- Cedars-Sinai (Beverly Hills, CA)
- …and clinical (based on scope of practice) support activities including facilities management , patient billing, utilization management , quality management ... Job Duties and Responsibilities: + Greets patients, take appropriate vital signs, review current medications and record in medical record. + Coordinates, or serve… more
- Cedars-Sinai (Beverly Hills, CA)
- …and clinical (based on scope of practice) support activities including facilities management , patient billing, utilization management , quality management ... Job Duties and Responsibilities: + Greets patients, take appropriate vital signs, review current medications and record in medical record. + Coordinates, or serve… more
- MTC (Calexico, CA)
- …+ Monitor all potential catastrophic illnesses. + Implement basic cost containment and utilization management for patient care and facility operations. + Comply ... clinical impressions. + Inspect, complete and analyze medical records, assign review and update medical classifications; complete admission notes, progress notes,… more
- Cedars-Sinai (Beverly Hills, CA)
- …and clinical (based on scope of practice) support activities including facilities management , patient billing, utilization management , quality management ... of this position. Greets patients, take appropriate vital signs, review current medications and record in medical record +...medical record + Greets patients, take appropriate vital signs, review current medications and record in medical record +… more
- Cedars-Sinai (Santa Monica, CA)
- …support activities to address physician and staff concerns such as facilities management , patient billing, utilization management , quality management ... front office workflow. This position also assists with providing a review of Patient Service Representative administrative skills, assessing the workflow of… more
- UCLA Health (Los Angeles, CA)
- …The Home Health ICM Coordinator plays a key role in supporting our Utilization Management team to ensure safe, high-quality, and cost-effective care for ... patients enrolled in UCLA Medicare Advantage and Intensive Case Management programs. Under the supervision of the RN Assistant Director, you will coordinate… more
- Elevance Health (Cerritos, CA)
- …quickly learn and adapt to new technologies preferred. + Previous experience in utilization management with a broad range of experience with complex ... offers superior clinical mental health and substance use disorder management , a comprehensive employee assistance program, work/life support, specialty programs… more
- HCA Healthcare (Campbell, CA)
- …to ensure functions such as Claims System Configuration, Customer Service, Utilization Management and Compliance are executing their assigned accountabilities. ... configuration audits as needed + Draft and prepare for review by the President of SCCIPA and CFO Letters...to apply for our Contract Specialist opening. We promptly review all applications. Highly qualified candidates will be directly… more
- Sharp HealthCare (San Diego, CA)
- …all notes and billing daily.Completes all tasks and documentation needs (ie utilization management , plan of care, medical necessity reviews) based on ... requirements.PT Spec II additional standardsSupports clinic needs for documentation review and training. + Professional and Departmental DevelopmentIdentifies needs… more
- Humana (Sacramento, CA)
- …focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with health insurance ... of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Represents Humana at Administrative… more
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