- Cedars-Sinai (Los Angeles, 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
- Evolent (Sacramento, CA)
- …review roles that emphasize volume throughput, this position integrates utilization management with collaborative engagement and innovation. **Core ... Responsibilities** + **Clinical Review & Peer Collaboration** + Serve as the physician reviewer for oncology cases that do not initially meet medical necessity… 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 (Santa Monica, 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 (Culver City, CA)
- …and clinical (based on scope of practice) support activities including facilities management , patient billing, utilization management , quality management ... the approved standard work. This position also assists with providing a review of clinical and administrative skills, assessing the workflow and monitoring… more
- Cedars-Sinai (Beverly Hills, 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
- Insight Global (Los Angeles, CA)
- …practice is preferred. Experience in chronic disease management , case management , utilization management and quality improvement projects. Bilingual ... we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/. Skills and… more
- Actalent (Sacramento, CA)
- …experience (eg, med-surg, telemetry, ICU) + At least 1 year of experience in utilization review , case management , or hospital discharge planning + ... within 50 miles of the Sacramento area Job Duties + Perform timely utilization reviews for Medicare inpatient admissions, continued stays, and discharges + Apply CMS… more
- Wolters Kluwer (Sacramento, CA)
- …customer relationships to retain and grow existing commercial customer base + Review account utilization management reporting and provide recommendations ... The Sr. Strategic Account & Relationship Management Executive will be responsible for managing and...product value proposition and solution design + Develop and review implementation scope + Coordinate with Sales Operations team… more