- Surgery Care Affiliates (Riverside, CA)
- …for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a ... all. + Ensure patient needs are met in accordance with instructions of physician and facility's policies & procedures. + Demonstrates respect for co-workers &… more
- Cedars-Sinai (Los Angeles, CA)
- …Provides clarity of clinical information used for measuring and reporting physician and medical center outcomes which incorporates current DRG methodologies (eg ... considered License/Certifications: Registered Nurse, LVN, Occupational Therapist, Physical Therapist, Physician Assistant, foreign MD license or certification in Health… more
- Bayer (Pasadena, CA)
- …to) primary care, pharmacy staff, within assigned customers; + Drive appropriate utilization of approved CV and menopause products; the incumbent will work closely ... + Prioritize time and effort to ensure optimal coverage of appropriate physician specialists based on opportunity and potential; + Understand fully the assigned… more
- Stanford Health Care (Palo Alto, CA)
- …team. + Develops and maintains professional relationships with insurance carrier's utilization 's review managers in order to complete authorizations in a timely ... manner. + Tracks and maintains records of interaction with all physician consultants utilized by the transplant departments as necessary. Adheres to transplant… more
- Cedars-Sinai (Beverly Hills, CA)
- …administrative support activities including facilities management, patient billing, utilization management, quality management, risk management, human resources, and ... by detailing, monitoring and updating department specific data. + Manages physician master schedules and coordinate all schedule changes as instructed. Handle… more
- Veterans Affairs, Veterans Health Administration (Mather, CA)
- …across multiple disciplines (eg medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social workers, clinical pharmacists, and ... with the patient care team to review clinic [appointment availability] ( utilization ) to ensure that clinic [schedules are] closely monitored to effectively… more
- Providence (Orange, CA)
- …office/clinic setting. **Preferred qualifications:** + 3 years of Experience in utilization management or case management + Experience with psychiatric chemical ... of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home… more
- Cognizant (Sacramento, CA)
- …* A minimum of 2 years claim processing is required. * Knowledge of physician practice and hospital coding, and medical terminology, CPT, HCPCS, ICD-10 * Experience ... experience. * Experience in the analysis and processing of claims for payments, utilization review/quality assurance procedures. * Must be able to work with minimal… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …of clinical referrals and recommendations. + Provides pertinent clinical information to physician and program staff who will be reviewing the patient to ensure ... of admissions to the Business Office, Admitting Unit and the Utilization Review Department. + Maintains knowledge of developmental tasks and sociological… more
- Alameda Health System (San Leandro, CA)
- …are necessarily performed by each individual in the classification. 1. Assists Physician in administering opaque media (contrast) 2. Rotates assignments within the ... 12. Maintains orderliness and cleanliness of environment and supplies 13. Ensure utilization of non-expired supplies by checking stock regularly and using "first in… more