- Humana (Sacramento, CA)
- …management, provider relations, quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will develop and present ... health topics to the clinical operations team and healthcare organization. The Medical Director's work includes computer based review of moderately complex… more
- Humana (Sacramento, CA)
- …will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to ... complex clinical scenarios, review of all submitted clinical records , prioritization of daily work, communication of decisions to internal associates, and… more
- VCA Animal Hospitals (Sacramento, CA)
- … in such circumstances and revises protocols when appropriate. + Along with the RMD, medical record review of associate DVM's as needed. + Determines in ... practices in Northern California, is looking for a **Specialty Medical Director** to lead our growing team. VCA SVRC...performs yearly associate DVM reviews + Participates in yearly review of lead technician (s) with HM + Supports… more
- Veterans Affairs, Veterans Health Administration (Ukiah, CA)
- …Analyzes submitted medical documentation to ensure all components necessary to aid in medical record review are present, thereby allowing quick review ... palpitation, auscultation, collecting vital signs. Incumbent performs retrospective medical review of non-VA health care records to determine medical… more
- Veterans Affairs, Veterans Health Administration (Ukiah, CA)
- …Analyzes submitted medical documentation to ensure all components necessary to aid in medical record review are present, thereby allowing quick review ... of the LVN/LPN include: Performs retrospective medical review of non-VA health care records to...of visit, differentiating between emergent and non-emergent situations. Reviews medical record documentation for requests for service… more
- Providence (CA)
- …Insurance Program:** + Communicate with patients, claimants, caregivers, providers, leadership + Review and analyze medical records , interview witnesses, ... Set appropriate indemnity and expense reserves + Select appropriate medical experts for case review + Develop...of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with… more
- Cedars-Sinai (Beverly Hills, CA)
- …resources, and payroll. + Prepares patients for provider by reviewing current medications and record in medical record . + Takes appropriate vital signs and ... standard work. This position also assists with providing a review of Medical Assistant clinical and administrative...documents in the medical record . + Sets up exam room/procedure… more
- US Military Entrance Processing Command (San Diego, CA)
- …service. This will be filled on a permanent basis. Responsibilities Maintain applicant's medical records during the examination process. Manage medical ... required for physical examination. Perform phlebotomy procedures to obtain blood samples. Review unique medical forms for proper format, coding and completion.… more
- CVS Health (Sacramento, CA)
- …coding guidelines and principles + Experience using clinical expertise in reviewing medical records and making claim payment determinations according to Company, ... of fraud, waste, and abuse for individual Aetna member cases. **Expectations/Responsibilities:** + Review and prepare cases for medical necessity review of… more
- Sharp HealthCare (San Diego, CA)
- …federal regulatory requirements.The plan and interventions will be documented in the electronic medical record (EMR), and case management software.The RN CM I ... in the discharge.He/she documents as appropriate in the electronic medical record and provides information to the...communicates this to the care team.Refer defined cases for medical secondary review and share findings with… more