- Stanford Health Care (Palo Alto, CA)
- …development of their APPs. The Lead APP also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered Nurse ... management team. . Conduct regularly scheduled meetings with the staff APPs. . Ensure clinical competency and adherence to...and adherence to policy through practice analysis and case review of APPs with physicians. . Investigate and respond… more
- Sharp HealthCare (San Diego, CA)
- …**Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** California Registered Nurse (RN) - CA Board of Registered Nursing; Bachelor's Degree **Hours** **:** ... in-patient Care Management program that includes initial and concurrent review ; case management/discharge planning activities. Responsible for operational planning… more
- Molina Healthcare (San Bernardino, CA)
- …in preparation for national committee for quality assurance (NCQA) and utilization review accreditation commission (URAC) certifications. * Provides leadership ... the chief medical officer. * Evaluates authorization requests in timely support of nurse reviewers, reviews cases requiring concurrent review and manages the… more
- CenterWell (San Diego, CA)
- … review of clinical documentation in addition to feedback and recommendations by Utilization Review staff . Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to...of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's… more
- Stanford Health Care (Palo Alto, CA)
- …least 3 years in a surgical specialty as a Physician Assistant (PA) or Nurse Practitioner (NP), with a preference for at least 1 year in Plastic/Reconstructive ... development of their APPs. Also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS),...management team. + Conduct regularly scheduled meetings with the staff APPs. + Ensure clinical competency and adherence to… more
- Ventura County (Ventura, CA)
- …that establish, expand, and maintain the pool of eligible service providers. + Utilization review : + Uses professional skills in quality management activities ... Description Are you a licensed Psychiatric Technician or Vocational Nurse in California looking to make a real difference...such as utilization review , monitoring and evaluation procedures, and… more
- Sharp HealthCare (La Mesa, CA)
- …Healthcare Quality (CPHQ) - National Association for Healthcare Quality; California Registered Nurse (RN) - CA Board of Registered Nursing; Certified Professional in ... improve clinical outcomes including responsibilities relating to leading teams in the utilization of Change Acceleration Process and PI tools and providing feedback… more
- Elevance Health (Los Angeles, CA)
- …members and providers. **How you will make an impact:** + Perform physician-level case review , following initial nurse review , of Medical Oncology regimens ... and supportive care. + Perform physician-level case review , following initial nurse review ,...regimens. + As necessary, assist pre-certification nurses and other staff in understanding the principles behind appropriate utilization… more
- Veterans Affairs, Veterans Health Administration (Eureka, CA)
- …in an interactive way with all members of the clinical and administrative staff . Perform consult review , consult routing, and completion of consults. Indirect ... vacancies become available. Responsibilities VA Careers - Licensed Practical Nurse : https://youtube.com/embed/Ae85IP1Oiz4 Total Rewards of a Allied Health Professional… more
- The County of Los Angeles (Los Angeles, CA)
- …administrative supervision to plan, assign, oversee, and evaluate the work of subordinate staff and provides technical guidance and support to staff within the ... and implements reporting procedures to ensure that program services utilization and revenue data are reported accurately and in...in a timely manner. + Coordinates the delivery of staff training necessary to maintain mandated levels of services.… more