- …an emphasis on clarity and empathy. * Knowledge of platforms such as Avaya CMS , Epic Software, and other web-based systems. * Bilingual proficiency in Spanish and ... English is highly preferred. * Ability to adapt to fast-paced environments and handle multiple tasks efficiently. TalentMatch(R) Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to… more
- Dignity Health (Santa Maria, CA)
- …Ensures complete, accurate and timely entry of demographic information into the ADT system at the time of registration. 3. Properly identifies the patient to ensure ... to ensure accuracy and required documentation is obtained and complete. 5. Meet CMS billing requirements for the completion of the MSP, issuance of the Important… more
- Robert Half Accountemps (Los Angeles, CA)
- …independently billing accounts with understanding of all applicable insurance and CMS regulations. Prioritizes work to maximize turnaround time. * Performs ... miscellaneous job related duties as requested. Benefits include Health Insurance, Sick Time Off and 401K retirement. Requirements Medical Billing, Medical Appeals, Medical Denials, UB04 Robert Half is the world's first and largest specialized talent solutions… more
- UCLA Health (Los Angeles, CA)
- …world-class care. Under the general direction of the Sterile Processing Department management team, you will serve as an Instrument Technician supporting the sterile ... with The Joint Commission (TJC) and Centers for Medicare & Medicaid Services ( CMS ) regulations. Salary Range: $29- $38.30Qualifications Required + At least 6 months… more