- Prime Healthcare (Ontario, CA)
- …working for a Health Plan. + At least 3 years of experience in utilization review , referrals, authorizations, denials and appeals. + Current BCLS (AHA) ... of quality, clinical and cost-effective outcomes and to perform a holistic and comprehensive review of the medical record for the medical necessity,… more
- Actalent (Santa Barbara, CA)
- …Concurrent review , Prior authorization, Health care, Medicare, Managed care, Medical management, Case management, Utilization management, Claim Top Skills ... Details Data entry,Concurrent review ,Prior authorization,Health care,Medicare,Managed care, Medical management,Case management, Utilization management Additional Skills &… more
- Prime Healthcare (Inglewood, CA)
- …to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and utilization technicians. ... Overview AtCentinela Hospital Medical Center, our dedicated team of professionals are...Clinical Coordinators. This leader will oversee all facets of utilization management, discharge planning, and care coordination to ensure… more
- Actalent (Redlands, CA)
- …with internal staff to ensure seamless care coordination. Essential Skills + Utilization review and management experience. + Familiarity with Medicare, ... Job Title: Remote LVN Case Manager - Utilization Management Job Description Join our dynamic ...program terms. If eligible, the benefits available for this temporary role may include the following: * Medical… more
- Actalent (Redlands, CA)
- …will review healthcare service requests to ensure they meet medical necessity and coverage requirements, assessing them against clinical guidelines and ... of Medicare, MediCal , and Milliman Criteria Guidelines. + Experience in utilization management and working with provider offices. + Proficiency in MCG criteria… more
- The County of Los Angeles (Los Angeles, CA)
- ELECTION ASSISTANT III, NC ( TEMPORARY ) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1352861) Apply ELECTION ASSISTANT III, NC ( TEMPORARY ... ) Salary $38.38 Hourly Location Los Angeles County, CA Job Type Temporary Job Number E9315C Department REGISTRAR-RECORDER/COUNTY CLERK Opening Date 12/07/2023 +… more
- Unilever (San Francisco, CA)
- THE ROLE: SENIOR SUPPLY PLANNING ASSOCIATE The Temporary Senior Supply Planning Associate plays a crucial role in OLLY's Supply Chain by interpreting demand signals ... delivery of products. + Lead regular meetings with factories and co-packers to review production plans, capacities, and constraints. + Work with factory partners to… more
- Ventura County (Ventura, CA)
- …in-services and staff development programs; + May participate in quality assurance/ utilization review or other non-direct patient care nursing assignments; ... Registered Nurse II - Medical Surgical and Detox Department (Regular & Per...will be used to fill current and future (including Temporary and Fixed-Term), Intermittent, and Extra-Help vacancies. There are… more
- Ventura County (Ventura, CA)
- …in-services and staff development programs; + May participate in quality assurance/ utilization review or other non-direct patient care nursing assignments; ... Medical Surgical and Telemetry Registered Nurse II -...be used to fill current and future Regular (including Temporary and Fixed-Term), Intermittent (Per Diem), and Extra-Help vacancies… 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 ... require travel throughout Ventura County, CA Job Type Full-Time Temporary Job Number 0343HCA-25AB (VM) Department Health Care Agency...such as utilization review , monitoring and evaluation procedures, and… more
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