- Sharp HealthCare (San Diego, CA)
- …of the manager of in-patient care management and the Director of Utilization Management . **Required Qualifications** + 3 Years Experience in the acute ... Facility/Regional - SCMG Operations meetings and task forces.Facilitate regional Utilization Management committees and other working regional… more
- Cedars-Sinai (Marina Del Rey, CA)
- …the established/communicated timeframe + Documents appropriate reviews for assigned patients using utilization review tool. + Provides telephonic review for ... America's Best Hospitals! **What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the patient from pre-hospitalization… more
- Hospice Of San Joaquin (Stockton, CA)
- …about the Hospice philosophy and Hospice's services. QUALITY ASSESSMENT/IMPROVEMENT AND UTILIZATION REVIEW : Ensures compliance with the program plan, assuring ... utilization of resources. + Participates in Quality Assessment/Improvement and Utilization Review activities as requested by administration. + Incorporates… more
- Ventura County (Ventura, CA)
- …expand, and maintain the pool of eligible service providers. + Utilization review : + Uses professional skills in quality management activities such as ... Description Are you a licensed Psychiatric Technician or Vocational Nurse in California looking to make a real difference...other members of the mental health team. + Case Management : + provides case management /brokerage including linkage… more
- Stanford Health Care (Palo Alto, CA)
- …least 3 years in a surgical specialty as a Physician Assistant (PA) or Nurse Practitioner (NP), with a preference for at least 1 year in Plastic/Reconstructive ... is a Stanford Health Care job.** **A Brief Overview** Provides supervision and management of advanced practice providers (APPs) in a distinct clinical service line.… more
- Rising Medical Solutions (Los Angeles, CA)
- …medical case management , occupational health, orthopedics, home health care, utilization review , or quality assurance + Familiarity with regional physicians ... Your Career with Rising Medical Solutions Are you an experienced workers' compensation nurse case manager eager to bring your expertise to a team that's passionate… more
- CenterWell (San Diego, CA)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...and reliable transportation. + Two years as a Registered Nurse with at least one-year of management … more
- Veterans Affairs, Veterans Health Administration (Palo Alto, CA)
- …demonstrating a high level of administrative and leadership responsibility and utilization of management skills including conflict resolution. Ability to ... by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities The RN - Clinical Program Supervisor… more
- Sharp HealthCare (San Diego, CA)
- …with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk ... (AHA BLS Healthcare) - American Heart Association; California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians;… more
- Sutter Health (Modesto, CA)
- …case management within a managed care environment. Comprehensive knowledge of Utilization Review , levels of care, and observation status. Awareness of ... management , quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers… more