- Dignity Health (Carmichael, CA)
- …efficient manner to ensure timely and compliant care coordination, discharge planning, utilization review and social work interventions resulting in quality ... **Responsibilities** ** Nurse Manager of Care Coordination / Case Management**...Case Management** **Sign On / Relocation Options** As our ** Nurse Manager Care Coordination Manager at Mercy San Juan… more
- Dignity Health (San Andreas, CA)
- …provided; participate in annual review of patient health records and utilization review studies of the Clinic services. + Maintain confidentiality of ... and minister medical treatments and medication; collaborate/supervise with the nurse practitioner/physician assistant in order to plan and coordinate patient… more
- Sharp HealthCare (La Mesa, CA)
- …correct billing codes and modifiers as appropriate.Demonstrate competency in utilization of computer applications including RIS, PACS, voice recognition, ... prescription).* Accurately associate the patient to their images and ordered procedure. Review the reason for the procedure and appropriateness of exam.* Escalate… more
- Cedars-Sinai (Marina Del Rey, CA)
- …the established/communicated timeframe + Documents appropriate reviews for assigned patients using utilization review tool. + Provides telephonic review for ... America's Best Hospitals! **What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the patient from pre-hospitalization… more
- Veterans Affairs, Veterans Health Administration (Los Angeles, CA)
- …coordinated care delivery model. Coordinates with the patient care team to review clinic appointment availability ( utilization ) to ensure that clinic schedules ... of medical clinicians across multiple disciplines (eg medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social workers, clinical… more
- Banner Health (Susanville, CA)
- …Articulates and models an emphasis on patient quality and safety. Understands utilization management and case management and their importance to the organization. ... within a highly matrixed team environment in order to coordinate activities, review work, exchange information, and resolve problems. Champions, models, and promotes… more
- Veterans Affairs, Veterans Health Administration (Mather, CA)
- …coordinated care delivery model. Coordinates with the patient care team to review clinic [appointment availability] ( utilization ) to ensure that clinic ... of medical clinicians across multiple disciplines (eg medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social workers, clinical… more
- Alameda Health System (Alameda, CA)
- …and a resolution is initiated and presented weekly at Medicare or Utilization Review meetings. **MININUM QUALIFICATIONS** : Education: Graduate of accredited ... Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California. Required Licenses/Certifications: Minimum Data… more
- Stanford Health Care (Palo Alto, CA)
- …+ ICU/ED and Academic Medical Center experience preferred. + Case management, utilization review and/or direct provider interaction experience, preferred. + ... Clinical Document Spec . + CCDS-O or CDIP . + Nursing\RN - Registered Nurse - State Licensure And/Or Compact State Licensure preferred . **These principles apply to… more
- The County of Los Angeles (Los Angeles, CA)
- …at the direction of a rehabilitation therapist, social worker, or registered nurse . Incumbents are typically responsible for providing technical direction to less ... clients most prone to assaultive behavior or requiring more extensive monitoring and review of their condition and progress. Essential Job Functions + Interviews the… more