- Ventura County (Ventura, CA)
- …and patient care as indicated and required. + May participate in quality assurance/ utilization review or other non-direct patient care nursing assignments. + ... and high-quality nursing care to patients and to the community within the Ventura County Medical Center and Santa Paula Hospital. As a key member of our team, you… more
- Ventura County (Ventura, CA)
- …maintains records and prepares reports; + May participate in quality assurance/ utilization review or other non-direct patient care nursing assignments; ... Job Number 0305HCA-25AD (VM) Department Health Care Agency Division Ventura County Medical Center and/or Santa Paula Hospital Opening Date 05/05/2025 Closing Date… more
- Ventura County (Ventura, CA)
- …and patient care as indicated and required. + May participate in quality assurance/ utilization review or other non-direct patient care nursing assignments. + ... Job Number 0305HCA-25AB (BR) Department Health Care Agency Division Ventura County Medical Center and/or Santa Paula Hospital Opening Date 04/07/2025 Closing Date… more
- Sharp HealthCare (La Mesa, CA)
- …procedures under the direction/supervision of the Radiation Safety Officer and Physician Authorized Users. Assist physicians with performing and viewing of NM ... correct billing codes and modifiers as appropriate.Demonstrate competency in utilization of computer applications including RIS, PACS, voice recognition,… more
- VNA Health (Santa Barbara, CA)
- … of services; ensuring continued skilled need; monitoring of homebound status; review of documentation in the medical record; maintenance of interdisciplinary ... organizes and directs home care services. Responsibilities: + Responsible for continuous review of all aspects of every patient on his/her caseload to include:… more
- Sedgwick (Rancho Cordova, CA)
- …physician filings and decisions on appropriate treatments recommended by utilization review . + Maintains professional client relationships. **ADDITIONAL ... files are properly documented and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state and … more
- Sedgwick (Orange, CA)
- …physician filings and decisions on appropriate treatments recommended by utilization review . + Maintains professional client relationships. **ADDITIONAL ... files are properly documented and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state and … more
- Sedgwick (Sacramento, CA)
- …physician filings and decisions on appropriate treatments recommended by utilization review . + Maintains professional client relationships. **ADDITIONAL ... files are properly documented and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state and … more
- Stanford Health Care (Palo Alto, CA)
- …program team. + Develops and maintains professional relationships with insurance carrier's utilization 's review managers in order to complete authorizations in a ... Initiates registration in SMS and IDX systems as necessary. Copies medical information from Transplant charts; Files authorizations, financial documentation in… more
- Cognizant (Sacramento, CA)
- …experience. * Experience in the analysis and processing of claims for payments, utilization review /quality assurance procedures. * Must be able to work with ... 2 years claim processing is required. * Knowledge of physician practice and hospital coding, and medical ...of physician practice and hospital coding, and medical terminology, CPT, HCPCS, ICD-10 * Experience making payments… more