- The County of Los Angeles (Los Angeles, CA)
- …nursing, and administration. Incumbents seek the expert opinion or advice of a physician whenever the incumbent determines if a case falls outside the scope ... by policies and protocol. The Nurse Practitioner plans and implements and a physician reviews and confirms health care goals for patients. The Nurse Practitioner… more
- HCA Healthcare (Campbell, CA)
- …to ensure functions such as Claims System Configuration, Customer Service, Utilization Management and Compliance are executing their assigned accountabilities. ... CFO Letters of Agreement as directed + Accountable for submitting monthly physician rosters to health plans based on Credentialing Committee approvals + Accountable… more
- Actalent (Sacramento, CA)
- …(eg, med-surg, telemetry, ICU). + At least 1 year of experience in utilization review, case management , or hospital discharge planning preferred + Familiarity ... Utilization Review Nurse (LVN) - InpatientPrimary Responsibilities +...complex or ambiguous cases to the Medical Director or Physician Reviewer. + Ensure complete, accurate, and compliant documentation… more
- Veterans Affairs, Veterans Health Administration (Fresno, CA)
- …unit with regard to patient/family relations, environmental safety and effective resource utilization . The incumbent practices as a managing RN in the Operating Room ... with regard to patient/family relations, environmental safety and effective resource utilization . Major duties and responsibilities include, but are not limited to:… more
- Alameda Health System (San Leandro, CA)
- …staff, visitors, and volunteers. 8. Assures that the facility complies with all utilization review and case management requirements of Alameda County, AHS, and ... Physicians JGP ER + Full Time - Day + Management + $96.70 - $161.16 / Hour + Req...Medical Director for John George Psychiatric Hospital by leading physician services specific to acute psychiatric care. 3. Liaison… more
- Humana (Sacramento, CA)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management + Utilization management experience in a… more
- Sutter Health (Santa Rosa, CA)
- …care + Performs one or more of the following: + Second-level controlled substance management functions, analysis of use + Medication utilization data capture + ... modifies and discontinues patient's drug therapy under the supervision of a physician in accordance with a collaborative practice agreement or an approved protocol.… more
- Providence (Tarzana, CA)
- …communication and care coordination along a continuum through effective transitional care management and utilization management . Recognizing the patient's ... related field (Acute, Ambulatory, Post-Acute, etc.) + 2 years Experience in Case Management (Care Coordination or Utilization Management ) or successful… more
- Sutter Health (San Francisco, CA)
- …Manager is responsible for Care Coordination, Care Transitions, Discharge Planning and Utilization Management throughout the acute care patient experience. The ... RN Case Manager works in collaboration with the Physician , Medical Social Worker and bedside RN to assure...care to prevent unnecessary admissions or readmissions. Oversees the management of acute patient populations across the care continuum… more
- Banner Health (Susanville, CA)
- … management process. Reviews audit results and presents summary information for management utilization and review. 7. May coordinate the admission process ... direction and supervision of a registered nurse and/or licensed physician , and is accountable for the quality of nursing...orders, within scope of practice. Provides care based on physician orders and the nursing plan of care, in… more