- Ventura County (Ventura, CA)
- …the following: + Collaborates with the lead dietitians to oversee, plan, and review the work and activities of Registered Dietitians and Food Services personnel ... and sets priorities for the department to ensure maximum utilization of personnel to provide adequate coverage in processing...year of experience in the dietetic service of a licensed health facility, OR 2. A graduate of a… more
- Evolent (Sacramento, CA)
- …quality and cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on ... scheduled. + Determines medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all review determinations and… more
- Elevance Health (Los Angeles, CA)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... be responsible for an entire clinical program. Candidate** **MUST** **be domiciled and licensed in the state of California Candidate** **MUST** **be willing to work… more
- Dignity Health (San Andreas, CA)
- …provided; participate in annual review of patient health records and utilization review studies of the Clinic services. + Maintain confidentiality of ... + Graduate of an approved medical school. Completed internship and/or residency + Licensed as a physician in the state of California + Demonstrated insurability for… more
- Stanford Health Care (Palo Alto, CA)
- …clinical competency and adherence to policy through practice analysis and case review of APPs with physicians. + Investigate and respond to patient/family complaints ... mandates and initiatives are completed (eg, C-I-CARE rounds). + Administration: + Review and participate in financial planning and issues for the service. +… more
- VNA Health (Santa Barbara, CA)
- …organizes and directs home care services. Responsibilities: + Responsible for continuous review of all aspects of every patient on his/her caseload to include: ... appropriate utilization of services; ensuring continued skilled need; monitoring of...services; ensuring continued skilled need; monitoring of homebound status; review of documentation in the medical record; maintenance of… more
- The County of Los Angeles (Los Angeles, CA)
- …communities by providing extraordinary care. DEFINITION: Incumbents in these positions are licensed physicians that direct the programs and activities of a large ... improve the level of care and service or the utilization of personnel. + Plans, directs and supervises medical...directs and supervises medical research and the presentation and review of findings. + Reviews the care prescribed by… 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 ... and accurate administration techniques. No medication errors.Ensures verification by licensed person and documentation of all medications administered including two… more
- Actalent (Valencia, CA)
- …disciplines and encourage professional growth. + Manage performance reviews, team utilization , and workload balancing. + Oversee technical execution to ensure client ... expectations are met or exceeded. + Review scopes, schedules, and cost proposals for accuracy, serving...business opportunities to expand regional presence. Essential Skills + Licensed Professional Land Surveyor (PLS) in any US state,… more
- Dignity Health (Folsom, CA)
- …knowledge of pharmaceutical care distribution systems + Knowledge of drug utilization review , quality improvement techniques, pharmacy automation + Understanding ... Hills Granite Bay Cameron Park Shingle Springs and Rescue. With 106 licensed acute-care beds our accredited non-profit hospital has been providing exceptional care… more