- Cedars-Sinai (Los Angeles, CA)
- …Assists with investigation and follow-up regarding customer complaints. + Serves as liaison with other units in the Admissions department. \#Jobs-Indeed ... of service cash collections and cash flow, and provide efficient and appropriate utilization of resources. Acts as a resource for team members by assisting with… more
- Alameda Health System (Oakland, CA)
- System Utilization Management SUM Utilization Review RN + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + ... FTE:1 + Posted:May 15, 2025 **Summary** **SUMMARY:** The System Utilization Management [SUM] Utilization Review...each individual in the classification. 1. Acts as a liaison between payers, billing, and medical staff by supplying… more
- Ventura County (Ventura, CA)
- …medical policy with the Health Care Agency Director and Insurance Administrator, Utilization Management staff and Quality Assurance Staff. + Participates, as ... surgical procedures, referrals, tests, medication approvals requiring authorization.) + Develops utilization management standards and guidelines for approval by… more
- Select Medical (Los Angeles, CA)
- …allotted time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and ... Management . **Responsibilities** + Clinical Interventions/Discharge and Care Planning Management : Responsible for functioning as the liaison among all… more
- Select Medical (Los Angeles, CA)
- …the allotted timeframe; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and ... planning process. **Responsibilities** + Clinical Interventions/Discharge and Care Planning Management : Responsible for functioning as the liaison among… more
- Veterans Affairs, Veterans Health Administration (Martinez, CA)
- …Collaborate with the Admissions Coordinator to ensure safe and appropriate CLC admissions , maximize the utilization of CLC beds, and maintain transparency in ... but not limited to: Provide direct patient/resident care including comprehensive management of the physical, psychological, emotional, social, and spiritual needs of… more
- STG International (Rancho Cucamonga, CA)
- …to ensure compliance and patient safety. + Participate in quality improvement, care management , risk management , peer review, utilization review, clinical ... with the veteran and assists in making referrals for services and/or admissions to the VAMC as medically appropriate. Determine which referrals are required… more
- Cedars-Sinai (Santa Monica, CA)
- …+ As liaison coordinates administrative support activities including facilities management , patient billing, utilization management , quality ... staff, insurance plans and other departments. + Actively participate in lean management processes by detailing, monitoring and updating department specific data. +… more
- UCLA Health (Santa Monica, CA)
- …to the team, individual, family or group psychotherapeutic treatment; liaison with community agencies; treatment plan documentation; and disposition planning ... patients to improve access to psychiatric care and to prevent unnecessary ED admissions and hospitalizations. In this role, you will have three main functions: 1.… more
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