- Actalent (Sacramento, CA)
- Utilization Review Nurse (LVN) - InpatientPrimary Responsibilities + Perform timely utilization reviews for Medicare inpatient admissions, continued stays, and ... or ambiguous cases to the Medical Director or Physician Reviewer . + Ensure complete, accurate, and compliant documentation aligned...+ At least 1 year of experience in utilization review , case management, or hospital discharge planning preferred +… more
- SAIC (El Segundo, CA)
- …other engineers and technical personnel, with completed assignments subject to minimum review of overall results. Trains, directs, and assists the efforts of other ... discussion, and writing minutes-to address/resolve risks, issues, and action items. + Review proposed changes to the technical baseline for impacts to enterprise… more
- Evolent (Sacramento, CA)
- …or required. **What You Will Be Doing:** + Serve as the specialty match reviewer in Vascular cases, that do not initially meet the applicable medical necessity ... Provides clinical rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD … more
- Evolent (Sacramento, CA)
- …or required. **What You Will Be Doing:** + Serve as the Physician match reviewer in Imaging cases, that do not initially meet the applicable medical necessity ... provides clinical rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD … more
- Terracon (Concord, CA)
- …of plans and specifications, observation and inspection, and the writing, preparation, and review of related reports for the services provided. Review drawings ... and recommend changes. Research and resolve design and construction problems. Assign, review , and evaluate laboratory or field data for inclusion in reports. Apply… more
- Health Advocates Network (Arcata, CA)
- Benefits We Offer: + Comprehensive health, prescription, dental, vision, life, and disability plans + Competitive pay rates + Referral opportunities ? Refer a friend ... & Cash in! + Travel reimbursement and per diem allowances + Employee discounts + Educational opportunities Health Advocates Network was founded based on a shared aspiration to improve the way healthcare staffing is done. We are a company founded by healthcare… more
- UCLA Health (Santa Monica, CA)
- …Play a key role within a world-class health system. Help ensure the delivery of safe, award-winning care and positive patient outcomes. Make the most of your ... background and abilities. You can do all this and more at UCLA Health. In this important position, you will be responsible for the identification, collection, and entry of quality data for the Clinical Registries, Patient Safety Indicators (PSIs), and Hospital… more
- Caris Life Sciences (Sacramento, CA)
- …(IHC) stains. + Provide interpretation of in-situ hybridization (ISH) stains. + Review batch and instrument quality control stains as needed. + Evaluate pathology ... to enable clinicians to best treat their patients. + Review all elements of a tumor profiling and sign-out...+ Participate in Quality Assurance programs, ie, serve as reviewer for cases and participate in intradepartmental conferences to… more
- Dignity Health (Bakersfield, CA)
- …of defined levels of hierarchy and composition of compliant denial notices to review medical records, authorize requested services and prepare cases for physician ... review based on medical necessity. The position partners with...customer. - Perform all functions of the UM nurse reviewer . - Composes denial letter in a manner consistent… more
- SanDisk (Milpitas, CA)
- …and IT teams. ESSENTIAL DUTIES AND RESPONSIBILITIES: + Manage the calculation and review of program reserves and oversight over the month end close process. + ... who may have questions around our reserves process + Review processes on an ongoing basis and implement improvements...enhancement projects for our program reserves + Approver and reviewer of SOX controls and internal and external PBC… more