- Veterans Affairs, Veterans Health Administration (Los Angeles, CA)
- …and presenting findings and recommendations to the CHIM, service line leaders and medical staff. May review and test HIM related Vista software patches; ... Summary This position serves as the Medical Record Administrator Specialist (MRAS) in the Health...use data collection and analytical techniques for purposes of review , quality control, studies and analysis of health information.… more
- LA Care Health Plan (Los Angeles, CA)
- …referrals (5%) Performs prospective, concurrent, post-service, and retrospective claim medical review processes. Utilizes clinical judgement, independent ... Medical Director, on requests where determination requires extended review . Collaborates with the inpatient care team for facilitation/coordination of patient… more
- Dignity Health (Rancho Cordova, CA)
- …eligibility on health plan websites. Demonstrates 100% accuracy of identification of medical group member before referral review is initiated. - Determines ... - Preps case thoroughly, concisely and clearly for physician review . Researches EMR, criteria, medical policy and past history of member to detail case… more
- Humana (Sacramento, CA)
- …direction and receives guidance where needed. Follows established guidelines/procedures. + Review medical documentation for clinical indicators to ensure correct ... our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure… more
- Prime Healthcare (Lynwood, CA)
- …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/236088/rn-case-manager utilization- review /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySt. Francis … more
- Parexel (Sacramento, CA)
- …Trial Investigators Meetings or to Sponsor staff. **Trial Conduct** + Ongoing medical review with transparent documentation of the activity, related findings ... medical questions and by ensuring good quality of data from CQM. + Medical review of and contribution to the content of Trial Newsletters + Contribution to… more
- Veterans Affairs, Veterans Health Administration (Eureka, CA)
- …Eureka VA Clinic. Duties and responsibilities of the LVN/LPN include: Performs retrospective medical review of non-VA health care records to determine medical ... and urgency. Refers complex cases to the CCRNs for more in-depth review . Analyzes submitted medical documentation to ensure all components necessary to aid in … more
- Select Medical (Los Angeles, CA)
- …of medical rehabilitation. They assess patients to determine individual care needs, review medical records and meet with hospital teams to coordinate safe ... **Overview** **Cal Rehab** A joint venture with Select Medical , UCLA, and Cedars Sinai Los Angeles, CA...healthy work-life balance + **Your Health Matters** : Comprehensive medical /RX, health, vision, employee assistance program (EAP) and dental… more
- Parexel (Sacramento, CA)
- …Monitoring of critical data. Support close to real time clinical data Ongoing medical review with transparent documentation of the activity, related findings, ... important protocol deviations (iPD), providing input for compilation and review of trial iPD list from medical ...and review of trial iPD list from medical perspective, and support trial team in deciding on… more
- Sumitomo Pharma (Sacramento, CA)
- …and Company policies + Serve as the regulatory member of the scientific Medical Review Committee (sMRC) to ensure regulatory compliance for medical ... submitted to regulatory authorities + In collaboration with Commercial, Medical and Legal colleagues, conduct a detailed review... Medical and Legal colleagues, conduct a detailed review and evaluation of the adequacy of clinical evidence… more