- 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...care analysis to determine efficiency, the efficacy of case management system as well as any other systems and… more
- Sharp HealthCare (La Mesa, CA)
- …for Professionals in Patient Safety; Certified Professional in Healthcare Risk Management (CPHRM) - American Hospital Association; Master's Degree; Bachelor's Degree ... improve clinical outcomes including responsibilities relating to leading teams in the utilization of Change Acceleration Process and PI tools and providing feedback… more
- Genesis Healthcare (Willows, CA)
- … of the rehabilitation department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient ... The Director of Rehab is responsible for the efficient management of rehabilitation services in their assigned account(s). This...Director in the timely completion of the annual merit review for therapy staff. 7. Assists Clinical Operations Area… more
- Sutter Health (Roseville, 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
- Sutter Health (Burlingame, 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
- Genesis Healthcare (Elk Grove, CA)
- …of Rehab with conducting or coordinating the timely completion of the annual merit review for therapy staff. 6. Assists in management of therapy staff. 7. ... of the rehabilitation department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient… more
- The County of Los Angeles (Los Angeles, CA)
- …NICU, Burn ICU), Oncology, Parenteral Nutrition, Ambulatory Care, Drug Utilization Review , Anti-Coagulation, Purchasing Consultant, Drug Information, ... NICU, Burn ICU), Oncology, Parenteral Nutrition, Ambulatory Care, Drug Utilization Review , Anti-Coagulation, Purchasing Consultant, Drug Information,… more
- Sharp HealthCare (La Mesa, CA)
- …required within 90 days of hire. **Essential Functions** + Verification and review of medication ordersReviews all medication orders for appropriate dose, duration, ... protocols and consultation with the interdisciplinary team.-Completion of a daily profile review for each patient consisting of the following elements:* Age, sex,… more
- Sharp HealthCare (San Diego, CA)
- …words per minute with 0-2 errors; proof work.Maintain knowledge of insurance, utilization review , scheduling requirements and support of front desk ... provides a higher level of care specializing in the assessment and management of chronic wounds, ostomies and issues with continence. **Required Qualifications** +… more
- The County of Los Angeles (Los Angeles, CA)
- …solicitations and contracts are developed pursuant to best practices. Review contracting opportunities with applicability to Community-Based Organizations (CBOs), ... and advertisements are provided and facilitate opportunities for competition. Review Department solicitation practices to provide strategic recommendations and… more
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