- Sutter Health (Tracy, CA)
- …Reports EOC activities, opportunities, and needs to leadership. * Serves as Nurse Educator, providing ongoing education and orientation to clinical staff. Assists ... of decisions implemented on any shift. Documents shift events for administrative review . * In the absence of individual managers, serves as functional authority… more
- Lompoc Valley Medical Center (Lompoc, CA)
- …degree preferred. + Experience: A minimum of two years of clinical experience in Utilization Review or Case Management is preferred. + Per Diem Positions: Case ... and hospital information systems required. Must demonstrate knowledge of current utilization management principles, third party payor review requirements,… more
- Sharp HealthCare (San Diego, CA)
- …**Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** California Registered Nurse (RN) - CA Board of Registered Nursing; Bachelor's Degree **Hours** **:** ... in-patient Care Management program that includes initial and concurrent review ; case management/discharge planning activities. Responsible for operational planning… more
- LA Care Health Plan (Los Angeles, CA)
- …and unrestrited California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required ... Requirements Light Additional Information Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), … more
- The County of Los Angeles (Los Angeles, CA)
- …goals. Develops and implements reporting procedures to ensure that program services utilization and revenue data are reported accurately and in a timely manner. ... acceptable standards of care and establishes and modifies program monitoring and review methods as necessary. Oversees audits and the implementation of audit… more
- The County of Los Angeles (Los Angeles, CA)
- …goals. + Develops and implements reporting procedures to ensure that program services utilization and revenue data are reported accurately and in a timely manner. + ... of care and establishes and modifies program monitoring and review methods as necessary. + Oversees audits and the...A valid, current license to practice as a registered nurse issued by the appropriate State of California licensing… 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, ... employee, supply, adverse incidents, and Workers' Compensation issues to Lead/ Supervisor in an appropriate period. + Patient EducationProvides information and… more
- County of El Dorado (Placerville, CA)
- …have experience in providing SUD services and performing Quality Management and/or Utilization Review activities. They would have excellent written and verbal ... IDEAL CANDIDATE STATEMENT: This position will serve as the supervisor for the SUD Quality Management Unit. The ideal...Professional Clinical Counselor (LPCC), a Clinical Psychologist, or Registered Nurse ? Required for IB/II + Yes + No 03… more