- Sutter Health (Modesto, CA)
- …joining Sutter Health! **Organization:** SHSO-Sutter Health System Office-Valley **Position Overview:** The Physician Advisor (PA) is a key member of the ... to appropriately optimize the use of Sutter Health Internal Physician Advisor Services (IPAS). The physician...within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation… more
- Sutter Health (Oakland, CA)
- …joining Sutter Health! **Organization:** SHSO-Sutter Health System Office-Bay **Position Overview:** The Physician Advisor (PA) is a key member of the hospital's ... to appropriately optimize the use of Sutter Health Internal Physician Advisor Services (IPAS). The physician...within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW NURSE ... information regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to join our...Medi-Cal reimbursement. + Analyzes cases for referral to the physician advisor to ensure that the admission… more
- The County of Los Angeles (Los Angeles, CA)
- …Organization guidelines and the Joint Commission on Accreditation of Hospitals' utilization review standard. Under the direction of a physician member of the ... UTILIZATION REVIEW NURSE SUPERVISOR II Print...by subordinate supervisors on number and status of reviews, physician advisor referrals, and type of … more
- University of Southern California (Arcadia, CA)
- …social work intervention based on department criteria. + Refers cases and issues to physician advisor in compliance with department procedures and follows up as ... on department standards. + Assist in the compilation of physician profile data regarding LOS, resource utilization ,...continuous improvement in both areas. + Perform 100% UR Review on all Medicare One-Day admissions. + Proactively identifies… more
- Sharp HealthCare (La Mesa, CA)
- …position requires the ability to combine clinical/quality considerations with regulatory/financial/ utilization review demands to assure patients are receiving ... Care Management and provides information to the department head as indicated. + Utilization review and utilization managementThe RN CM will:Conduct initial… more
- Sharp HealthCare (San Diego, CA)
- …position requires the ability to combine clinical/quality considerations with regulatory/financial/ utilization review demands to assure patients are receiving ... medical record and provides information to the department head as indicated. + Utilization review and utilization managementThe RN CM I will:Conduct… more
- University of Southern California (Los Angeles, CA)
- …supervision of Case Management Assistants. * Makes appropriate referrals to Physician Advisor , communicating accurate clinical information. * Participates in ... working days of patient discharge. * Notifies director and physician advisor timely of patients who do...Bachelor's degree + Pref 1 year Case management or utilization review experience within the last three… more
- Dignity Health (Camarillo, CA)
- …Prioritizes and forwards communications relating to insurance requests, denials and Physician Advisor status recommendations to the appropriate Care Coordinator ... + At least 3 years previous experience in health care, care coordination, utilization review , discharge planning or similar healthcare setting. + Experience… more