- 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 ... utilization management venues.Escalate and refers cases for consultation with Physician Advisor or Medical Director as appropriate.Oversee preparation,… more
- Sharp HealthCare (Chula Vista, CA)
- **Facility:** Chula Vista Medical Center **City** Chula Vista **Department** **Job Status** Regular **Shift** Day **FTE** 0.6 **Shift Start Time** **Shift End Time** ... therapy modalities of treatment as prescribed by a licensed physician . Assists patients in reaching their maximum performance and...within 6 months of hire. CCS paneled staff will review and supervise services provided by non-paneled personnel as… more
- Sharp HealthCare (Chula Vista, CA)
- **Facility:** Medical Offices **City** Chula Vista **Department** **Job Status** Per Diem **Shift** Day **FTE** 0 **Shift Start Time** **Shift End Time** AHA Basic ... therapy modalities of treatment as prescribed by a licensed physician . Assists patients in reaching their maximum performance and...within 6 months of hire. CCS paneled staff will review and supervise services provided by non-paneled personnel as… 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
- Sharp HealthCare (San Diego, CA)
- …administers occupational therapy modalities of treatment as prescribed by a licensed physician . Assists patients in reaching their maximum performance and level of ... Paneling is required within 6 months of hire. CCS paneled staff will review and supervise services provided by non-paneled personnel as required by licensure and… more
- Sharp HealthCare (San Diego, CA)
- …providers in office as well as autonomously per guidelines and written physician orders. **Required Qualifications** + HS Diploma or Equivalent + California Licensed ... administered including two (2) patient identifier verification. Assists with Medical Assistant medication verification in immediate area. No medication errors.Able… more
- CenterWell (San Jose, CA)
- …tests of function to patients in their homes or other settings to assist the physician in evaluating the patient's level of function. + Confer with the patient's ... physician and other health care team members and participate...coordination, range-of-motion and function or teach compensation measures. + Review /expand the retraining programs in a manner consistent with… more
- Defense Health Agency (Oceanside, CA)
- …individualized nursing care to pediatric patients of all ages based upon the physician 's medical care plan, the nursing assessment, and the physical, mental ... pediatric age groups in accordance with established protocols. + Review laboratory results and brings abnormal results to the...and brings abnormal results to the attention of the physician and per physician 's instructions, telephones patients… more
- Sedgwick (West Hills, CA)
- …deny claims based on the disability plan. + Reviews and analyzes complex medical information (ie attending physician statements, office notes, operative reports, ... and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability… more
- The County of Los Angeles (Los Angeles, CA)
- …report to the Medical Staff Coordinator of a hospital, or a Physician in a Multi-Service Ambulatory Care Center. Positions allocated to the Department of Mental ... of proctoring. Prepares summary report of each application for evaluation and review by the Credentials and Medical Executive Committees; identifies any… more