- LA Care Health Plan (Los Angeles, CA)
- …information required by clinical staff to render decisions, assists the Manager and Director of the Utilization Management department in meeting regulatory time ... Authorization Technician II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID:… more
- Fujifilm (Sacramento, CA)
- …courses, and grant requests received by Fujifilm from industry societies, Academic Medical Centers, and other health-related organizations in the West and South ... improve how we report on various activities. The role reports to the Director , Marketing & Communication in the Endoscopy division. **Company Overview** At FUJIFILM… more
- Ventura County (Ventura, CA)
- …awarded by CDPH. + Develops and presents therapeutic class review for medical staff review to include utilization , financial analysis, contract ... medical and pharmacy literature; communicate clearly and effectively; review and verify medication orders accurately and timely through electronic health… more
- The County of Los Angeles (Los Angeles, CA)
- …for personnel, facilities and equipment for the Occupational Therapy Department to the Medical Director and Hospital Administrator. + Confers with the hospital ... goals, objectives, and standards for the effective and efficient utilization of fiscal, material and personnel resources within the...Medical Director , Chiefs of Surgical, … more
- AECOM (San Francisco, CA)
- …in order to be able to identify support personnel and facilitate the quality review process for any regional project. In the event quality issues are identified, ... and implementation of solutions with the support of the Director of Project Delivery. + Ability to mentor junior...major pursuits by actively participating in the development and review of Project Plans and incorporation of other project… more
- CommonSpirit Health (Rancho Cordova, CA)
- …quality assurance reviews of work performed and communicating with department manager and director the outcomes of the review and any identified issues or ... not limited to: hospital administration, nursing leadership or their designee, medical staff, physicians and transportation vendors to ensure patients are assigned… more
- Teleflex (Los Angeles, CA)
- …50% **Requisition ID** :12404 **About Teleflex Incorporated** As a global provider of medical technologies, Teleflex is driven by our purpose to improve the health ... We equip clinicians with some of the most advanced medical devices on the market today, from our world-class...course of action. This role interfaces closely with the Director of Sales in driving profitable revenue and achieving… more
- Sutter Health (San Francisco, CA)
- …and case management within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation status. + Some awareness ... team, nursing management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and… more
- Actalent (Sacramento, CA)
- …through Friday, with starting pay at least $43/hr Job Title - Inpatient LVN Utilization Review Responsibilities: + Perform timely utilization reviews for ... Conduct in-person hospital rounds 2-3 days per week, telephonic review and participate in interdisciplinary case reviews + Escalate...Escalate complex or ambiguous cases to the Vivant Health Medical Director or Physician Reviewer + Ensure… more
- Cardinal Health (Sacramento, CA)
- …and proactively provides guidance and trainings on policies. Reporting to the Director , Ethics & Compliance, this position supervises and manages audits to determine ... detection and correction of documentation, coding, and billing errors and/or medical necessity of services billed. Particular areas of focus include: evaluation… more