- The County of Los Angeles (Los Angeles, CA)
- …OPTION I:One year of experience performing the duties of a Utilization Review Nurse* or Medical Service Coordinator , CCS.** -OR- OPTION II: Two (2) ... UTILIZATION REVIEW NURSE SUPERVISOR I Print...In the County of Los Angeles, a Medical Service Coordinator , CCS (https://www.governmentjobs.com/careers/lacounty/classspecs/1065117) determines medical eligibility of children referred… more
- Cedars-Sinai (Beverly Hills, CA)
- **Job Description** The Case Management Coordinator provides support to the utilization review process. The coordinator works collaboratively with all ... or Management. + Processes Extensions and Denial Letters, when needed. + Prepares Utilization Review Reports as needed. + Assists the Case/Care Managers in… more
- Cedars-Sinai (Beverly Hills, CA)
- …Will be Doing** The Case Management Coordinator provides support to the utilization review process. The coordinator works collaboratively with all team ... or Management. + Processes Extensions and Denial Letters, when needed. + Prepares Utilization Review Reports as necessary. + Assists the Case/Care Managers in… more
- Actalent (Santa Barbara, CA)
- …Claim Top Skills Details Data entry,Concurrent review ,Prior authorization,Health care,Medicare,Managed care,Medical management,Case management, Utilization ... services team members in the implementation and management of Utilization Management, Case Management, Disease Management, Population Health, Care Coordination,… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE ... direction, administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one… more
- Cherry Bekaert (Sacramento, CA)
- …and continuous professional development. Our team is looking for a Senior Resource Coordinator to support our Tax group. The Senior Resource Coordinator will ... to work remotely from within the United States. The Senior Resource Coordinator will effectively fill resource engagement requests overseeing the utilization … more
- Ventura County (Ventura, CA)
- …+ Develops and presents therapeutic class review for medical staff review to include utilization , financial analysis, contract compliance, safety and ... Pharmacist - Clinical Coordinator Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5008907) Apply Pharmacist - Clinical Coordinator Salary… more
- Dignity Health (Bakersfield, CA)
- …in the quarterly business review to integrate drug procurement and drug utilization . The coordinator will "take call" as necessary to address emergent ... **Responsibilities** The Clinical Pharmacy Coordinator is responsible for coordinating the clinical programs...and decentralized provision of pharmacist services. The Clinical Pharmacy Coordinator collects of clinical data, analysis of that data… more
- Dignity Health (Los Angeles, CA)
- …90 days of hire. + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure ... bonus not to exceed 10% of salary for this position. The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for… more
- Dignity Health (Long Beach, CA)
- …+ AHA BLS card + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure ... **Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of...will be on care coordination communication and collaboration with utilization management nursing physicians ancillary departments insurers and post… more