- Molina Healthcare (Long Beach, CA)
- …JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically ... * Processes requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents cases in a consistent and efficient manner.… more
- Molina Healthcare (San Diego, CA)
- …JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically ... * Processes requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner.… more
- Molina Healthcare (San Diego, CA)
- California residents preferred.** **EMERGENCY ROOM ADMISSIONS REVIEW NURSE** **_3-12 NIGHT SHIFT 7:30PM - 08:30AM PACIFIC HOURS NON EXEMPT, 3 days a week will ... **JOB DESCRIPTION** **Job Summary** Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Molina Healthcare (CA)
- …JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically ... * Processes requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner.… more
- Sutter Health (Berkeley, CA)
- …management activities for the assigned area. Collaborates with hospital administration, medical staff, patient registration and representatives of review ... utilization of physician, nursing, and ancillary services. Responsible for concurrent review on specific patients. Develops, coordinates and monitors systems for the… more
- Gilead Sciences, Inc. (Foster City, CA)
- …Lenacapavir Pre-Exposure Prophylaxis (LEN PrEP) Research Concepts for HIV prevention:With the Medical Affairs Research team, help to review and prioritize ... Support Implementation of US Phase 4 LEN PrEP Study:Work closely with the Medical Affairs Research team and cross-functional colleagues to assist in executing the… more
- Amergis (Redding, CA)
- …?? Responsibilities + Perform in-person or telehealth TBI evaluations for veterans + Review medical records and service history + Conduct detailed neurological ... Qualifications + MD or DO with board certification in Neurology + Active, unrestricted medical license in the US + Prior experience with TBI evaluations preferred +… more
- Emanate Health (Covina, CA)
- …Medicare and Covered CA lines of business. Coding specialist will be responsible to review medical records and claims data to ensure external physicians are ... and effective manner. Assigns diagnostic/procedural codes to in- patient and outpatient medical records. Ensures that all accounts are coded accurately and timely.… more
- CVS Health (Sacramento, CA)
- …research, analyze and document analytic leads or referrals to send for investigative review . + Review company clinical and payment policies to determine the ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- Dignity Health (Santa Maria, CA)
- …Feedback, Observation. + Assessment: Accurately identifies patient's functional deficits/dysfunction through review of the medical record, through observation of ... abuse and neglect of elders and children. Measurement: Feedback, Chart Review , Observation. + Annual Performance Evaluations: Assists Therapy Manager/Supervisor in… more