- Cedars-Sinai (Marina Del Rey, CA)
- …limited to Core Measures, Patient Safety Indicators (PSI-90), and Mortality review processes, to ensure sustained optimal performance. The Patient Safety Specialist ... procedure manuals and reports independently + Ability to organize complex statistical and narrative reports, charts and exhibits into...third round interviews may be asked to complete a case study as part of the evaluation process. This… more
- Mendocino County Sheriff's Office (Fort Bragg, CA)
- …application and declaration forms. + Resolves discrepancies by securing documentation, medical records, and confirmation from other agencies. + Initiates a ... total-household assistance case . + Enters and retrieves numerical and narrative data,...benefits to which the client is entitled by making complex mathematical computations and/or complex computer entries.… more
- Sedgwick (West Hills, CA)
- …CA 91304 **PRIMARY PURPOSE** : Provides disability case management and complex claim determinations based on medical documentation and the applicable ... based on the disability plan. + Reviews and analyzes complex medical information (ie attending physician statements,...employer. + Refers cases to team lead and clinical case management for additional review when appropriate.… more
- University of Southern California (Arcadia, CA)
- …coping with the psychosocial aspects of illness. + Communicates with other medical personnel regarding the patient's psychosocial status, needs and progress. + ... Document psychosocial assessment and interventions in the medical chart, including information regarding the discharge plan. + Incorporates Performance Improvement… more
- City and County of San Francisco (San Francisco, CA)
- …the Occupational Nurse Consultant, Nurse Manager, and/or Nurse Case Managers to review complex claims and establish medical protocols. 13. Advises the ... and processing teams for the Workers' Compensation Division. Performs complex work in supervising the review , analysis,...penalties to determine liability and authorizes payment. 10. Authorizes medical treatment for complex medical … more
- LA Care Health Plan (Los Angeles, CA)
- …those within National Committee for Quality Assurance (NCQA) scope or otherwise Complex /Catastrophic cases, which are those with the severest acuities or care needs ... risk assessment (HRA), risk stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health Homes Program… more
- Sacramento County (Sacramento, CA)
- …in the work of staff responsible for a variety of tasks involving case establishment, collections, and distribution of child support within the Department of Child ... Principles of supervision and mentoring, including training, performance evaluations, case management, and discipline + Techniques of interviewing and investigation… more
- Datavant (Sacramento, CA)
- …rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, ... of information related telephone calls and inquiries accurately and timely. + Review , research, resolve and respond to inquiries that are received via telephone,… more
- University of Southern California (Los Angeles, CA)
- …to patients and families. + TRANSFER & DISCHARGE Collaborates with Case Manager and/or physician regarding discharge planning. Ensures all transfer paperwork ... | Infection Control Procedures | Hand Washing + MANAGEMENT OF THE CARE OF MEDICAL SURGICAL PATIENTS (6N) Demonstrates the ability to manage patients with THA. (6N)… more
- LA Care Health Plan (Los Angeles, CA)
- …Appeals and Grievance (A&G) clinical unit. This position is responsible for the quality review of complex and/or escalated clinical A&G cases for all line of ... on performance of staff. Ensure team effectiveness and project completion. Duties Review and process complex and/or escalated clinical A&G cases. Analyze… more