- VNA Health (Santa Barbara, CA)
- …and directs home care services. Responsibilities: + Responsible for continuous review of all aspects of every patient on his/her caseload to include: appropriate ... Registered Nurse Case Managers (RN CM) to join our Home Health care team. The RN CM plans, organizes... utilization of services; ensuring continued skilled need; monitoring of… more
- Veterans Affairs, Veterans Health Administration (Eureka, CA)
- …are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. EDRP ... more Duties and responsibilities of the LVN/LPN include: Performs retrospective medical review of non-VA health care records to determine medical necessity of visit,… more
- Evolent (Sacramento, CA)
- …You Will Be Doing:** + Deliver provider and pharmacist education on value- based care and initiatives within pathway, policy, and beyond utilization management ... related external journal articles. + Support the development and review of clinical and health plan policies, workflows, job...4 years of directly related experience working in an oncology- based setting as a subject matter expert or similarly… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …Nursing 4 years nursing in an acute hospital or 2 years Case Management, Utilization Review , or Discharge Planning experience in an acute hospital PREFERRED ... the utilization management process for acute inpatients. Case Managers perform concurrent review and denials management based on acute care guidelines with a… more
- Veterans Affairs, Veterans Health Administration (Clearlake, CA)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... palpitation, auscultation, collecting vital signs. Incumbent performs retrospective medical review of non-VA health care records to determine medical necessity… more
- Amazon (Pasadena, CA)
- …scoping, developing schedules, and monitoring projects, analyzing and optimizing the utilization of resources, and promoting visibility of project progress to other ... should never come at the expense of sacrifices at home , which is why we strive for flexibility as...you meet these requirements, please apply and Amazon will review your application for eligibility. Basic Qualifications - Bachelor's… more
- Stanford Health Care (Palo Alto, CA)
- …and Abilities** + Knowledge of principles and best practices of case management, utilization review , social work, care coordination and discharge planning. + ... assesses and improves care coordination teams' and the department's performance based on patient needs; directs and participates in improving performance and… more
- Sharp HealthCare (La Mesa, CA)
- …consistent issue identification, provision of reliable best practice/literature based recommendations, follow-through with prescribing and other clinicians.* ... ACLS, PALS, BCPS, Nutrition).* Develops/Co-develops best practice and literature based recommendations; shares and presents information to colleagues.* Develops… more
- Select Medical (Los Angeles, CA)
- …+ Coordinates with other departments, ie: Pre-Admissions, Admissions, Patient Accounts, Utilization Review , PPS Coordinator, etc., to assure positive fiscal ... Patient at Cal Rehab have a high discharge to home rate. **Benefits of working as a Case Manager...care within the allotted time frame; assuring payments of hospital- based services meeting patient-related utilization management criteria,… more
- Sharp HealthCare (San Diego, CA)
- …patient care. This Supervisor provides support to the four SharpCare Hospice Homes, home hospice patients, and hospital inpatient hospice patients, in addition to ... home health patients and inpatient hospice patients. This position...to sustain improved processes.Identifies statistical trends in data through utilization of independent judgment, training and clinical experience in… more