- The County of Los Angeles (Los Angeles, CA)
- …much information as possible about home and living conditions. Informs the physician of significant factors affecting patient's condition and notifies the designated ... and holds and comforts patients when necessary. In accordance with physician 's orders, administers medications orally, rectally, by inhalation and by intramuscular… more
- Sutter Health (San Francisco, CA)
- …is responsible for Care Coordination, Care Transitions, Discharge Planning and Utilization Management throughout the acute care patient experience. The RN Case ... Manager works in collaboration with the Physician , Medical Social Worker and bedside RN to assure...within a managed care environment. + Comprehensive knowledge of Utilization Review, levels of care, and observation status. +… more
- Providence (Fortuna, CA)
- …staff, hospital personnel and outside resources to ensure the appropriate utilization of resources according to clinical and financial standards. Monitors the ... field. + CCM or ACM + 2 years case management, discharge planning, or utilization management experience in the acute, sub-acute, home health setting or managed care… more
- Providence (Apple Valley, CA)
- …the achievement of optimal health, access to services, advocacy, appropriate utilization of resources and collaboration with post-acute care providers to ensure ... etc.). + 2 years of experience in Case Management (Care Coordination or Utilization Management) or successful completion of the Transitions in Practice (TIP) program… more
- ZOLL Medical Corporation (San Diego, CA)
- …(Cardiologists, Electrophysiologists, Hospitalists, CT Surgeons etc.), Nurse Practitioners, Physician Assistants, nurses, case managers and administrators. Other ... with relevant clinical, reporting, and technical information that supports the utilization of ZOLL Cardiac Diagnostic products for appropriate patients. +… more
- Pfizer (Sacramento, CA)
- …and applying insights in local planning * Act decisively by prioritizing resource utilization to meet customer needs * Provide key HQ colleagues, including Brand ... actionable, and solutions focused feedback * Ensure effective and compliant utilization of promotional materials. * Ensure successful, compliant selling activities… more
- Humana (Sacramento, CA)
- …Behavioral Health Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market ... with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or… more
- Veterans Affairs, Veterans Health Administration (Santa Rosa, CA)
- …Advanced MSA coordinates with the patient care team to review the clinic utilization by using various reports (eg, Clinic Utilization Statistical Summary), ... clinicians across multiple disciplines (eg medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social workers, clinical pharmacists, and… more
- Providence (Napa, CA)
- **Description** Social Worker MSW in Utilization Review Unit at Queen of the Valley Medical Center, CA. This position is Full time and will work 8-hour Day Shifts. ... of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home… more
- Sharp HealthCare (San Diego, CA)
- …issues as and directs daily workload to achieve efficiency and maximize resource utilization as business needs require; Attends and participates in staff meetings or ... determinations for those requests that meet medical necessity criteria, appropriate utilization management and Sharp Health Plan criteria.For requests that do not… more