- Dignity Health (Glendale, CA)
- …+ AHA BLS card + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure ... will be on care coordination, communication and collaboration with utilization management, nursing, physicians, ancillary departments, insurers and post acute… more
- Dignity Health (Long Beach, CA)
- …+ AHA BLS card + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure ... will be on care coordination, communication and collaboration with utilization management, nursing, physicians, ancillary departments, insurers and post acute… more
- Fujifilm (Sacramento, CA)
- …request volume, and the like. This role works collaboratively with their manager , Subject Matter Experts (SMEs), Marketing & Communications team members, business ... identifying activities, sponsorships, and equipment needed to ensure success. + Review and consideration of event participation levels and requirements, involving… more
- Elevance Health (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 ... Medicaid operations by providing clinical leadership and oversight across utilization management, appeals, and program innovation. This position ensures timely,… more
- Elevance Health (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 ... clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians.… more
- Genesis Healthcare (Elk Grove, CA)
- …of Rehab with conducting or coordinating the timely completion of the annual merit review for therapy staff. 6. Assists in management of therapy staff. 7. Assists in ... daily staffing and utilization in cooperation with input from treating therapists, consideration...utilize the numerous resources available to me as a manager and an employee. take pride in my work… more
- Elevance Health (Walnut Creek, 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 ... appeal case reviews with attending physicians or other ordering providers to discuss review determinations. + Serves as a resource and consultant to other areas of… more
- Elevance Health (Los Angeles, CA)
- …with providers and external physicians. + Applies clinical knowledge and skills to utilization review processes. + Adheres to medical policies and clinical ... state or territory of the United States when conducting utilization review or an appeals consideration and...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Mill Creek Residential (Oceanside, CA)
- …development and implementation of the site utilization plan + Assists Project Manager /Superintendent in the review and coordination of the Project Safety and ... residential and mixed use projects. The position will report to the Project Manager and Senior Project Manager . The position's key responsibilities will include,… 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 ... instruction. May schedule patient appointments.In partnership with physician, may review pre-printed teaching materials or written instructions from the provider… more