- UCLA Health (Los Angeles, CA)
- …including inspections of clinical areas, patient care practices, and administrative processes + Review medical records of services in preparation for health ... include: + Travel to various clinic sites and schedule and conduct medical record and facility site audits + Conduct thorough facility site reviews and… more
- Houston Methodist (Houston, TX)
- …team. + Functions as a resource to department staff in communicating medical information required by external review entities, managed care contractors, ... At Houston Methodist, the Sr Utilization Review Specialist Nurse (URSN) position is a licensed...influence high quality and cost-effective care. + Identifies and records episodes of preventable delays or avoidable days due… more
- Centene Corporation (Sacramento, CA)
- …concurrent review findings, discharge plans, and actions taken on member medical records in health management systems according to utilization management ... projects within utilization management as part of the clinical review team + Partners and works with Medical...by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA… more
- Dignity Health (Rancho Cordova, CA)
- …**Position Summary:** This position is responsible for monitoring Dignity Health Medical Foundation inpatient admissions and concurrent review for appropriate ... the continuum of healthcare. Responsibilities may include: - Concurrently review patient's records to collect data to...services using clinical judgment and established guidelines. Refer to Medical Directors for review depending on case… more
- American Express (New York, NY)
- …leader to serve as Vice President, ERM Governance, Reporting, and Independent Review overseeing US Consumer Services (USCS) and Global Commercial Services (GCS). ... oversee a team of risk professionals to provide comprehensive risk governance, independent review , and reporting for USCS and GCS, while supporting the CRO in their… more
- The County of Los Angeles (Los Angeles, CA)
- …geology investigationsby acting as project manager, technical lead, technical peer reviewer ; determining needs and requirements pertaining to the investigation (eg, ... information about a conviction history, any convictions or court records which are exempted by a valid court order...you preparing for the test, we advise you to review all related materials that you deem necessary. +… more
- HonorHealth (AZ)
- …to patients and families through effective utilization of available resources. Performs medical record reviews, as required by payer. Interfaces with Care ... cost-effective care. Ensures appropriate level of care through comprehensive review for medical necessity of extended stay,...and trended issues related to contract guidelines. Works with medical records , finance and physician groups to… more
- HonorHealth (AZ)
- …to patients and families through effective utilization of available resources. Performs medical record reviews, as required by payer. Interfaces with Care ... cost-effective care. Ensures appropriate level of care through comprehensive review for medical necessity of extended stay,...and trended issues related to contract guidelines. Works with medical records , finance and physician groups to… more
- State of Minnesota (St. Paul, MN)
- … Medical Practice Board / Medical Practice Bd-AFSCME + **Division/Unit** : Medical Office Manager / Complaint Review + **Work Shift/Work Hours** : Day ... to further the work of the Minnesota Board of Medical Practice by assisting in the Complaint Review...+ Data entry skills sufficient to accurately create database records and update entries or create and apply the… more
- HonorHealth (AZ)
- …area. The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer ... care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more. With… more