- Sharp HealthCare (San Diego, CA)
- …response to therapeutic interventions via collateral calls, conjoint therapy sessions, utilization review process, and/or referrals and revises care plan ... issues.Identifies Bioethical dilemmas and initiates appropriate response.Testifies at Certification Review and Reise hearings regarding patient's current mental health… more
- Sharp HealthCare (San Diego, CA)
- …initiate, and support admissions process per policy and or department guidelines.Complete Utilization Review for admitting and ongoing treatment for patients. ... Do** To provide documentation for discharge planning, psychosocial, treatment plan, UR review , and care coordination for patients. Intake phone calls and assessment… more
- KBR (San Diego, CA)
- …compliance in meeting care goals. * Knowledge and skill in using pre-established utilization review criteria recognize and report actual or potential quality and ... current notes in the electronic medical records of all patients contacted for review by the managing physician; Routinely staffs difficult cases with the referring… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …knowledge and skills in areas of risk management, infection control, and utilization review . + Current knowledge of continuous quality improvement methodology. ... Monitors staff completion of mandatory annual competencies, including CPR, HWC, safety review , and code of conduct. + Collaborates with administration to assess… more
- Provider Solutions & Development (Mission Hills, CA)
- …of medical group management experience required + Must have working knowledge of utilization management and review essential to operations management and to ... the medical center and its physicians to improve clinical quality, resource utilization and increase value while maintaining and improving mission outcomes. You will… more
- Honeywell (San Jose, CA)
- …Perform end-to-end performance profiling (memory bandwidth, cache coherency, DMA, GPU/TPU/NPU utilization ). + Review code, guide architecture decisions, and ... mentor the AI/ML engineering team. + Collaborate with product and engineering teams to identify AI/ML-driven opportunities. **Why This Role is Different:** + You will own the entire stack from algorithm research to bare-metal deployment on platforms that fly,… more
- Dignity Health (Carmichael, CA)
- …efficient manner to ensure timely and compliant care coordination, discharge planning, utilization review and social work interventions resulting in quality ... patient care. + Consults and collaborates with other managers, physicians, administration, and community based healthcare workers regarding care management issues identified through corporate or facility initiatives and current literature \#LI-DH \#CCMSJMC… more
- WestCare Foundation (Fresno, CA)
- …meetings and presentations with referral agencies. * Implement Quality Assurance and Utilization Review systems that monitor the effectiveness of the program. ... * Assist in the development of program fiscal and budgetary tracking systems and implementation as well as providing the oversight and management of operating budget and program fiscal expenditures. * Monitor compliance with all required standards,… more
- Dignity Health (Long Beach, CA)
- …when appropriate, discharge planning activities, and coordination with the multidisciplinary team/ Utilization Review Case Manager for referral to a CCS-paneled ... provider or CCS Medical Therapy Unit for patients who may continue to require Physical Therapy services after hospital discharge. **Job Requirements** + Level I: no prior experience required; + Level II: minimum one year experience as a Physical Therapist… more
- Rising Medical Solutions (Los Angeles, CA)
- …nursing, medical case management, occupational health, orthopedics, home health care, utilization review , or quality assurance + Familiarity with regional ... physicians + CCM, and COHN-S/CM are optional but highly valued + Ability to drive to appointments within a 2-hour radius + Active, unencumbered registered nursing license with a minimum of 5 years' experience Benefits + Opportunity to make a difference in… more