- Sharp HealthCare (San Diego, CA)
- …position requires the ability to combine clinical/quality considerations with regulatory/financial/ utilization review demands to assure patients are receiving ... provides information to the department head as indicated. + Utilization review and utilization managementThe...communicates this to the care team.Refer defined cases for medical secondary review and share findings with… more
- Stanford Health Care (Palo Alto, CA)
- …responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient ... provide requested clinical and psychosocial information to assure reimbursement. + Utilization Review -- Reviews prospectively, concurrently and retrospectively… more
- Stanford Health Care (Palo Alto, CA)
- …responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient ... toward that end, to avoid duplication and misuse of medical services, control costs by reducing inefficient services, and...team members; arranges follow up care as appropriate. + Utilization Review -- Reviews prospectively, concurrently and… more
- Elevance Health (CA)
- …or equivalent. Requires a minimum of 6 years of clinical experience and/or utilization review experience. + Current active, valid and unrestricted LPN/LVN or ... not require the training or skill of a registered nurse . Acts as a resource for more junior clinicians....initiatives to improve the efficiency and effectiveness of the utilization reviews within the medical management processes.… more
- Sedgwick (Sacramento, CA)
- …review process including making a recommendation of specialty for the Independent Medical Review process. + Developing and delivering training materials and ... Best Workplaces in Financial Services & Insurance Sr VP Medical Director (Hourly) The ideal candidate would work 8-20...required to include one (1) to three (3) years utilization review experience and three (3) years… 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 ... THE POSITION: Under direction of a physician or registered nurse , the Field Based Psychiatric Technician performs a variety...such as utilization review , monitoring and evaluation procedures, and… more
- Sharp HealthCare (San Diego, CA)
- …with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk ... **Shift Start Time** **Shift End Time** California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing &...Qualifications** + Other : Certification of completion of a Medical Assistant Program. + AHA Basic Life Support for… more
- Select Medical (Los Angeles, CA)
- …+ Coordinates with other departments, ie: Pre-Admissions, Admissions, Patient Accounts, Utilization Review , PPS Coordinator, etc., to assure positive fiscal ... Institute** A Joint Venture with Cedars, UCLA, and Select Medical Century City / Los Angeles, CA Case Manager...- Full Time (on-site) - 8 hr shifts Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW) **Pay… more
- Sharp HealthCare (San Diego, CA)
- …with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk ... Day **FTE** 0 **Shift Start Time** **Shift End Time** California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians; IV… 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 ... 0343HCA-25AB (VM) Department Health Care Agency Division Ventura County Medical Center and/or Santa Paula Hospital Opening Date 08/08/2025...such as utilization review , monitoring and evaluation procedures, and… more