- Sharp HealthCare (San Diego, CA)
- …You Will Do** The position is responsible for the medical direction of Authorization Review for Sharp Health Plan (SHP). The Physician Reviewer will perform all ... **Facility:** Health Plan **City** San Diego **Department** **Job Status** Per...of managed care and the process for prior authorization review . + California Physicians and Surgeons License - Medical… 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 SUPERVISOR I ... information regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to join our team. Whether you're working in… more
- Rincon Consultants (Ventura, CA)
- …of Key Duties and Responsibilities:** **Technical Work and Project Management** + Plan , conduct and review tree surveys, appraisals, and tree ... of Rincon's Annual Arborist and Urban Forestry Program Business Plan . + Provide both technical direction and arborist team...choices, ensuring you have the flexibility to select the plan that best suits your needs. Additionally, you can… more
- The County of Los Angeles (Los Angeles, CA)
- …must exercise knowledge of the principles of supervision governing personnel administration to plan , direct, and review work of staff. Essential Job Functions ... and patients in a dispensing or clinical setting. Incumbents plan and implement pharmacy operations and procedures within the...Mail, Fax, or in person will not be accepted. Plan to submit your online application well in advance… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE SUPERVISOR ... administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one of the largest… more
- Amergis (Palm Springs, CA)
- …ensure accuracy. The Pharmacist will collaborate with other healthcare professionals to plan , monitor, review and evaluate patient effectiveness and adverse ... effects. The pharmacist provides information and advice regarding drug interactions and potential side effects as well as analyze prescribing trends to monitor patient compliance and to prevent excessive usage or harmful interactions. Minimum Requirements: +… more
- Ventura County (Ventura, CA)
- …are not limited to the following: + Collaborates with the lead dietitians to oversee, plan , and review the work and activities of Registered Dietitians and Food ... Services personnel engaged in performing clinical nutrition and food production services; + Monitors and confirms that the appropriate food service quality assurance system and control records are maintained, and that established procedures are followed; +… more
- Ventura County (Ventura, CA)
- …initiatives. Strong leadership and supervisory skills are essential, as the candidate will plan , direct, review , and evaluate the work of phlebotomy staff, ... manage inventory, address customer service concerns, and collaborate with the Director of Laboratory Services on conflict resolution and lab quality initiatives. The ability to maintain compliance with laboratory standards and provide high-quality,… more
- CVS Health (Sacramento, CA)
- …guiding the team in determining correct coding and appropriate documentation during the review of medical records. This role requires a strong focus on meeting ... projects. + Ensure staff provide detailed written summaries of medical record review findings and ensure the team articulates findings effectively to investigators,… more
- Prime Healthcare (Ontario, CA)
- …actively seeking new members to join our corporate team! Responsibilities The Utilization review tech essentially works to coordinate the utilization review and ... appeals process as part of the denial management initiatives. Utilization review tech is responsible for coordinating phone calls, data entry, mailing/faxing appeals… more