- The County of Los Angeles (Los Angeles, CA)
- …OPTION I:One year of experience performing the duties of a Utilization Review Nurse* or Medical Service Coordinator , CCS.** -OR- OPTION II: Two (2) ... UTILIZATION REVIEW NURSE SUPERVISOR I Print...In the County of Los Angeles, a Medical Service Coordinator , CCS (https://www.governmentjobs.com/careers/lacounty/classspecs/1065117) determines medical eligibility of children referred… more
- Evolent (Sacramento, CA)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management** at Evolent will serve as a point of ... requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly to the… more
- Sharp HealthCare (San Diego, CA)
- …roundsReviews every patient under assigned workload initially and reviews based on review of care plan.Makes rounds and sees every patient identified per ... departmental guidelines during hospital stay beginning with the admission review of the case manager and reviews with the...quality of care issues encountered in the course of review .Serves as a resource for staff (as needed), and… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE ... direction, administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one… more
- John Muir Health (Walnut Creek, CA)
- **Job Description:** The Pharmacy 340B Coordinator acts as the 340B subject matter expert and provides oversight to all 340B Program Covered Entities, ensuring that ... of the 340B program. Reports any deficiencies identified during auditing and review for appropriate resolution. + Ensures that the 340B pharmacy program is… more
- Dignity Health (Bakersfield, CA)
- …in the quarterly business review to integrate drug procurement and drug utilization . The coordinator will "take call" as necessary to address emergent ... **Job Summary and Responsibilities** The Clinical Pharmacy Coordinator is responsible for coordinating the clinical programs and decentralized provision of… more
- Dignity Health (Long Beach, CA)
- …+ AHA BLS card + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure ... bonus not to exceed 10% of salary for this position. The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for… more
- Dignity Health (Long Beach, CA)
- …+ AHA BLS card + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure ... **Job Summary and Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for identified patients… more
- Cedars-Sinai (Beverly Hills, CA)
- …for medical necessity, appropriateness of care and level of care. Use evidence based review guidelines to conduct utilization review as is appropriate to ... innovation. **A Little More About What You Will be Doing** The RN Care Coordinator is responsible for the case management of patient while hospitalized and upon… more
- Pomona Valley Hospital Medical Center (Pomona, CA)
- …financial system. This position requires a strong understanding of payer policies, utilization review workflows, admission criteria, and hospital revenue cycle ... or equivalent. Three years' experience in patient access, hospital admissions, utilization review , or insurance authorization. Strong communication, critical… more