- Sharp HealthCare (Chula Vista, CA)
- …with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk ... Sterile Product Certification) - Various-Employee provides certificate; California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric… more
- Sharp HealthCare (San Diego, CA)
- …with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk ... **Shift Start Time** **Shift End Time** California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing &...related to front desk responsibilities including scheduling and telephone management . Acts as a positive role model and ensures… more
- University of Southern California (Los Angeles, CA)
- …Regional Operations Director (ROD) is responsible for overseeing the overall management of multiple facilities in designated areas including financial management ... , risk management , quality assurance compliance, patient care management , and teammate management . The ROD provides leadership and direction to assure safe,… more
- Cedars-Sinai (Los Angeles, CA)
- …and financial management skills, including effective expense reduction, utilization management , budget control and revenue generation. Compensation Range ... and promote patient safety, continuous performance and quality improvement, risk management , and efficient resource utilization , all linked to evidence-based… more
- Highmark Health (Sacramento, CA)
- …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... and the proper action to complete the retrospective claim review with the goal of proper and timely payment...data to assure appropriate level of payment and resource utilization . It is also used to identify issues which… more
- KBR (San Diego, CA)
- …compliance in meeting care goals. * Knowledge and skill in using pre-established utilization review criteria recognize and report actual or potential quality and ... case manager by a recognized certifying organization, ie, Commission for Case Management Certification or American Nurse Credentialing Center. * Demonstrated… more
- STG International (Victorville, CA)
- …in quality improvement, care management , risk management , peer review , utilization review , clinical outcomes, and health enhancement activates. ... in the orientation of clinical staff physicians, physician assistants and nurse practitioners. *Provide leadership to CBOC clinicians. *Evaluate the effectiveness of… more
- The County of Los Angeles (Los Angeles, CA)
- …scope of practice. Participates in the development, negotiation, implementation, and management of the budget for the Countywide program support operational areas, ... goals. Develops and implements reporting procedures to ensure that program services utilization and revenue data are reported accurately and in a timely manner.… more
- Veterans Affairs, Veterans Health Administration (San Diego, CA)
- …coordinated care delivery model. Coordinates with the patient care team to review clinic appointment availability ( utilization ) to ensure that clinic schedules ... co-workers and hospital staff. The duties of this position vary widely requiring utilization of different processes and methods to accomplish this work. The work… more
- Deloitte (Los Angeles, CA)
- …nurse , physician, physician assistant, case manager, clinical documentation specialist, utilization review , informatics RN, Quality, DRG Validation and health ... to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality, Case Management , Finance, Revenue Cycle, and Coders + Other skills include the… more