- University of Southern California (Alhambra, CA)
- …InterQual guidelines, and Medicaid/Medicare contracts and benefit systems. Required Licenses/Certifications: + Req Registered Nurse - RN (CA DCA) + Req Basic ... patients to validate that the appropriate patient status is assigned upon admission and prior to discharge; InterQual or MCG reviews are completed within 24 hours of… more
- Centene Corporation (Sacramento, CA)
- …management principles preferred. Must have a CA RN License **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State ... a fresh perspective on workplace flexibility. **Position Purpose:** Supervises Prior Authorization , Concurrent Review, and/or Retrospective Review Clinical… more
- University of Southern California (Los Angeles, CA)
- …complex and/or specialized patient-oriented procedures under the supervision of a clinician, Registered Nurse ( RN ), or Licensed Vocational Nurse ... to provide some patient education. Daily interactions with staff, supervisor , and doctors, as well as periodic meetings with...specialized patient-oriented procedures under the supervision of a clinician, Registered Nurse ( RN ), or Licensed… more
- University of Southern California (Los Angeles, CA)
- …care with ancillary departments as needed. . Obtains authorizations and pre- authorization for services to be rendered. Schedules ancillary appointments as necessary ... for patients. Ensures patient charts are prepared prior to appointments/follow up and/or surgery including x-rays and...+ Communicates and assist colleagues without being asked by supervisor /director + Stamp, date, initial upon scanning into power… more