- The County of Los Angeles (Los Angeles, CA)
- …+ Ensures minors health, hygiene, and personal needs are met in consultation with the nurse , medical doctor, and the housing unit staff. + Records services in ... Computer Voice Stress Analyzer Test. 3) Psychological Examination 4) Medical and Drug Screening Examination 5) Credit Check 6)...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be… more
- The County of Los Angeles (Los Angeles, CA)
- …and/or medical wards and assists the surgeon and registered nurse in positioning, prepping, and draping patients for surgery. Requirements SELECTION ... (CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In… more
- Robert Half Finance & Accounting (San Ramon, CA)
- …employees in a timely fashion. * Oversee Worker's Compensation to include claims management; reporting, follow up with employees/claim rep/ nurse case manager ... payment. * Timely responses to VOE's verbal or written, levies, EDD claims /benefit statements, UI Filing responses, EDD new hire registry. * Administer judgements,… more
- Public Consulting Group (Sacramento, CA)
- …and on a team. + Proven working experience in case management, including as a nurse , medical , mental health care manager or a related job + Excellent knowledge ... Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + Cost… more
- Centene Corporation (Sacramento, CA)
- …but not limited to, Member Services, Provider Network Management, Medical Management, Medical Review Unit, Pharmacy and Claims to resolve member issues. + ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- Elevance Health (Walnut Creek, CA)
- …make an impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides authorization for ... and post service requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the identification and data entry of referral requests… more
- Emanate Health (Covina, CA)
- …indicated protocol sets, or clinical guidelines and provide support and review of medical claims and utilization practices. Complete medical necessity and ... ranked company in the country. **Job Summary** The Utilization Review Nurse will evaluate medical records to determine medical necessity by applying clinical… more
- The County of Los Angeles (Los Angeles, CA)
- …(CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In ... its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency...of another member of the team, such as the nurse or cardiovascular technician, when that member is unavailable.… more
- The County of Los Angeles (Los Angeles, CA)
- …(CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In ... its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency...reports any manifest change in condition to a registered nurse or physician. + Takes and records temperature, pulse… more
- UCLA Health (Los Angeles, CA)
- …and risk adjustment teams associated with the health plan. You will: + Conduct medical record audits for physicians (MD, DO, or NP) to ensure documentation and ... CM codes related to chronic conditions + Analyze coding patterns within medical groups. + Provide customized education and updating educational materials for… more