- Dignity Health (Sacramento, CA)
- …patient concerns, patient messages, and care provided to the patient in the patients' medical record for the physician 's review + Administrating medications ... and safe environment, and performs patient care services that support the physician / provider's practice under the clinical supervision of the Physician… more
- The County of Los Angeles (Los Angeles, CA)
- …staff training is needed, and to make recommendations on potential areas for medical care evaluation studies. + Attends Utilization Review Committee meetings to ... Medi-Cal reimbursement. + Analyzes cases for referral to the physician advisor to ensure that the admission or continued...year of experience performing the duties of a Utilization Review Nurse* or Medical Service Coordinator, CCS.**… more
- The County of Los Angeles (Los Angeles, CA)
- …direction, administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one of ... and the Joint Commission on Accreditation of Hospitals' utilization review standard. Under the direction of a physician...for and the effective conduct of the system to review patients' medical charts to ascertain the… more
- Dignity Health (Woodland, CA)
- … and documents appropriate sections. - Preps case thoroughly, concisely and clearly for physician review . Researches EMR, criteria, medical policy and past ... with occasional onsite meetings in Woodland.** **Position Summary:** The Utilization Review LVN uses clinical judgement in providing utilization management services.… more
- Amergis (Orange, CA)
- …Patient Evaluation: + Consult with patients to assess physical condition and symptoms. + Review medical history and physician referrals. + Diagnose movement ... dysfunction through observation and testing. + Treatment Planning: + Develop individualized treatment plans tailored to patient needs. + Set measurable goals and track progress. + Therapeutic Interventions: + Guide patients through exercises and stretches. +… more
- Alameda Health System (Oakland, CA)
- …outpatient). 3. Expeditiously refer cases to the internal/external Physician Advisor for review of requests that may not meet medical necessity criteria. 4. ... and changes in healthcare delivery as it pertains to utilization review (eg, medical necessity, level of care) by participating in appropriate educational… more
- Providence (Napa, CA)
- …Manager RN - Utilization Review unit at Providence Queen of the Valley Medical Center in Napa, CA. This position is Full-Time and will work 8-hour Day shifts. ... Providence Queen of the Valley Medical Center is committed to delivering top-notch healthcare, earning recognition from US News & World Report as a High-Performance… more
- Sharp HealthCare (San Diego, CA)
- …and oversight for Sharp Health Plan's (SHP) physicians ( Medical Directors (both medical and behavioral health) and the Physician Reviewers) to coordinate the ... and meetings throughout the SHP. This position oversees all physician management and medical care and for... review , utilization management, and concurrent and retrospective review Process. Performs and mentor's physician training… more
- HCA Healthcare (Riverside, CA)
- … staff affairs + You will serve as a consultant to hospital Medical Staff Services regarding physician credentialing, utilization, and quality profiling. Serves ... program development, and overall hospital strategy + You will provide medical director services to facility-level physician credentialing, business development,… more
- Fresenius Medical Center (Newport Beach, CA)
- …on the Hemodialysis Treatment Sheet. Laboratory-related: + Reviews transcribes and enters physician lab orders accurately into the Medical Information System. + ... physician orders are transcribed and entered into the Medical Information system in a timely manner. + Oversees...Assessment physical. + Ensures completion of Annual Standing Order Review with each physician as required. **OTHER:**… more