Utilization Review Jobs in Oakland
Search jobs in
1 - 10 of 10
Search Results - Utilization Review Jobs in Oakland
Talent Software Services, Inc.-Oakland
utilization review programs, NCQA QI programs or other assigned projects
"Communicates prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physician, physician office staff, medical management staff, sales, member/customer...
resume-library.com -
Delta View Post Acute-Antioch, 27 mi from Oakland
practice act.
Communicate 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...
Aditi Consulting-Oakland
process
Provides drug usage history and other pertinent pharmacy benefit related computer searches for pharmacists and Medical Director to assist in case specific reviews and drug evaluations.
Assists pharmacists with drug utilization review programs...
resume-library.com -
Delta View Post Acute-Antioch, 27 mi from Oakland
Communicate 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...
Diverse Lynx-Oakland
an average Utilization Review (UR) accuracy rate at or above the goal.
" Utilizes InterQual criteria for potential/actual admissions to determine appropriateness of the admission, appropriateness of the setting and appropriateness of the level of care...
resume-library.com -
ANX Home Healthcare & Hospice Care-Daly City, 14 mi from Oakland
professional manner with patients, staff and health care professionals and maintains patient confidentiality.
Participates in Departmental Quality Assurance Activities and Utilization Review activities as requested.
Participates in in-service programs. Selects...
Talent Software Services, Inc.-Oakland
for post -acute care services. Utilization Management.
" Completes initial Inter Qual review screening upon admission for all patients placed in a hospital bed and documents, either inpatient or Observation (OBS) status.
" Performs Inter Qual continued...
resume-library.com -
HealthRIGHT 360-San Francisco, 11 mi from Oakland
Leadership Responsibilities:
• In conjunction with HR360 executive leadership, develops, implements, and oversees clinic site budgets.
• Participate in regular meetings with executive leadership to review budgets, utilization, and quality targets...
appcast.io -
CA - RN Case Manager (Strong Utilization Review exp REQUIRED) M-F, no weekends - - (8751-62500) - TO
HexaQuEST Global - Healthcare-Greenbrae (CA), 23 mi from Oakland
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 -
HexaQuEST Global - Healthcare-Greenbrae (CA), 23 mi from Oakland
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 -
Utilization Review jobs – More cities:
Broaden your job search:
Don’t miss out on new job openings!
Create a job alert for: Utilization Review, Oakland
It's free, and you can cancel email updates at any time