- Deloitte (Los Angeles, CA)
- …+ Experience as clinical registered nurse, physician, physician assistant, case manager , clinical documentation specialist, utilization review , informatics ... RN, Quality, DRG Validation and health IT preferred + Knowledge of Medicare reimbursement system and coding structures preferred + In-depth knowledge and experience in medical terminology, medical coding, and ICD-10-CM/PCS, IPPS payment system is a plus' +… more
- Sharp HealthCare (San Diego, CA)
- …position requires the ability to combine clinical/quality considerations with regulatory/financial/ utilization review demands to assure patients are receiving ... nursing experience or case management experience. + 3 Years case management, utilization review , care coordination experience. + California Registered Nurse (RN)… more
- Sharp HealthCare (San Diego, CA)
- …position requires the ability to combine clinical/quality considerations with regulatory/financial/ utilization review demands to assure patients are receiving ... 1 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager ...provides information to the department head as indicated. + Utilization review and utilization managementThe… 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 ... activities that lead to optimal patient outcomes. A Case Manager differs from other roles in professional nursing/health care...team members; arranges follow up care as appropriate. + Utilization Review - Review prospectively,… more
- Gilead Sciences, Inc. (Foster City, CA)
- …change over time, our initial need is for an expert in Material Review platforms (Veeva MedInquiry, VeevaVault, MedDocs, etc). Responsibilities include but are not ... + Hands on experience administering and deploying platforms for Material Review (Veeva MedInquiry, VeevaVault, MedDocs) preferred. + Additional certifications in… 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...number of departmental contracts requiring the Board of Supervisor's review and approval. + Oversees the review … more
- J&J Family of Companies (Santa Clara, CA)
- …We invite candidates from various locations to apply and encourage you to review the following states where this opportunity is available: We are searching for ... the best talent for a Senior Regional Sales Manager , Monarch - US West. Ideal candidate will reside...and clinical success, including procedure sales, support and driving utilization for all Johnson & Johnson's Surgical Robotics Technologies.… more
- University of Southern California (Arcadia, CA)
- …and accurate information to payers. The role integrates and coordinates utilization management, care facilitation, and discharge planning functions. The Case ... meet patient needs, manage the length of stay, and promote efficient utilization of resources. Specific functions within this role include: facilitation of… more
- The County of Los Angeles (Los Angeles, CA)
- EQUITY IN COUNTY CONTRACTS PROGRAM MANAGER (ADMINISTRATIVE MANAGER 10, ISD) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4613521) Apply ... EQUITY IN COUNTY CONTRACTS PROGRAM MANAGER (ADMINISTRATIVE MANAGER 10, ISD) Salary $119,695.68 - $161,306.16 Annually Location Los Angeles County, CA Job Type… more
- CenterWell (San Diego, CA)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... community and help us put health first** The Clinical Manager coordinates and oversees all direct care patient services...requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking… more
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