- STG International (Victorville, CA)
- …patient safety. *Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health ... in the orientation of clinical staff physicians, physician assistants and nurse practitioners. *Provide leadership to CBOC clinicians. *Evaluate the effectiveness of… 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 ... the electronic medical records of all patients contacted for review by the managing physician; Routinely staffs difficult cases...and services. We are seeking a stellar Special Operations Nurse Case Manager that will provide a full range… more
- University of Southern California (Los Angeles, CA)
- …to hiring, termination, disciplinary procedures, mentoring, professional development, annual review , salary increases. The Regional Operations Director defines and ... regional budget of overall operational expenses in accordance with policies + Review , authorize and monitor expenditure reports in accordance with policies and… more
- University of Southern California (Los Angeles, CA)
- …to optimize staffing models, scheduling, and resource allocation to maximize chair utilization . + Support budget planning to ensure efficient use of nursing ... with executive and finance teams. + Participates in annual capital needs review ; prioritization and spending. + Other duties as assigned. Required Qualifications: +… more
- University of Southern California (Los Angeles, CA)
- …+ Pref Bachelor's Degree Nursing + Pref 1 year Case management or utilization review experience within the last three years preferred. Required ... The RN case manager role integrates the functions of utilization management, quality management, discharge planning assessment, and coordination...Licenses/Certifications: + Req Registered Nurse - RN (CA DCA) + Req Basic Life… more
- Alameda Health System (San Leandro, CA)
- …specific clinical information for the purpose of completing initial and concurrent utilization review to ensure certification/approval of in-patient and post ... the direction of the Care Management social worker and/or nurse , facilitates, identifies and documents all referrals made to...in a health care field or one year in Utilization Management at a Medical Group or Health plan… more
- Veterans Affairs, Veterans Health Administration (San Diego, CA)
- …coordinated care delivery model. Coordinates with the patient care team to review clinic appointment availability ( utilization ) to ensure that clinic schedules ... co-workers and hospital staff. The duties of this position vary widely requiring utilization of different processes and methods to accomplish this work. The work… more
- Cedars-Sinai (Los Angeles, CA)
- …to patient evaluation, consultation, and care coordination, supported by three nurse practitioners and specialized staff. + **Theranostics** - the cutting-edge ... performance and quality improvement, risk management, and efficient resource utilization , all linked to evidence-based medicine. They will attract, mentor,… more
- Dignity Health (Arnold, CA)
- …services 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
- HCA Healthcare (Thousand Oaks, CA)
- …your knowledge and expertise! **Job Summary and Qualifications** As a Registered Nurse , you will be responsible for delivering high-quality, patient-centered care in ... patient experience and positive clinical outcomes. Performs direct patient care through utilization of the nursing process in accordance with the California Nurse… more