- LA Care Health Plan (Los Angeles, CA)
- …and reimbursement policies within the claim adjudication process through medical record review for Payment Integrity and Utilization Management projects. The ... include inpatient, outpatient, and professional claims. Serves cross functionally with Utilization Management, Medical Directors, and other internal teams to assist… more
- Stanford Health Care (Palo Alto, CA)
- …Also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered Nurse Anesthetist (CRNA), or the Physician Assistant ... clinical competency and adherence to policy through practice analysis and case review of APPs with physicians. + Investigate and respond to patient/family complaints… more
- The County of Los Angeles (Los Angeles, CA)
- …and implements the recreation therapy programs through effective and efficient utilization of subordinate staff, recreation facilities and equipment and supplies. + ... Certification -OR- Current certification to practice as a Therapeutic Recreation Specialist issued by the National Council for Therapeutic Recreation Certification.… more
- Clean Harbors (Compton, CA)
- …to include but not limited to improving operational efficiencies through effective utilization of equipment and scheduling of personnel. Interact with Sales Team and ... and all applicable discrepancies. * Performs revenue forecasting. * QA/QC's all specialist work. * Oversees customer service responsibilities for office. * Enforces… more
- General Dynamics Information Technology (Coronado, CA)
- …guidance within the scope of practice. + Participates in periodic meetings to review the care provided to patients to identify opportunities for improvement. + ... program Manager and/or Coordinator. + Documents care provided, work performed, utilization , referrals, and all other information in the Military's Electronic Health… more
- Stanford Health Care (Palo Alto, CA)
- …clinical competency and adherence to policy through practice analysis and case review of APPs with physicians. + Investigates and responds to patient/family ... practice based on evidence by using research based knowledge or research utilization methods to identify and implement innovations in patient care and/or… more
- Sutter Health (San Francisco, CA)
- …OR DO-Doctor of Osteopathy OR Foreign trained physician + CCS-Certified Coding Specialist within 1 year + CCDS-Certified Clinical Documentation Specialist OR ... transition, including potential impact on data quality for prospective payments, utilization , and reimbursement. Knowledge of ICD-10 desirable. + Strong Organization… more
- General Dynamics Information Technology (Coronado, CA)
- …by the HP program Manager and/or Coordinator. + Documents work performed, utilization , encounters, referrals, and all other information on the Military's Electronic ... Dietitian (RD) and a specialty certification as a Certified Specialist in Sports Dietetics (CSSD). CSSD certification may be...and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings… more
- General Dynamics Information Technology (Coronado, CA)
- …and required by headquarters and its staff. + Document work performed, utilization , referrals, and all other information in the Enterprise-wide database, as directed ... one of the following: Certified Athletic Trainer, Strength and Conditioning Specialist , Physical Therapist, Cognitive Performance Specialist , or Performance… more
- STG International (Victorville, CA)
- …patient safety. *Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health ... Quality Performance Improvement Team (QPIT) strategic initiatives. *Participate in review and improvement of clinical success in of areas...Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse Corps -… more