- Humana (Sacramento, CA)
- …participation in care management. The clinical scenarios arise from outpatient, inpatient or post-acute care environments. The Medical Director will have discussions ... of coding practices and clinical documentation, grievance and appeals processes (including pharmacy ), and reviews for DME, genetic testing, etc. within their scope.… more
- UCLA Fielding School of Public Health (Los Angeles, CA)
- …divisions in the DoM, including improving quality in both ambulatory and inpatient settings. In partnership with the administrative director of the quality program, ... project managers focused on quality initiatives in primary care, specialty care, inpatient care, peer review, and quality improvement education. The CQO will… more
- Scripps Health (San Diego, CA)
- …fill vital roles on assignments throughout the system to provide critical inpatient coverage for employee's leave of absences, vacations, and peak service demands ... multitask in a fast-paced environment and will be knowledgeable with inpatient care. Responsibilities include: * Primarily operation focused centrally based;… more
- University of Southern California (Newport Beach, CA)
- …from third party payers (commercial and government) for outpatient clinic, inpatient admission, ancillary services and/or chemotherapy and other infused treatments ... will be in a position to interface directly with medical/clinical staff and pharmacy to ensure a seamless process to the patients receiving treatment. Essential… more
- University of Southern California (Alhambra, CA)
- …the process. Some of the major duties of the Case Manager overlap into inpatient duties including: Concurrent review of all patients to validate that the appropriate ... managed on a daily basis; and Facilitate throughput and timely discharges throughout inpatient level of care. Essential Duties: + Clinical Care Coordination 1. Able… more
- Dignity Health (Redding, CA)
- …Mercy Medical Center Redding is a 266-bed regional medical center providing inpatient and outpatient services as well as specialized cardiovascular care, stroke ... Neurology * Center for Joint and Spine Health * Inpatient and Outpatient Oncology Care * Level III Neonatal...and Hospice * Residency Programs - Family Practice, Nursing, Pharmacy * Telemedicine Services - Neurology, Stroke Care, Behavioral… more
- The County of Los Angeles (Los Angeles, CA)
- …behavior. + Participates as a member of a Crisis Response Team in an inpatient psychiatric setting. + Coordinate the activities of a Psychiatric Mobile Response Team ... technicians and support staff assigned to provide mental health services at an inpatient or outpatient facility. + Serve as mental health service gatekeeper at the… more
- The County of Los Angeles (Los Angeles, CA)
- …behavior. + Participates as a member of a Crisis Response Team in an inpatient psychiatric setting. + Coordinate the activities of a Psychiatric Mobile Response Team ... technicians and support staff assigned to provide mental health services at an inpatient or outpatient facility. + Serve as mental health service gatekeeper at the… more
- Health Advocates Network (Santa Clarita, CA)
- …that their needs are addressed. *Monitor, as directed, inmate/resident inpatient hospitalizations for early releases whenever appropriate. *Provide guidance, ... services are documented. *Closely monitor all potential catastrophic illnesses. *Audit pharmacy use for adherence to formulary, as directed or required. *Comply… more
- Health Advocates Network (California City, CA)
- …are addressed. Job responsibilities: -Monitor, as directed, inmate/resident inpatient hospitalizations for early releases whenever appropriate. -Provide guidance, ... services are documented. -Closely monitor all potential catastrophic illnesses. -Audit pharmacy use for adherence to formulary, as directed or required. -Comply… more