- The County of Los Angeles (Los Angeles, CA)
- …needed. + Correctly verifies solutions, drugs, and drainage tubes with circulating nurse and labels them accordingly. + Assists in maintaining and labeling specimens ... and/or medical wards and assists the surgeon and registered nurse in positioning, prepping, and draping patients for surgery....to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be… more
- Public Consulting Group (Sacramento, CA)
- …Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + Cost ... Proven working experience in case management, including as a nurse , medical, mental health care manager or a related...+ Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting… more
- UCLA Health (Los Angeles, CA)
- …IPA and/or managed care experience, preferred + Knowledge of Medicare Advantage billing/ claims submission and other related actions, preferred + Knowledge of HIPAA ... with common office software, coding software, and EMR systems, required + Registered Nurse (RN) or clinical qualifications a plus + Bachelor's degree (healthcare or… more
- Centene Corporation (Sacramento, CA)
- …Services, Provider Network Management, Medical Management, Medical Review Unit, Pharmacy and Claims to resolve member issues. + Serves as Health Net's liaison to ... Medical Assistant Certification, or current, valid and unrestricted Licensed Vocational Nurse (LVN) license or current, valid and unrestricted Pharmacy Technician… more
- ZOLL Medical Corporation (San Diego, CA)
- …include: Physicians (Cardiologists, Electrophysiologists, Hospitalists, CT Surgeons etc.), Nurse Practitioners, Physician Assistants, nurses, case managers and ... intake and reimbursement to ensure appropriate and timely filing of billing claims + Maintain credentialing/access to all assigned accounts at all times… more
- United Therapeutics (CA)
- …criteria, insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution + Educate physician office staff on the use of ... + Experience educating HCPs on client specific patient service programs (ie copay, nurse education, patient assistance, etc.) + Ability to manage ambiguity & problem… more
- Alameda Health System (Oakland, CA)
- …Their responsibilities span from managing admissions to ensuring clean claims , identifying trends, and optimizing resource utilization. This role supports ... background. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California. Preferred Licenses/Certifications: UM / CM… more
- Emanate Health (Covina, CA)
- …the #19 ranked company in the country. **Job Summary** The Utilization Review Nurse will evaluate medical records to determine medical necessity by applying clinical ... sets, or clinical guidelines and provide support and review of medical claims and utilization practices. Complete medical necessity and level of care reviews… more
- The County of Los Angeles (Los Angeles, CA)
- …Assumes the basic functions of another member of the team, such as the nurse or cardiovascular technician, when that member is unavailable. + Exercises a knowledge ... applicant's responsibility to take steps to view correspondence, and we will not consider claims of missing notices to be a valid reason for re-scheduling an exam… more
- The County of Los Angeles (Los Angeles, CA)
- …being moved and reports any manifest change in condition to a registered nurse or physician. + Takes and records temperature, pulse and respiration of patients, ... to take the above steps to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be a valid reason for a late… more