- Dignity Health (San Luis Obispo, CA)
- …experience, efficiency, FMEAS, root cause analyses and medical staff improvement (eg case review for peer review , OPPE, FPPE). + Participates in an integral ... as assigned. **Job Requirements** **Education and Experience:** + Licensed Registered Nurse , Licensed Clinical Pharmacist, or other Licensed Clinical Staff and three… more
- Dignity Health (Folsom, CA)
- …experience, efficiency, FMEAS, root cause analyses and medical staff improvement (eg case review for peer review , OPPE, FPPE). + Participates in an integral ... mock survey tracers. **Job Requirements** **Minimum Required** + Licensed Registered Nurse , Licensed Clinical Pharmacist, or other Licensed Clinical Staff and three… more
- Cedars-Sinai (Beverly Hills, CA)
- …by assessing their needs, coordinating care, communicating with health plans, including concurrent review to determine the appropriateness of services rendered ... of care and level of care. Use evidence based review guidelines to conduct utilization review as...are transitioning to the Skilled Nursing Facilities, refers to nurse practitioner and case manager assigned to the SNF's… 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
- Cedars-Sinai (Beverly Hills, CA)
- …assessing their needs, coordinating care, communicating with health plans (including concurrent review , which assists the hospitalist/specialist and case manager ... are transitioning to the Skilled Nursing Facilities, refer to nurse practitioner and case manager assigned to the SNF's...and case manager assigned to the SNF's for continued review and follow up. + Authorize all appropriate services… more
- Sharp HealthCare (San Diego, CA)
- …an effective in-patient Care Management program that includes initial and concurrent review ; case management/discharge planning activities. Responsible for ... 1 **Shift Start Time** **Shift End Time** California Registered Nurse (RN) - CA Board of Registered Nursing; Bachelor's...preferably in a managed care setting + California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED… more
- Baylor Scott & White Health (Sacramento, CA)
- …qualifications and prior experience. **Essential Functions of the Role** + Performs concurrent and retrospective medical record review to investigate quality ... tasks to meet desired deadlines + Licensed clinician such as nurse , physical therapist, occupational therapist, dietitian, respiratory therapist, etc. preferred.… 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 ... post-graduation of an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April 1, 2015. Minimum 5 years post… more
- Sacramento County (Sacramento, CA)
- …applications have been improperly rejected may request the Employment Services Division to review its decision to reject the application. If the applicant desires to ... financial disclosure requirements intended to identify potential conflicts of interest. CONCURRENT EMPLOYMENT: No employee may concurrently occupy more than one… more