Utilization Review Jobs in California
1 - 15 of 121
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 -
Marvel Consultants-Los Angeles
a team of 20+, case managers and social workers.
• Licensed RN with the BSN, Masters preferred.
• 5+ years hospital discharge planning, utilization review, case management and social work experience, with management experience.
• RN-BC Certification...
mindmatch.ai -
Northern California Behavioral Health System-Santa Rosa
POSITION TITLE: Utilization Review Clinician
REPORTS TO (TITLE): Director of Utilization Review
DESCRIPTION OF POSITION:
Work as member of multi-disciplinary treatment team reviewing patient care and treatment options for both inpatient...
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 -
Macpower Digital Assets Edge Private Limited (MDA Edge)-Los Angeles
Health Plan guidelines and patient needs.
Assures compliance with Federal, State, TJC, NCQA, other regulatory agencies and internal standards and requirements.
Provides direction to staff regarding utilization review, care coordination, discharge...
resume-library.com -
Blue Shield of California-Rancho Cordova
also building a cost-benefit methodology to rationalize decisions on UM reviews to be performed based upon staffing costs, productivity, and projected medical cost savings.
• Provides analysis and reports of significant utilization trends, patterns...
Macpower Digital Assets Edge Private Limited (MDA Edge)-San Diego
utilization of resources which meet Health Plan guidelines and patient needs.
Assures compliance with Federal, State, TJC, NCQA, other regulatory agencies and internal standards and requirements.
Provides direction to staff regarding utilization review, care...
resume-library.com -
Blue Shield of California-Rancho Cordova
methodology to rationalize decisions on UM reviews to be performed based upon staffing costs, productivity, and projected medical cost savings.
• Provides analysis and reports of significant utilization trends, patterns, and resource allocation. Partners...
CA - RN Case Manager (Strong Utilization Review (InterQual) exp REQUIRED) M-F, no weekends - Rate...
Ambe Healthcare Staffing-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 -
NCH Healthcare System-San Ramon
Actively collaborates with utilization review team to facilitate and meet organizational and department goals. · Recognizes situations that require referral to quality or risk management and makes a timely referral. EDUCATION, EXPERIENCE AND QUALIFICATIONS...
Kaiser Permanente-Fontana
authorizations/approvals as needed for outside services for patients/families.
• Conducts daily clinical reviews for utilization/quality management activities based on guidelines/standards for patients in a variety of settings, including outpatient, emergency...
NCH Healthcare System-Lafayette (CA)
Actively collaborates with utilization review team to facilitate and meet organizational and department goals. · Recognizes situations that require referral to quality or risk management and makes a timely referral. EDUCATION, EXPERIENCE AND QUALIFICATIONS...
Kaiser Permanente-San Diego
principles, practices, techniques and methods of utilization review/management, discharge planning or case management.
• Working knowledge of regulatory requirements and accreditation standards (TJC, Medicare, Medi-Cal, etc.).
• Demonstrated ability...
First Steps Recovery-Shingle Springs
transition notes.
• Prepare clinical documentation accurately and within agency time frames.
• Intervene during crisis intervention situations.
• Cooperate with health insurance clinical utilization reviews by providing detailed clinical notes to assist...
Kaiser Permanente-Fontana
coordination, Discharge planning, and obtaining all authorizations/approvals as needed for outside services for patients/families.
• Conducts daily clinical reviews for utilization/quality management activities based on guidelines/standards for patients...
123456789
Companies now hiring in California:
Utilization Review jobs in California – Similar offers:
Utilization Review jobs – More cities:
Broaden your job search:
Don’t miss out on new job openings!
Create a job alert for: Utilization Review, California
It's free, and you can cancel email updates at any time
123456789