- Stanford Health Care (Palo Alto, CA)
- …affect the processes and outcomes of patient health care **Licenses and Certifications** + Nursing\ RN - Registered Nurse - State Licensure And/Or Compact ... responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient… more
- Hospice Of San Joaquin (Stockton, CA)
- …of the patient and family. + Follows the treatment plan established by the Registered Nurse /Case Manager. + Follows the scope of practice when providing nursing ... about the Hospice philosophy and Hospice's services. QUALITY ASSESSMENT/IMPROVEMENT AND UTILIZATION REVIEW : Ensures compliance with the program plan, assuring… more
- Stanford Health Care (Palo Alto, CA)
- …to identify trends and make recommendations for improvement. **Licenses and Certifications** + Nursing\ RN - Registered Nurse - State Licensure And/Or Compact ... + Uses logic and various problem-solving techniques to deal with technical queries. + Demonstrated ability to review utilization reports and data. + Ability… more
- Banner Health (Susanville, CA)
- …This position provides nursing care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the quality ... 2. Contributes to plan of care under direction of registered nurse , including the discharge plan, utilizing...Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the… more
- LA Care Health Plan (Los Angeles, CA)
- …Licensed Clinical Social Worker (LCSW); Current and unrestricted California License or Registered Nurse ( RN ); current and unrestrited California License. ... Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required Training Physical Requirements Light… more
- Ventura County (Ventura, CA)
- …every stage of their journey. THE POSITION: Under direction of a physician or registered nurse , the Field Based Psychiatric Technician performs a variety of ... practice as a licensed Psychiatric Technician or Licensed Vocational Nurse (LVN) in the state of California. This is...and maintain the pool of eligible service providers. + Utilization review : + Uses professional skills in… more
- Veterans Affairs, Veterans Health Administration (Santa Rosa, CA)
- …programs. The AMSA works with multiple Integrative Health providers, including physicians, registered nurse care managers, mental health providers, and allied ... Advanced MSA coordinates with the patient care team to review the clinic utilization by using various...primary scheduler for the Integrative Health Service, coordinating with RN Care Managers and clinic providers to ensure patients… more
- Magellan Health Services (San Diego, CA)
- …Master Social Worker - Care Mgmt, LPC - Licensed Professional Counselor - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... member education and care management. Conducts initial and concurrent review for prior authorization of higher levels of care...this role with necessary degrees, LMSW, LCSW, LPC, or RN . Minimum 5 years experience post degree in healthcare,… more
- STG International (Corona, CA)
- …in the management/coordination of the clinic's day-to-day activity, in conjunction with the Registered Nurse ( RN )/CBOC Manager and VA Program's philosophy. ... patient safety. *Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health… more
- Alameda Health System (Oakland, CA)
- …contracted vendors. + Responsible for the coordination and support of the AHS Utilization Review Committee. + Responsible for overseeing patient, physician and ... is required. + Preferred Experience: N/A Required Licenses/Certifications: Active licensure as a Registered Nurse in the State of California or valid license as… more