- NORTH EAST MEDICAL SERVICES (Burlingame, CA)
- …Salary Range $128752.00 - $165048.00 Salary Description SUMMARY OF POSITION: The Utilization Management (UM) Nurse is a licensed nursing professional responsible ... for reviewing UM cases and discharge planning activities. The UM Nurse may also assist with preparing files for audits and required reporting and ensuring UM cases… more
- UHS (Corona, CA)
- …retrospective review of inpatient medical records to evaluate the utilization and documentation of acute care services.Responsible for improving the overall ... Healthcare is seeking a Full-Time Remote RN Clinical Documentation Integrity Specialist . Duties include but not limited to: Providing clinically based concurrent… more
- Talent Connect Now (San Diego, CA)
- …consultant and resource to the Primary Care Physician, on-call physicians, and Nurse Practitioners. The Medical Director also interfaces and collaborates with ... specialist physicians in the provider network. Note : All...and Chief Medical Officer RESPONSIBLE FOR : Geriatrician, PCPs, Nurse Practitioners, Medical Assistants, Pharmacist, Pharmacy Technician DUTIES AND… more
- Cedars Sinai (Los Angeles, CA)
- …experience required 3 years of previous experience in case management, discharge planning, utilization review , and HMO in the acute inpatient or outpatient ... their needs, coordinating care, communicating with health plans (including concurrent review , which assists the hospitalist/ specialist and case manager to… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... to support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and… more
- Alameda Health System (Oakland, CA)
- …knowledge of current trends and changes in healthcare delivery as it pertains to utilization review (eg, medical necessity, level of care) by participating in ... System Utilization Management SUM Specialist + Oakland,...Expeditiously refer cases to the internal/external Physician Advisor for review of requests that may not meet medical necessity… more
- Cedars-Sinai (Los Angeles, CA)
- …Experience: A minimum of 5 years of experience in Acute Clinical Care, Utilization Review , Coding, or Case Management required Working knowledge of Joint ... for Hiring. **Req ID** : 10457 **Working Title** : Registered Nurse - Clinical Documentation Specialist - 8 Hour Days **Department** : CSRC CDI Services… more
- Amergis (Rancho Cordova, CA)
- …Utilization Management. Apply today to learn more about the current opportunities! The Utilization Review Specialist is responsible for theassessment and ... + Current license for the state in which the nurse practicesif nursing licensure is required by contract +...Degree in Nursing or at least two years'experience in Utilization Review preferred + Certification in … 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 ... Enhanced Care Management Clinical Specialist II Job Category: Clinical Department: Care Management...Light Additional Information Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM),… more
- Stanford Health Care (Palo Alto, CA)
- …professional growth and development of their APPs. Also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified ... and adherence to policy through practice analysis and case review of APPs with physicians. + Investigate and respond...experience as a licensed advanced practice provider: (Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist … more
