- Cedars-Sinai (Beverly Hills, CA)
- …**Job Duties and Responsibilities:** + Greets patients, take appropriate vital signs, review current medications and record in medical record + Coordinates, ... **Job Description** **Join Cedars-Sinai!** **Cedars-Sinai Medical Center has been ranked the #1 hospital...we have been named one of the top 20 Physician Groups in Southern California by Integrated Healthcare Associates… more
- Fresenius Medical Center (Moreno Valley, CA)
- …staff scheduling and payroll. PHYSICIANS: + Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical ... **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care...+ Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. +… more
- Fresenius Medical Center (San Bernardino, CA)
- …Manages staff scheduling and payroll. PHYSICIANS: Facilitates the application process for physician privileges and compliance with Fresenius Medical Care ... Medical Staff By-Laws. * Responsible for strong physician relationships and ensures regular and effective communication. * Participates in Governing Body, an… more
- LA Care Health Plan (Los Angeles, CA)
- …and unrestrited California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required ... Requirements Light Additional Information Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), … more
- Dignity Health (Bakersfield, CA)
- …of Provider Contracting. Key areas of oversight include negotiation of physician and ancillary provider agreements, oversee the implementation of all contracts ... to senior leadership. - Analyzes network performance, including cost, quality, and utilization data to identify trends, opportunities, and areas for improvement. -… more
- Dignity Health (Bakersfield, CA)
- … review medical records, authorize requested services and prepare cases for physician review based on medical necessity. The position partners with ... as part of the regular schedule for this position.** **Position Summary:** The Utilization Management LVN is responsible for ensuring the integrity of the adverse… more
- Veterans Affairs, Veterans Health Administration (Santa Barbara, CA)
- …range of medical clinicians across multiple disciplines (eg medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social ... coordinated care delivery model. Coordinates with the patient care team to review clinic appointment availability ( utilization ) to ensure that clinic schedules… more
- Cedars-Sinai (Beverly Hills, CA)
- …demographics and insurance information. + Greets patients, take appropriate vital signs, review current medications and record in medical record + Coordinates, ... Job Responsibilities** As a member of the patient care team, the Medical Assistant is responsible for positive patient relations, proper telephone communication,… more
- Cedars-Sinai (Santa Monica, CA)
- **Job Description** **Cedars-Sinai Medical Center has been ranked the #1 hospital in California and #2 hospital in the nation by US News & World Report, 2022‑23** ... Little More About What You Will be Doing The Medical Assistant, Lead functions as a clinical team lead... Assistants in the office. This position supports the physician and clinical staff in the delivery of health… more
- Cognizant (Sacramento, CA)
- …+ Experience in the analysis and processing of claims for payments, utilization review /quality assurance procedures. + Excellent problem-solving skill in ... with stakeholders and other teams. **Primary Responsibilities** : + Review claim system data and verify against UB or...years' claims processing experience is required. + Knowledge of physician practice and hospital coding, and medical … more