- Sutter Health (Modesto, CA)
- …and case management within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation status. + Awareness of ... acute care patient experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the… more
- Sutter Health (Modesto, CA)
- …and case management within a managed care environment. Comprehensive knowledge of Utilization Review , levels of care, and observation status. Awareness of ... acute care patient experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the… more
- STG International (Corona, CA)
- …patient safety. *Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health ... Quality Performance Improvement Team (QPIT) strategic initiatives. *Participate in review and improvement of clinical success in of areas... Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse… more
- Dignity Health (Arnold, CA)
- …services provided; participate in annual review of patient health records and utilization review studies of the Clinic services + Maintain confidentiality of ... including performing diagnostic and therapeutic procedures, and prescribing and minister medical treatments and medication; collaborate/supervise with the nurse … more
- Alameda Health System (San Leandro, CA)
- …preferred. Minimum Experience: Two years related in acute care facility and/or utilization review training. Minimum Experience: Varied clinical experience or ... the patients in his/her caseload in the following areas; admission criteria for medical necessity and appropriateness of care; continued stay criteria for medical… more
- HCA Healthcare (Riverside, CA)
- … (RN) with current California license required, Case Management Certification or utilization review preferred + Associate's Degree minimum required + Bachelor's ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential… more
- Banner Health (Susanville, CA)
- …management process. Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the admission process ... a wide range of services. We provide a personalized medical approach and specialize in, general surgeries and orthopedics....in, general surgeries and orthopedics. **As a Licensed Vocational Nurse , LVN, at Banner Lassen Health Center, you will… more
- The County of Los Angeles (Los Angeles, CA)
- …goals. Develops and implements reporting procedures to ensure that program services utilization and revenue data are reported accurately and in a timely manner. ... acceptable standards of care and establishes and modifies program monitoring and review methods as necessary. Oversees audits and the implementation of audit… more
- HCA Healthcare (Riverside, CA)
- … (RN) with current California license required, Case Management Certification or utilization review preferred + Associate's Degree minimum required + Bachelor's ... 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
- Dignity Health (Santa Maria, CA)
- …+ Three (3) to Five (5) years recent clinical experience preferred. + Utilization Review , or Case Management experience desirable, not required. **Overview** ... **Responsibilities** **About This Position** In keeping with the Marian Medical philosophy, the Pre-Admission Planning nurse provides Case Management, and an… more