- Veterans Affairs, Veterans Health Administration (Eureka, 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
- Pfizer (Sacramento, CA)
- …and applying insights in local planning * Act decisively by prioritizing resource utilization to meet customer needs * Provide key HQ colleagues, including Brand ... actionable, and solutions focused feedback * Ensure effective and compliant utilization of promotional materials. * Ensure successful, compliant selling activities… more
- Ventura County (Ventura, CA)
- …that establish, expand, and maintain the pool of eligible service providers. + Utilization review : + Uses professional skills in quality management activities ... Description + Benefits + Questions Description Are you a licensed Psychiatric Technician or Vocational Nurse in California looking...such as utilization review , monitoring and evaluation procedures, and… 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 ... safely and accurately per guidelines and written order. Ensures verification by licensed person and documentation of all medications administered including two (2)… more
- County of El Dorado (Placerville, CA)
- …have experience in providing SUD services and performing Quality Management and/or Utilization Review activities. They would have excellent written and verbal ... have a license from the State of California as a Licensed Clinical Social Worker (LCSW), a Licensed Marriage Family Therapist (LMFT), a Licensed Professional… more
- Banner Health (Susanville, CA)
- …management process. Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the admission process ... and specialize in, general surgeries and orthopedics. **As a Licensed Vocational Nurse, LVN, at Banner Lassen Health Center,...the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the quality of… more
- CVS Health (Sacramento, CA)
- …with transferring patients to lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC recognized accreditation preferred. + ... AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support… more
- Veterans Affairs, Veterans Health Administration (Loma Linda, CA)
- …setting Observes patient responses, testing procedures, use of equipment and review of patient records Thoroughly documents examinations and histories using ... eligible to be appointed as "Physician Resident Providers" (PRPs). PRPs must be fully licensed physicians (ie, not a training license) and may only be appointed on… more
- BrightSpring Health Services (Sacramento, CA)
- …and submit to State Health Services Director and Assigned Director, Clinical Practice* Review utilization report at least monthly to ensure adequate hours on ... meetings* Chairs committees as applicable (eg safety, infection control, incident/accident review , human rights, etc.).* Participates in the development of the… more
- Grant Thornton (San Jose, CA)
- …to reach your own professional goals. Your day-to-day may include: + Review operational, financial, and technology processes to provide management with a ... engagement management responsibilities, including project scheduling, financial oversight, quality review , and client relationship management. + Lead business development… more