- Transdev (San Francisco, CA)
- …operations across California. This leader will drive efficient fleet utilization , vehicle readiness, charging infrastructure, and yard management while embedding ... Holidays: 6 days * Other standard benefits: 401(k) retirement plan, medical , dental and vision, life insurance, short-termdisability, voluntary long-term disability.… more
- The County of Los Angeles (Los Angeles, CA)
- …NICU, Burn ICU), Oncology, Parenteral Nutrition, Ambulatory Care, Drug Utilization Review , Anti-Coagulation, Purchasing Consultant, Drug Information, ... NICU, Burn ICU), Oncology, Parenteral Nutrition, Ambulatory Care, Drug Utilization Review , Anti-Coagulation, Purchasing Consultant, Drug Information,… more
- CenterWell (San Diego, CA)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... delivery, and documentation requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance … more
- Ventura County (Ventura, CA)
- …flexible credit allowance of up to $23,530 annually to offset the purchase of medical , dental, and/or vision insurance for you and your dependents. + Employee only - ... biweekly pay period + Flexible Spending Accounts - Pre-tax benefit towards eligible medical , dental and vision care and/or dependent care expenses. + Pension Plan -… more
- Stantec (Petaluma, CA)
- …to enhance our reputation and drive revenue. - Establish an effective Go/No Go Review process with Principals and tracks compliance of Go/No Go Process - Partners ... maintained and monitor to optimize business development plans and employee utilization rates - Ensure local marketplace reputation through established relationships… more
- Sutter Health (Roseville, CA)
- …and case management within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation status. + Awareness of ... SMCS-Valley Administration **Position Overview:** Conducts preauthorization, concurrent, and retrospective utilization management review using the department's accepted… more
- Ventura County (Ventura, CA)
- …that establish, expand, and maintain the pool of eligible service providers. + Utilization review : + Uses professional skills in quality management activities ... to psychiatric patients. Responsibilities include delivering both psychiatric and medical care within the scope of practice as a...such as utilization review , monitoring and evaluation procedures, and… more
- Highmark Health (Sacramento, CA)
- …The Senior Risk Compliance Analyst is responsible for monitoring and analyzing medical and utilization management activities to ensure compliance with internal ... insights and guidance to internal departments. The Analyst conducts audits of Medical Directors, Utilization Management (UM) and Case Management (CM) processes… more
- Dignity Health (Bakersfield, CA)
- …of defined levels of hierarchy and composition of compliant denial notices to review medical records, authorize requested services and prepare cases for ... the regular schedule for this position.** **Position Summary:** The Utilization Management LVN is responsible for ensuring the integrity...physician review based on medical necessity. The position… more
- Actalent (Sacramento, CA)
- Utilization Review Nurse (LVN) - InpatientPrimary Responsibilities + Perform timely utilization reviews for Medicare inpatient admissions, continued stays, ... CMS regulations and evidence-based criteria (MCG, InterQual) to evaluate medical necessity. + Collaborate with hospital teams, providers, IPA...ICU). + At least 1 year of experience in utilization review , case management, or hospital discharge… more