- Alameda Health System (Oakland, CA)
- …outpatient). 3. Expeditiously refer cases to the internal/external Physician Advisor for review of requests that may not meet medical necessity criteria. ... system. 9. Conduct concurrent and admission reviews of patient records to assess medical necessity and adherence...changes in healthcare delivery as it pertains to utilization review (eg, medical necessity, level of care)… more
- Stanford Health Care (Palo Alto, CA)
- …include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient charts for timeliness ... ensuring optimum use of resources, service delivery, and compliance with external review agencies' requirements. Case Managers act as consultants to the clinical… more
- Abbott (Livermore, CA)
- …position works out of our Livermore, CA location in the Heart Failure Division. The Manager of Medical Billing & Coding will lead the strategy, operations, and ... as a resource + Demonstrates the ability to request, review and code medical services from reports...policies, and regulatory compliance. + Experience with electronic health records (EHR), billing software, and revenue cycle management tools.… more
- Dignity Health (Woodland, CA)
- …by the UM Supervisor or Manager . - Performs audits of medical records as requested or appropriate. **Qualifications** **Minimum Qualifications:** - 3 ... sections. - Preps case thoroughly, concisely and clearly for physician review . Researches EMR, criteria, medical policy and past history of member to detail case… more
- J&J Family of Companies (Santa Clara, CA)
- …Betsy Ross Drive **Job Description:** Johnson & Johnson is hiring for a **Senior Manager , International Tax - Shockwave Medica** l to join our team located in ... of Intravascular Lithotripsy (IVL) to treat complex calcified cardiovascular disease. Our Shockwave Medical portfolio aims to establish a new standard of care for … more
- Stanford Health Care (Palo Alto, CA)
- …at Stanford Medicine | Stanford Health Care (SHC)? Are you a seasoned RN Case Manager ? Here is your opportunity to work with the Timely Discharge Department at its ... RN experience to great use in case management working in conjunction with the medical teams, third-party companies, and patients with the goal of best outcomes for… more
- The County of Los Angeles (Los Angeles, CA)
- MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4659662) Apply MENTAL ... HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS Salary $132,439.68 -...of care and establishes and modifies program monitoring and review methods as necessary. Oversees audits and the implementation… more
- The County of Los Angeles (Los Angeles, CA)
- MANAGER , BOARD RELATIONS, HEALTH SERVICES (DIRECTOR, GOVERNMENTAL RELATIONS) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4203260) Apply ... MANAGER , BOARD RELATIONS, HEALTH SERVICES (DIRECTOR, GOVERNMENTAL RELATIONS) Salary...hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty… more
- Ryder System (San Francisco, CA)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The " ... **Ops Manager ** " manages the operations and personnel for locations...**Ryder offers comprehensive health and welfare benefits, to include medical , prescription, dental, vision, life insurance and disability insurance… more
- Fresenius Medical Center (San Bernardino, CA)
- …Manager to oversee the facility's Home Therapies Program. * Maintains integrity of medical and operations records and complies with all data collections and ... auditing activities. *Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. *Manages clinic financials… more