- Dignity Health (Sacramento, CA)
- …patient safety and risk reduction, patient experience, efficiency, FMEAS, root cause analyses and medical staff improvement (eg case review for peer review , ... an acute care setting + Must be able to perform case reviews for medical staff peer review and medical and/or surgical Registry Abstraction + One (1) year… more
- AbbVie (Irvine, CA)
- … by Medical , Regulatory and Legal partners + Manages the weekly review Medical /Legal/Regulatory meeting agenda and supports client and senior account leads ... that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a...and needs + Ensure all deliverables are ready for review prior to the formal submission in Veeva and… more
- Gilead Sciences, Inc. (Foster City, CA)
- …real-world challenges in drug development (eg, trial optimization, regulatory authoring, medical review automation).** + Translate cutting-edge research into ... which is part of the broader Drug Development organization led by the Chief Medical Officer. The Senior Director of Applied AI Engineering will lead the development… more
- LA Care Health Plan (Los Angeles, CA)
- …medical and reimbursement policies within the claim adjudication process through medical record review for Payment Integrity and Utilization Management ... projects. The position serves as a subject matter expert (SME), performing medical records reviews to include quality audits as well as validation of accuracy and… more
- Dignity Health (Northridge, CA)
- …an acute care setting required. + Must be able to perform case reviews for medical staff peer review and medical and/or surgical Registry Abstraction ... and attention to detail will shine through as you review patient records, distill complex information into clear case...Work** Founded in 1955, Dignity Health - Northridge Hospital Medical Center is a 394-bed, acute care, nonprofit community… more
- Datavant (Sacramento, CA)
- …Prevention Specialist is to effectively defend utilization of available health services, review of admissions for medical necessity and necessity of continued ... language to author appeal letter Identification of referrals to the medical director for review + Select appropriate preferred and contracted providers + Provide… more
- Datavant (Sacramento, CA)
- …bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized ... severity of a patient's health status. **You will:** + Review , analyze, and code diagnostic information in a patient's..., analyze, and code diagnostic information in a patient's medical record based on client specific guidelines for the… more
- HCA Healthcare (Thousand Oaks, CA)
- …growth, we encourage you to apply for our Division Director of Graduate Medical Education opening. We promptly review all applications. Highly qualified ... based at Riverside Community Hospital or Los Robles Regional Medical Center. The leader **must be able** to attend...with each facility to ensure ongoing readiness for Institutional review by ACGME and meets with all programs to… more
- Datavant (Sacramento, CA)
- …and compliant coding practices across multiple specialties. **What You Will Do:** + Review medical records and assign accurate codes for diagnoses and ... for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to… more
- Elevance Health (Los Angeles, CA)
- …: 8 hour shift within 8am - 6pm PST. Rotating Weekends and holidays. The ** Medical Management Nurse** is responsible for review of the most complex or ... RN Medical Management Nurse - California **Virtual:** This role...and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any combination of… more