- UCLA Health (Los Angeles, CA)
- …external, to assist patients with discharge/post hospital care + Interact closely with Utilization Review and Patient Business Services to ensure correct and ... + Working knowledge in the functional operations of third party payors and utilization review agencies to expeditiously coordinate follow-up + Working knowledge… 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, ... (CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In… more
- Sutter Health (Santa Rosa, CA)
- …are interested in joining Sutter Health! **Organization:** SPMF-Sutter Pacific Medical Foundation - North **Position Overview:** Delivers pharmaceutical care through ... collaborative practice agreement or an approved protocol. + Completes medication regimen review from a clinical, safety and cost perspective to identify duplicate… more
- CVS Health (Sacramento, CA)
- …with transferring patients to lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC recognized accreditation preferred. + ... in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support… more
- Datavant (Sacramento, CA)
- …benchmarking, goal setting, timely execution, and superior leadership. + Strong utilization of SalesForce to include monitoring and documenting member information. + ... Understanding and utilization of P&Ls to assist in reducing cost while...exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its… more
- KBR (Fort Irwin, CA)
- …short-range look-ahead plans and communicate deviations to the Equipment Maintenance Supervisor. + Review cost and man-hour utilization ; develop and review ... with the Equipment Maintenance Supervisor.Reviews and monitors cost and man-hour utilization for maintenance process, develops an equipment and tools requirement… more
- AON (Los Angeles, CA)
- …client service for assigned book of business including billing, policy collection, review and transmittal in accordance with established service standards. + Liaise ... recognize when more information is needed to make a decision. + Drive utilization of available technology, portals and resources. + Demonstrate ability with all… more
- HCA Healthcare (Riverside, CA)
- …Nurse (RN) with current California license required, Case Management Certification or utilization review preferred + Associate's Degree minimum required + ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...to apply for our Coord Case Mgmt opening. We review all applications. Qualified candidates will be contacted by… more
- The County of Los Angeles (Los Angeles, CA)
- …(CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In ... addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency response system, as well as… more
- Tiburcio Vasquez Health Center (San Leandro, CA)
- …program recommendations. + Effective reading and writing skills in English to review medical charts and documentation, participate in research, and follow ... Under the direction of the Chief Medical Officer, the Clinical Pharmacist plays an essential...+ Monitors patients to evaluate and optimize outcomes, drug utilization , and compliance, while minimizing adverse drug reactions and… more