- Sutter Health (San Francisco, CA)
- …and case management within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation status. + Some awareness ... is responsible for Care Coordination, Care Transitions, Discharge Planning and Utilization Management throughout the acute care patient experience. The RN Case… more
- Providence (Napa, CA)
- **Description** Social Worker MSW in Utilization Review Unit at Queen of the Valley Medical Center, CA. This position is Full time and will work 8-hour Day ... Full time **Job Shift:** Day **Career Track:** Clinical Professional **Department:** 7810 UTILIZATION REVIEW **Address:** CA Napa 1000 Trancas St **Work… more
- Elevance Health (Costa Mesa, CA)
- …Medical Director** **Carelon Medical Benefits Management** **Radiology Benefit** **Management/ Utilization ** ** Review ** **Virtual:** This role enables associates ... case reviews for their board certified specialty. + Makes physician to physician calls to gather medical...decisions. + Brings to their supervisors attention, any case review decisions that require + Medical Director review… more
- Pfizer (Sacramento, CA)
- …and applying insights in local planning * Act decisively by prioritizing resource utilization to meet customer needs * Provide key HQ colleagues, including Brand ... actionable, and solutions focused feedback * Ensure effective and compliant utilization of promotional materials. * Ensure successful, compliant selling activities… more
- Sutter Health (Santa Barbara, CA)
- …modifies and discontinues patient's drug therapy under the supervision of a physician in accordance with a collaborative practice agreement or an approved protocol. ... + Completes medication regimen review from a clinical, safety and cost perspective to...controlled substance management functions, analysis of use + Medication utilization data capture + Complex, high-cost, or hazardous drug… more
- Veterans Affairs, Veterans Health Administration (Santa Rosa, CA)
- …Scopes of Practice: The Advanced MSA coordinates with the patient care team to review the clinic utilization by using various reports (eg, Clinic Utilization ... clinicians across multiple disciplines (eg medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social workers, clinical pharmacists, and… 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
- UCLA Health (Los Angeles, CA)
- …relevant documents, and conducting a pre-operative phone interview (or on-site clinical review ) of the patient. The RN will apply critical thinking processes for ... instruct patients on pre-operative care management and coordinate care with the physician , patient and staff. The RN is responsible for maintaining efficient patient… more
- Fresenius Medical Center (San Bernardino, CA)
- …auditing activities. *Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. *Manages clinic financials ... including efficient utilization of supplies or equipment and regular profits and loss review . * Responsible for all required network reporting and on-site state… more
- Sutter Health (Tracy, CA)
- …all actions/ decisions, including those related to patient or family/ employee/ physician satisfaction, staffing and utilization of equipment and supplies. ... Standards of Excellence. * Effectively handles atypical situations such as patient/visitor/ physician complaint and policy exception. * Consults with Risk Management.… more
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