- Veterans Affairs, Veterans Health Administration (Santa Maria, CA)
- …hygiene treatment to patients presenting a variety of conditions Performs procedures, such as medical and dental history review to search for evidence of past ... and research enterprises in VHA. We are a tertiary medical care facility which provides quality patient centered care...this level include but are not limited to: patient medical assessment (eg medical /dental history, social history,… more
- Veterans Affairs, Veterans Health Administration (Palo Alto, CA)
- …Executive Council, Veterans Integrated Services Network Advisory Board, Clinical Product Review , Reusable Medical Device, Environment of Care Rounds, and ... Health Care System serves a diverse population, offering a range of medical , surgical, neurological, psychiatric, and home-based primary care services. The Chief of… more
- Elevance Health (Los Angeles, CA)
- …clinical programs. **How you will make an impact:** + Conducts prior authorizations for medical oncology regimens. + May review and approve or deny coverage for ... (as permitted by state/federal law or state/federal program contracts) based on medical necessity criteria, and coordinates with internal stakeholders or health plan… more
- Robert Half Legal (Walnut Creek, CA)
- …in case preparation and management. Responsibilities: * Coordinate the acquisition and review of medical , employment, and educational records through subpoenas, ... nonparty requests, and Open Records Act inquiries. * Create detailed medical chronologies to assist in case evaluation and strategy development. * Collaborate… more
- Elevance Health (Cerritos, CA)
- The **Therapy Services Reviewer** is responsible for the review of medical records to determine if requests for therapy services (physical therapy, occupational ... requirements. . Researches and obtains additional data, consults with clinical reviewers and medical directors, when necessary. . Acts as a resource for internal and… more
- UCLA Health (North Hollywood, CA)
- …Fellowship programs + Identify and bring forward grant and research opportunities for review by Medical Directors + Draft and edit reports and communications, ... operational leadership of the Sleep Laboratory, working closely with the Medical Directors and Administrative Director. You'll directly supervise both technical and… more
- Dignity Health (Oxnard, CA)
- …daily rounding and monitoring on our patients during hospitalization. The NP will review all medical record documentation on a concurrent basis to ensure ... Good communicator, team builder skills, multi-tasking ability. **Overview** St. John's Regional Medical Center, located in Oxnard, California is a recognized as a… more
- Alameda Health System (Oakland, CA)
- …including response to payor requests for concurrent and retrospective review information including Medicare and MediCal regulations/requirements, avoidable ... experience in Case Management in an acute setting or utilization review at a medical group or health plan. Required Licenses/Certifications: Active licensure as… more
- Ventura County (Ventura, CA)
- …and Peer Review systems and programs + Direct patient care medical practice experience + Administrative experience + National Committee for Quality Assurance ... Medical Director, Ventura County Health Care Plan Print...OPENING DATE: May 09, 2025 CLOSING DATE: Continuous FIRST REVIEW OF RESUMES: Week of May 26, 2025 Examples… more
- Volunteers of America Los Angeles (Los Angeles, CA)
- …monitoring client self administration of prescribed medication, documentation requirements and other medical training as appropriate + Weekly review of clients- ... $44.81 - $47.17 Per Hour BENEFITS: VOALA offers competitive medical , dental, vision and retirement benefits. JOB SUMMARY AND...duration and start date + Participates in weekly case review with Program Staff to ensure best quality care… more