- Sharp HealthCare (San Diego, CA)
- …from provider and communicates this to the care team.Refer defined cases for medical secondary review and share findings with providers.Provide advice to Revenue ... requires the ability to combine clinical/quality considerations with regulatory/financial/utilization review demands to assure patients are receiving care in the… more
- Ventura County (Ventura, CA)
- …Honor Roll designation awarded by CDPH. + Develops and presents therapeutic class review for medical staff review to include utilization, financial ... medical and pharmacy literature; communicate clearly and effectively; review and verify medication orders accurately and timely through electronic health… more
- Robert Half Office Team (Buena Park, CA)
- …response as needed + Dispense prescribed medications and monitor side effects + Review student medical information and notify staff of needs/precautions + ... student health binders + Ensure compliance with immunization and medical requirements + Manage and organize medical ...and medical requirements + Manage and organize medical supplies and health office space + Provide training/resources… more
- Elevance Health (Los Angeles, CA)
- …and medical records to either approve or summarize and route to nursing and/or medical staff for review . + The grievance and appeal work is subject to ... to convey the determination. + Responsibilities exclude conducting any utilization or medical management review activities which require the interpretation of… more
- City and County of San Francisco (San Francisco, CA)
- …primary care, particularly for complex patients (60% of the time): Collect medical histories, review outside records, perform physical examinations, interpret ... have its own separate application + City departments with open positions can review your application + Position-specific details will follow from them + Respond… more
- Bristol Myers Squibb (San Diego, CA)
- …Team (SDT) and may be a member of the Clinical Development Team (CDT) + Conducts medical data review of trial data, including eligibility review + Holds ... / Objective** + Serves as a primary source of medical accountability and oversight for clinical trials + Matrix...the disease area by attending scientific conferences and ongoing review of the literature + Keep s abreast of… more
- Highmark Health (Sacramento, CA)
- …action to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + ... internal and external law enforcement and regulatory agencies, Credentialing or Medical Review Committee. + Engages in delivery of audit results and overpayment… more
- Cedars-Sinai (Torrance, CA)
- …services for appropriate pseudo-code creation. + Identifies possible coding deficiencies through charge/ medical record review and coordinates coding review ... 19 years in a row for providing the highest-quality medical care in Los Angeles. We also were awarded...knowledge of assigned areas for accurate assessment of charge review . + Inputs specialty or cosmetic charges, creates manual… more
- Wellpath (Santa Rosa, CA)
- …and assisting with civil commitments when necessary. Psychiatrists also participate in medical review committees and deliver consultations to facility staff. ... * Growth and training **Perks and Benefits** In addition to comprehensive benefits including medical , dental, vision, paid time off, and 401k, we foster a work, life… more
- Prime Healthcare (Redding, CA)
- …information, visit www.shastaregional.com. Responsibilities Coder/Coding Coordinator would contribute towards medical record review and analysis while utilizing ... Overview Shasta Regional Medical Center is a 226-bed acute care facility...in scanning, indexing, analysis, etc. Participates in other chart review projects and other duties as assigned. Qualifications EDUCATION,… more