Utilization Review Jobs in Los Angeles
Search jobs in
1 - 15 of 15
Search Results - Utilization Review Jobs in Los Angeles
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 -
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 -
Macpower Digital Assets Edge Private Limited (MDA Edge)-Los Angeles
JOB OVERVIEW: As the Director of Case Management, you will be the cornerstone of our efforts to deliver high-quality, cost-effective healthcare services. You'll lead initiatives in utilization review, discharge planning, and care coordination across...
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 -
Ampcus Incorporated-Los Angeles
and interpreting medical information from patient records.
Working knowledge of laws, rules, and regulations regarding utilization review and discharge planning functions of government programs such Medicare, Medi-Cal, and CCS.
Clinical experience sufficient...
resume-library.com -
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 -
Jamie Grayem-Los Angeles
standards and requirements.
• Provides direction to staff regarding utilization review, care coordination, discharge planning, and other services across the continuum of care.
• Assists in conducting statistical studies in utilization trends, patterns...
jobvertise.com -
Martin Luther King, Jr. Community Hospital-Los Angeles
regulatory agency requirements specific to Utilization Review and Discharge Planning. The Care Manager partners with the medical staff, utilizes scientific evidence for best practices, and relevant data to manage the care of the patient over the continuum...
Macpower Digital Assets Edge Private Limited (MDA Edge)-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 -
Encompass Health-Los Angeles
of hospital plans, including the Provision of Care/Scope of Services, Leadership, Information Management, Utilization Review, Infection Control, and Patient Safety plans. Oversee risk management activities, including completion of incident reports, notice...
Los Angeles
and maintenance of incoming mail
• Timely response to Request for Authorization or referral for Utilization Review
• Consistent communication and claim reviews with all parties, including our Claims Services Account Manager in relation to brokers and policy...
icims.com -
Jamie Grayem-Los Angeles
and other work 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...
jobvertise.com -
Los Angeles
procedures, and performance standards and URAAC guidelines and state regulations.
Responsibilities:
MAJOR DUTIES AND RESPONSIBILITIES:
• Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity...
icims.com -
Los Angeles
and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers’ compensation claims.
• Meets (when...
icims.com -
Los Angeles
the Patient Safety Reporting system.
• Facilitate medical staff drug utilization reviews (DURs) as deemed necessary.
• Exhibit basic competency in Microsoft Word, Microsoft Excel, and Microsoft PowerPoint and be able to type 40 words per minute.
• Assess...
icims.com -
Companies now hiring in Los Angeles:
Utilization Review jobs in Los Angeles – 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, Los Angeles
It's free, and you can cancel email updates at any time