- 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 ... + Coordinates with other departments, ie: Pre-Admissions, Admissions, Patient Accounts, Utilization Review , PPS Coordinator, etc., to assure positive fiscal… more
- Sutter Health (San Francisco, CA)
- …Pacific Med Center - Mission Bernal **Position Overview:** Coordinates the utilization management , resource management , discharge planning, post-acute ... care referrals and care facilitation. Oversees the management of acute patient populations across the care continuum...within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation… more
- Alameda Health System (San Leandro, CA)
- …preferred. Minimum Experience: Two years related in acute care facility and/or utilization review training. Minimum Experience: Varied clinical experience or ... Management issues; other issues including concerns involving under/over utilization , avoidable days and quality issues. Coordinate daily with interdisciplinary… more
- Sutter Health (Tracy, CA)
- …STCH-Sutter Tracy Community Hosp **Position Overview:** Provides leadership and management support in planning, organizing, staffing and controlling the operational ... to direct facility operations, and supervises personnel in all departments when leadership/ management staff is not present in the facility. During that time, serves… 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 ... **FTE** 1 **Shift Start Time** **Shift End Time** California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians; Vocational… more
- STG International (Corona, CA)
- …in quality improvement, care management , risk management , peer review , utilization review , clinical outcomes, and health enhancement activates. ... in the orientation of clinical staff physicians, physician assistants and nurse practitioners. *Provide leadership to CBOC clinicians. *Evaluate the effectiveness of… more
- HCA Healthcare (Riverside, CA)
- …+ Registered Nurse (RN) with current California license required, Case Management Certification or utilization review preferred + Associate's Degree ... location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential...be an evening shift position. The Coordinator of Case Management (RN CM) is responsible for promoting patient-centered care… 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
- Veterans Affairs, Veterans Health Administration (Santa Rosa, CA)
- …Scopes of Practice: The Advanced MSA coordinates with the patient care team to review the clinic utilization by using various reports (eg, Clinic Utilization ... AMSA works with multiple Integrative Health providers, including physicians, registered nurse care managers, mental health providers, and allied integrative health… more
- Elevance Health (Los Angeles, CA)
- …or equivalent. + Requires a minimum of 6 years of clinical experience and/or utilization review experience. + Current active, valid and unrestricted LPN/LVN or ... not require the training or skill of a registered nurse . Acts as a resource for more junior Clinicians...initiatives to improve the efficiency and effectiveness of the utilization reviews within the medical management processes.… more
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