• System Utilization Management SUM…

    Alameda Health System (Oakland, CA)
    …trends and changes in healthcare delivery as it pertains to utilization review (eg, medical necessity, level of care ) by participating in appropriate ... System Utilization Management SUM Utilization Review...of healthcare resources while maintaining high- standards of patient care . This role involves evaluating medical necessity, assessing treatment… more
    Alameda Health System (07/29/25)
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  • System Utilization Management SUM…

    Alameda Health System (Oakland, CA)
    …trends and changes in healthcare delivery as it pertains to utilization review (eg, medical necessity, level of care ) by participating in appropriate ... Utilization Management + Full Time - Day + Care Management + $61.76/hr - $102.90/hr + Req #:42522-31559...Expeditiously refer cases to the internal/external Physician Advisor for review of requests that may not meet medical necessity… more
    Alameda Health System (07/19/25)
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  • Chief Medical Officer

    HCA Healthcare (Riverside, CA)
    …a data-driven environment of quality and cost improvement, and develops systems to review utilization of resources and objectively measure outcomes of care ... support for appeals and denials process, discharge planning, case management, and utilization review /management + You will consult with facility-level staff… more
    HCA Healthcare (06/21/25)
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  • Clinical Infusion Pharmacist

    Sutter Health (Santa Rosa, CA)
    …cost-effective practices that ensure the best patient experience, effective resource utilization , and enhance care coordination outcomes. + Effectively ... Pacific Medical Foundation - North **Position Overview:** Delivers pharmaceutical care through the provision of patient-centered clinical service, medication… more
    Sutter Health (07/25/25)
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  • Director of Rehab - Occupational Therapy Assistant…

    Genesis Healthcare (Carmichael, CA)
    …department, including oversight related to case management, quality improvement, care planning, clinical utilization , and patient identification is ... assisted and independent living facilities, outpatient clinics, and home-based care . We're proud to deliver personalized care ...you learn from the best in the field. + ** Continuing Education:** Keep growing with free CEUs through Medbridge.… more
    Genesis Healthcare (06/09/25)
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  • Pharmacist II - Sharp Grossmont Hospital…

    Sharp HealthCare (La Mesa, CA)
    …knowledge, skills and expertise required for the provision of comprehensive pharmaceutical care that supports the mission, values and philosophy of Pharmacy Services ... required within 90 days of hire. **Essential Functions** + Verification and review of medication orders-Reviews all medication orders for appropriate dose, duration,… more
    Sharp HealthCare (07/13/25)
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  • Telehealth Vocational Nurse

    Veterans Affairs, Veterans Health Administration (Eureka, CA)
    …store-and-forward) palpitation, auscultation, collecting vital signs. Incumbent performs retrospective medical review of non-VA health care records to determine ... to improve care . Demonstrates leadership by involving others in improving care . Identifies and assesses resource utilization and safety issues, taking… more
    Veterans Affairs, Veterans Health Administration (07/23/25)
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  • Nurse Practitioner - Pain Management

    ERP International (Camp Pendleton, CA)
    …as needed, and implement and participate in follow-up. + Participate in meetings to review and evaluate the care provided to patients, identify opportunities to ... **Camp Pendleton, CA.** **Be the Best!** Join our team of exceptional health care professionals across the nation. Come discover the immense pride and job… more
    ERP International (06/04/25)
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  • Nurse Practitioner - Correctional Health

    The County of Los Angeles (Los Angeles, CA)
    …+ Consults with the physician as needed to coordinate a plan of care , implement inpatient treatments, review mental assessments, and/or to discuss disease ... is the second largest health system in the nation, providing compassionate, quality care through its integrated system of 4 acute hospitals, 25 health centers, and… more
    The County of Los Angeles (06/05/25)
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  • RN Case Manager - Case Management (ED) - Per Diem…

    Cedars-Sinai (Marina Del Rey, CA)
    …the established/communicated timeframe + Documents appropriate reviews for assigned patients using utilization review tool. + Provides telephonic review for ... patients and families on all aspects of patients' hospitalization and continuing care . + Assumes responsibility for timely completion of required case management… more
    Cedars-Sinai (07/18/25)
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