- 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
- Veterans Affairs, Veterans Health Administration (San Francisco, CA)
- …and maintain the electronic white board for emergency preparedness. Updates the Bed Management Solution BMS as part of the VISN 21 requirement to reflect current ... status and metric on EMS response to clean time is measured. Serves as the liaison between Decedent Affairs, staff of Patient Effects and the unit. Serves as the… 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