Utilization Review Jobs in San Diego
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Search Results - Utilization Review Jobs in San Diego
Aurora San Diego-San Diego
to third party payers
Recordkeeping: Maintains appropriate records of the Utilization Review Department
Training: Provide staff in-service training and education
Maintains confidentiality of patients at all times
Ability to cope well with stress...
resume-library.com -
Sharp HealthCare-San Diego
utilization review, scheduling requirements and support of front desk responsibilities.
Able to operate and maintain department equipment.
Knowledge, Skills, and Abilities
• Demonstrated proficiency in clinical skill and nursing judgment.
Sharp HealthCare...
appcast.io -
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 -
LVN – Family Medicine – SRS Rancho Bernando – Day – PT - Eligible for $5K New Hire Sign On Incentive
Sharp HealthCare-San Diego
of 30 words per minute with 0-2 errors; Have the ability to proof work. Knowledge of insurance, utilization review, scheduling requirements and support of front desk responsibilities. Able to operate and maintain department equipment.
Knowledge, Skills...
appcast.io -
Aurora San Diego-San Diego
and Utilization Review companies.
Obtain pre-authorization for admission when needed. Completes face sheet; assigns patient identification number.
Conducts actual admissions during regular hours; checks documentation on after hour admissions.
Answer numerous...
resume-library.com -
Sharp HealthCare-San Diego
Have the ability to type a minimum of 30 words per minute with 0-2 errors; Have the ability to proof work.
Knowledge of insurance, utilization review, scheduling requirements and support of front desk responsibilities.
Able to operate and maintain...
appcast.io -
San Diego
discharge planning and utilization review resulting in quality patient care.
• Consults and collaborates with leaders, physicians, administration, and community-based healthcare workers regarding care management issues identified.
• Hires, counsels...
icims.com -
Sharp HealthCare-San Diego
of insurance, utilization review, scheduling requirements and support of front desk responsibilities. Able to operate and maintain department equipment.
• Clinical Expertise:
Exhibits superior critical thinking skills. Physiologic monitoring of patients...
appcast.io -
CTTX Health-San Diego
and in a timely fashion in order to meet facility, physician and payor deadlines.
• Attend and/or participate in facility meetings as directed by Center Manager (may include utilization review, infection control, disaster preparedness, etc.)
• Completes sufficient...
workable.com -
San Diego
or Medical Assistant (MA) certificate
• CPR Certification
PRIOR EXPERIENCE:
• Minimum 2 years of nursing experience, preferably in an ambulatory care setting
• Minimum 1 years of management and supervisory experience
• Background in utilization review, risk...
icims.com -
Sharp HealthCare-San Diego
proficiently and accurately; Have the ability to type a minimum of 30 words per minute with 0-2 errors; Have the ability to proof work.
Knowledge of insurance, utilization review, scheduling requirements and support of front desk responsibilities.
Able...
appcast.io -
San Diego
Reporting system.
• Document and report patient safety concerns using the Patient Safety Reporting system.
• Facilitate medical staff drug utilization reviews (DURs) as deemed necessary.
• Exhibit basic competency in Microsoft Word, Microsoft Excel...
icims.com -
LVN – Dermatology Float Pool– SRS Del Mar – Day – FT (will travel to other clinics) - Eligible [...]
Sharp HealthCare-San Diego
utilization review, scheduling requirements and support of front desk responsibilities. Able to operate and maintain department equipment.
Knowledge, Skills, and Abilities
• Demonstrated proficiency in clinical skill and nursing judgment.
Sharp HealthCare...
appcast.io -
Encompass Health-San Diego
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...
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