- Alameda Health System (Oakland, CA)
- …by each individual in the classification. + Coordinates all utilization review functions, including response to payor requests for concurrent and retrospective ... review information including Medicare and MediCal regulations/requirements, avoidable days...guidelines; refers questionable cases to the CM Manager or physician advisor for determination. + Takes appropriate action when… more
- Sharp HealthCare (San Diego, CA)
- …experience in the clinical practice of medicine. + Previous experience as a physician executive in a managed care environment, preferably as an HMO Medical Director. ... achieve selected utilization/cost and quality outcomes. + Participates in policy review , performs analysis and makes recommendations. + Participates in the… more
- Sharp HealthCare (La Mesa, CA)
- …Maintenance Organizations (HMO) patients. Notify the clinical staff, including physician , on patients that are out-of-network.Follow process to estimate patient ... applicable, update Patient Type, Bed Placement, Accommodation Code, Attending Physician .ED Unit Clerk (SCO only):Responsible for handling outgoing/incoming Emergency… more
- Sharp HealthCare (San Diego, CA)
- …providers in office as well as autonomously per guidelines and written physician orders. **Required Qualifications** + HS Diploma or Equivalent + California Licensed ... problem and routes to physicians. Returns phone calls according to physician instruction. May schedule patient appointments.In partnership with physician ,… more
- CenterWell (San Jose, CA)
- …tests of function to patients in their homes or other settings to assist the physician in evaluating the patient's level of function. + Confer with the patient's ... physician and other health care team members and participate...coordination, range-of-motion and function or teach compensation measures. + Review /expand the retraining programs in a manner consistent with… more
- Cedars-Sinai (Beverly Hills, CA)
- …patient care by performing echocardiogram procedures as directed by the physician . Demonstrates proficiency with the use of ultrasound equipment and associated ... efficiently. + Performs a range of technical procedures to support physician 's diagnosis + Appropriately acquire echocardiographic measurements per protocol, create… more
- Sharp HealthCare (Chula Vista, CA)
- …administers occupational therapy modalities of treatment as prescribed by a licensed physician . Assists patients in reaching their maximum performance and level of ... Paneling is required within 6 months of hire. CCS paneled staff will review and supervise services provided by non-paneled personnel as required by licensure and… more
- Sharp HealthCare (San Diego, CA)
- …administers physical therapy modalities of treatment as prescribed by a licensed physician . Assists patients in reaching their maximum performance and level of ... Paneling is required within 6 months of hire. CCS paneled staff will review and supervise services provided by non-paneled personnel as required by licensure and… more
- Dignity Health (Bakersfield, CA)
- …Coder is an employee of Dignity Health Managed Services Organization (DHMSO), a physician support organization owned by Dignity Health. As a member of the Quality ... appropriate risk adjusting conditions to capture. Responsibilities may include: - Review patient medical record information via population health tools on both… more
- J&J Family of Companies (Irvine, CA)
- …have preclinical operations responsibility for the entire PFA Platform, including quality review and compliance to GLP guidelines. This role will provide strong ... for all clinical studies - both for regulatory purposes as well as physician initiated collaborative studies. They will be responsible and accountable for case… more