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 Harbor City, California.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Duration: 13...
Lancesoft-Los Angeles
LanceSoft is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Los Angeles, California.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Start Date: 03/10/2025
• Duration: 13...
LanceSoft-Los Angeles
Job Description
LanceSoft is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Los Angeles, California.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Start Date: 03/10...
Macpower Digital Assets Edge Private Limited-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 -
Cynet Health-Los Angeles
source of payment for in-patient stay.- Provide information in response to queries from doctors' offices, families, and outside facilities.- Deliver case management, social services, utilization review, and discharge planning daily and on scheduled...
Macpower Digital Assets Edge Private Limited-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 -
Pyramid Consulting, Inc-Los Angeles
with an interdisciplinary approach.
Utilization Review: Knowledge of resource management and alternative care recommendations for optimal patient outcomes.
Regulatory Compliance: Familiarity with healthcare regulations (TJC, Medicare, Medi-Cal) and documentation standards...
resume-library.com -
Tarzana Treatment Centers, Inc.-Los Angeles
as requested, including peer review
4. Consultation and training of staff, as requested
5. Utilization Review, when requested, including phone calls to physicians and case managers
6. On Call availability, as needed
7. A monthly schedule of hours working...
appcast.io -
Cynet Health-Los Angeles
Certifications:** Not specified**Must-Have:** Not specified**Job Description:**- Perform comprehensive utilization reviews.- Coordinate patient care with interdisciplinary teams.- Evaluate and ensure appropriate use of resources.- Deliver effective case...
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 -
Medix™-Los Angeles
Oversee the Company’s financial resources, ensuring their effective utilization.
• Review, analyze, and communicate financial reports to CEOs, Boards of Directors, and senior management.
• Ensure timely submission of federal, state, and third-party...
mindmatch.ai -
Concentra, Inc.-Los Angeles
procedures, and performance standards and URAAC guidelines and state regulations.
Responsibilities
MAJOR DUTIES AND RESPONSIBILITIES:
1. Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity...
appcast.io -
Los Angeles
such as utilization review or managed care also useful.
• One to two plus years of recent clinical experience and/or one to two years of recent managed care experience.
• Achieves recognized certification in case management within company-designated timeframes
• Ability...
icims.com -
Clearview Outpatient-Los Angeles
regular updates via phone to collateral contacts (family members, referents, etc.).
• Assist with crisis intervention and special activities as needed.
• Complete utilization reviews for insurance companies as needed and assist with peer-to-peer reviews...
mindmatch.ai -
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