- CVS Health (Sacramento, CA)
- …a Medical Director referral as needed. Assists management with training new nurse reviewers/business partners or vendors to include initial and ongoing mentoring, ... meet client needs. Recommends, tests, and implements process improvements, new audit concepts, technology improvements, etc. that enhance production, quality, and… more
- Sharp HealthCare (San Diego, CA)
- …Degree in Nursing; Bachelor's Degree in Nursing; Master's Degree; California Registered Nurse (RN) - CA Board of Registered Nursing; Certified Case Manager (CCM) ... acute care or clinical experience in area of specialty. + California Registered Nurse (RN) - CA Board of Registered Nursing **Preferred Qualifications** + Master's… more
- Molina Healthcare (Oakland, CA)
- …Practical Nurse (LPN) Program **Required Experience** + Minimum two years Utilization Review experience. + Knowledge of audit processes and applicable state ... agreement. Preservice and outpatient experience. **KNOWLEDGE/SKILLS/ABILITIES** The Delegation Oversight Nurse is responsible for ensuring that Molina Healthcare's UM… more
- The County of Los Angeles (Los Angeles, CA)
- …goals. + Develops and implements reporting procedures to ensure that program services utilization and revenue data are reported accurately and in a timely manner. + ... review methods as necessary. + Oversees audits and the implementation of audit recommendations for programs managed. + Represents managed programs in meetings with… more
- The County of Los Angeles (Los Angeles, CA)
- …goals. Develops and implements reporting procedures to ensure that program services utilization and revenue data are reported accurately and in a timely manner. ... and review methods as necessary. Oversees audits and the implementation of audit recommendations for programs managed. Represents managed programs in meetings with… more
- Banner Health (Susanville, CA)
- …Reviews audit results and presents summary information for management utilization and review. 7. May coordinate the admission process including new resident ... in, general surgeries and orthopedics. **As a Licensed Vocational Nurse , LVN, at Banner Lassen Health Center, you will...care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the… more
- Sutter Health (San Francisco, CA)
- …manages capital and operational budgets to achieve financial targets via effective utilization of personnel, resources and supplies. Develops and maintains a solid ... concepts. *Ensures appropriate records are maintained for documentation and audit purposes. *Promotes efficient and effective communications between departments… more
- GE Aerospace (San Francisco, CA)
- …the management of the GP subcontractor and affiliate risk assessment and surveillance audit process to ensure compliance and mitigate risks. + Ensure compliance with ... inventory, subcontractor control, reports, relief of stewardship, loss reporting, utilization , declaration of excess, maintenance, and contract closeout activities.… more
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