Utilization Review Jobs in California
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Search Results - Utilization Review Jobs in California
Discovery Behavioral Health DBH-Irvine
Job Description
The Utilization Review Case Manager requires effective communication and coordination with the Director of Utilization Review, insurance companies, and treatment team to obtain the maximum benefits for our clients.
The Utilization...
resume-library.com -
Ontario
characteristics. If you need special accommodation for the application process, please contact Human Resources. Know Your Rights: [...]
Privacy Notice for California Applicants: [...]
Responsibilities:
The Utilization review tech essentially works...
icims.com -
HexaQuEST Global - Healthcare-Greenbrae (CA)
Job Description:
RN Case Manager with experience as follows:
Must have strong Utilization Review and InterQual experience REQUIRED!
Conducting patient initial assessments
Acute Care hospital experience
EPIC EMR documentation experience
Active...
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AVALON MEDICAL DEVELOPMENT CORPORATION-Avalon (CA)
prescriptions filled by completing Drug Utilization Review and Final Quality Assurance, applicable to state and federal Board of pharmacy regulations.
Oversees the performance of all pharmacists and pharmacy technicians including hiring, disciplinary action...
CA - RN Case Manager (Strong Utilization Review exp REQUIRED) M-F, no weekends - - (8751-62500) - TO
HexaQuEST Global - Healthcare-Greenbrae (CA)
Job Description:
RN Case Manager with experience as follows:
Must have strong Utilization Review and InterQual experience REQUIRED!
Conducting patient initial assessments
Acute Care hospital experience
EPIC EMR documentation experience
Active...
resume-library.com -
Sunnyvale Gardens Post Acute-Sunnyvale
Treat patients per the physician treatment plan.
Communicate with supervisor and other health team members regarding patient progress, problem and plans.
Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation...
GQR Healthcare-Los Angeles
hours, days
• Employment Type: Travel
MANAGER OF CASE MANAGEMENT
Must have experience Managing inpatient case manager processes but only have 21 direct reports, LVNs and non-licensed staff, discharge planners.
Utilization review experience
About GQR...
VIBRANTCARE REHABILITATION-Sacramento
family members, and third party payors at all times.
• Attend and/or participate in facility meetings as directed by Center Manager (may include utilization review, infection control, disaster preparedness, etc.)
• Completes sufficient ongoing continuing...
GQR Healthcare-Los Angeles
per week
• Shift: 8 hours, days
• Employment Type: Travel
MANAGER OF CASE MANAGEMENT
Must have experience Managing inpatient case manager processes but only have 21 direct reports, LVNs and non-licensed staff, discharge planners.
Utilization review...
Aurora San Diego-San Diego
to third party payers
Recordkeeping: Maintains appropriate records of the Utilization Review Department
Training: Provide staff in-service training and education
Maintains confidentiality of patients at all times
Ability to cope well with stress...
resume-library.com -
Sunnyvale Post Acute-Sunnyvale
with supervisor and other health team members regarding patient progress, problem and plans.
Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences as needed.
Participate in in-services training program for other...
APN Consulting Inc-Torrance
All RTO submitted upfront
There is an every third weekend rotation required.
Must work PST hours
This is M-F unless the candidate is scheduled for the weekend. Then their weekday shifts will be modified to allow for the weekend shifts. Candidates...
resume-library.com -
L.A. Care Health Plan-Los Angeles
and tools while also performing utilization review of cases.
The Medical Director reports to the Senior Medical Director, Community Health. This position works closely with our Community Platform team as well as with other cross-functional teams within L.A...
appcast.io -
Inland Empire Health Plans-Rancho Cucamonga
Current trends in health care and clinical operations
• Administrative practices and procedures including but not limited to quality assessment and improvement, care coordination, utilization review, peer review, credentialing and risk management
Start...
appcast.io -
Kaiser Permanente-Los Angeles
Job Summary:
Develops, manages and directs the Utilization Management programs in a Service Area or a Medical Center. Develops and manages programs that emphasize appropriate admissions as well as concurrent and retrospective review of care.
May...
appcast.io -
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