- Ventura County (Ventura, CA)
- …+ Experience with managed care + Experience and current knowledge of Quality Assurance, Utilization Review and Peer Review systems and programs + At ... Center. Ventura County Health Care Plan (VCHCP), a fully licensed Plan, was established in 1993 as a practical,...care + Experience and current knowledge of Quality Assurance, Utilization Review and Peer Review … more
- Stanford Health Care (Palo Alto, CA)
- …responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient ... other interdisciplinary team members; arranges follow up care as appropriate. + Utilization Review -- Reviews prospectively, concurrently and retrospectively all… more
- Stanford Health Care (Palo Alto, CA)
- …responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient ... provide requested clinical and psychosocial information to assure reimbursement. + Utilization Review -- Reviews prospectively, concurrently and retrospectively… more
- LA Care Health Plan (Los Angeles, CA)
- …and unrestrited California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required ... Requirements Light Additional Information Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), … more
- The County of Los Angeles (Los Angeles, CA)
- …goals. + Develops and implements reporting procedures to ensure that program services utilization and revenue data are reported accurately and in a timely manner. + ... to acceptable standards of care and establishes and modifies program monitoring and review methods as necessary. + Oversees audits and the implementation of audit… more
- Sharp HealthCare (San Diego, CA)
- …when not in use.Is knowledgeable of current laws and regulations regarding Utilization Review and Discharge Planning.Morning arrival time insures orderly ... 0 **Shift Start Time** **Shift End Time** California BBS Licensed Clinical Social Worker (LCSW) - CA Board of...collectionParticipates in data and statistics collection as requested by Utilization Review , Service Line and Quality Improvement… more
- Genesis Healthcare (Carmichael, CA)
- …clinical utilization , and patient identification is overseen by a licensed therapist. 21. Performs other related duties as required. Qualifications 1. Graduate ... Clinical Operations Area Director in the timely completion of the annual merit review for therapy staff. 7. Assists Clinical Operations Area Director in the hiring… more
- City and County of San Francisco (San Francisco, CA)
- …Homelessness and Supportive Housing and the Department of Public Health can then review your application and contact you directly with details about their positions. ... + All City departments with open permanent positions can review your application Under direction, the 2932 Senior Behavioral...the California Board of Behavioral Sciences (BBS) for + Licensed Clinical Social Worker (LCSW) OR + Licensed… more
- Hospice Of San Joaquin (Stockton, CA)
- …about the Hospice philosophy and Hospice's services. QUALITY ASSESSMENT/IMPROVEMENT AND UTILIZATION REVIEW : Ensures compliance with the program plan, assuring ... utilization of resources. + Participates in Quality Assessment/Improvement and Utilization Review activities as requested by administration. + Incorporates… more
- Sharp HealthCare (San Diego, CA)
- …with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk ... for Healthcare Professional (AHA BLS Healthcare) - American Heart Association; California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing &… more