Utilization Review Jobs in Los Angeles
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Search Results - Utilization Review Jobs in Los Angeles
Medical Solutions-Los Angeles
Job Description
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in West Hills, California.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Duration: 12...
ScionHealth-Los Angeles
and ensures optimum utilization of resources, service delivery and compliance with external review agenciesProvides ongoing support and expertise through comprehensive assessment, care planning, plan implementation and overall evaluation of individual patient...
mindmatch.ai -
Forhyre-Los Angeles
Job Description
Job Description
Job Title: Travel RN Case Management Utilization Review
Location: Carmichael, CA
Salary Range: From $1,900 to $2,500 per week
Shift: 8-hour Day Shift (Monday to Friday)
Duration: [Specify Number of Weeks...
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 -
Ampcus Incorporated-Los Angeles
priorities that accurately reflect the relative importance of job responsibilities.
Skill in abstracting and interpreting medical information from patient records.
Working knowledge of laws, rules, and regulations regarding utilization review and discharge...
resume-library.com -
Martin Luther King, Jr. Community Hospital-Los Angeles
The role reflects appropriate knowledge of RN scope of practice, current state requirements, CMS Conditions of Participation, EMTALA, The Patient Bill of Rights, AB1203 and other Federal or State regulatory agency requirements specific to Utilization Review...
MRINetwork Jobs-Los Angeles
Job Description
Job Description
TITLE: Director of Case Management
THE ROLE: The Director of Case Management is responsible for oversite of quality utilization review, case management, discharge planning and the overall assessment of the patient...
Alura Workforce Solutions-Los Angeles
Administrative practices and procedures including but not limited to quality assessment and improvement, utilization review, peer review, credentialing and risk management.
Rules, regulations, policies, and standards related to managed care.
Principles...
resume-library.com -
Martin Luther King, Jr. Community Hospital-Los Angeles
appropriate knowledge of RN scope of practice, current state requirements, CMS Conditions of Participation, EMTALA, The Patient Bill of Rights, AB1203 and other Federal or State regulatory agency requirements specific to Utilization Review and Discharge...
Macpower Digital Assets Edge Private Limited-Los Angeles
for multidisciplinary review; defining the standards for integrating multiple utilization data reporting systems to develop and maintain a variety of statistical reports in a format which enables care providers to see variations in practice patterns that are adaptable...
resume-library.com -
Northeast Healthcare Recruitment, Inc. (NEHCR)-Los Angeles
healthcare quality, cost, and outcomes.
7. Identify and develop innovative opportunities to enhance effectiveness and quality.
8. Full Time, Call 1:4
9. 100% Virtual
10. Apply Criteria, Utilization review
Requirements:
1. MD or DO with Board certification...
appcast.io -
Oscar Health-Los Angeles
Qualifications
• MD or DO with a current unrestricted license to practice medicine
• Board Certified in Cardiology or Neurology
• 6+ years of clinical practice
• 1+ years of utilization review experience in a managed care plan (health care industry)
Bonus...
Los Angeles
Utilization Review (CPUR) program
• Certified Case Manager (CCM) issued by the Commission for Case Manager Certification.
--OR--
• Possess two (2) years of full-time broad based registered nurse experience in a utilization management review or a case...
icims.com -
MedPOINT Management-Los Angeles
of utilization review, compliance with requirements of external review agencies including governmental and non-governmental payers and quality assurance agencies. Promotes a cooperative and supportive relationship as liaison with patient, family, facility staff...
Keck Medicine of USC-Los Angeles
management.
• Req Problem solving skills and ability to multi-task.
Preferred Qualifications:
• Pref Bachelor's degree
• Pref 1 year Case management or utilization review experience within the last three years preferred.
Required Licenses/Certifications...
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