- Sharp HealthCare (San Diego, CA)
- …all notes and billing daily. Completes all tasks and documentation needs (ie utilization management , plan of care, medical necessity reviews) based on department ... and regulatory requirements. + Professional and Departmental Development Identifies needs for self-development in patient care and departmental operations. Demonstrates initiative in seeking mentorship and peer consultation. Consistently attends, actively, and… more
- Stanford Health Care (Palo Alto, CA)
- …area. + Knowledge of basic business aspects of position, such as utilization management , charging practices and regulatory practice compliance. + Knowledge ... of evaluation and treatment methodologies as applied to routine patient care. + Knowledge of legal issues affecting the clinical practice. + Knowledge of pathologies and injuries which result in physical impairments. + Knowledge of principles, methods,… more
- Three Saints Bay (Port Hueneme, CA)
- …or managerial functions + Two (2) years of experience directly related with utilization of Content Management Systems, learning Management Systems, and/or ... or Analysis of Alternatives for DMSMS case resolutions. + Demonstrated experience in utilization in one or more the following Navy Databases: Configuration Data … more
- Alameda Health System (Oakland, CA)
- …for Alameda Health System. Provides advice and consultation to the administration and management staff on the effective utilization and management of ... + Hospital Administration + Full Time - Day + Management + $170.90 - 284.83/ Hour + Req #:41626-30815...human resources. Working through subordinate human resources management , oversees the day-to-day and strategic operation of human… more
- Centene Corporation (Sacramento, CA)
- …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... Analyzes BH member data to improve quality and appropriate utilization of services + Interacts with BH healthcare providers...to members and their families regrading ABA and BH utilization process + Provides feedback to leadership on opportunities… more
- Prime Healthcare (Ontario, CA)
- …With Us! (https://careers-primehealthcare.icims.com/jobs/211752/ utilization -review-rn/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime ... corporate team! Responsibilities Responsible for the quality and resource management of all authorizations and referrals with the Prime...state Registered Nurse license. + Minimum 3 years RN Utilization Manager working for a Health Plan. + At… more
- Amazon (Palo Alto, CA)
- …the Role This position will be part of the Sponsored Product Demand Utilization team within the Amazon Advertising organization. You will work hands-on with ... talented scientists while delivering impact across teams in the SP Demand Utilization Org. You will have experience working with multiple stakeholders across the… more
- Prime Healthcare (Lynwood, CA)
- …or Text: ### Responsibilities Responsible for the quality and resource management of all patients that are admitted to the facility from ... point of their admission and across the continuum of the health care management . Works on behalf of the advocate, promoting cost containment and demonstrates… more
- CenterWell (Sacramento, CA)
- …Coordinate quality improvement activities to address high risk, high-utilizers/high-cost patient management through the utilization of the 5M's framework as ... will play a pivotal role in reducing acute care utilization for top 5% of complex patients and ensuring...highest need and complexity patients with care and case management services. The Director is response for the strategic… more
- Prime Healthcare (Inglewood, CA)
- …smooth and efficient operation of the Cardiopulmonary Department through the appropriate utilization and management of all clerical functions within the ... department document handling and disposition, interpersonal relationships and information gathering and dispersion. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Completion of Echocardiogram program or equivalent training required2. Current BLS certificate… more