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 -
Northeast Healthcare Recruitment, Inc. (NEHCR)-San Diego
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 -
Aurora San Diego-San Diego
Appeals: Prepare and submit appeals 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...
South Shore Health System-San Diego
The Medical Director actively participates in and oversees the Quality Assurance, Compliance and Utilization Review Programs.
• The Medical Director maintains appropriate clinical standards and follows the guidelines established by the organization’s Policy...
appcast.io -
Aurora San Diego-San Diego
appeals 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...
workable.com -
Discovery Mood & Anxiety Program-San Diego
orientated and psychoeducation groups one to two times, 2-4 times daily in OP.
Facilitates multi-family groups, family program, and/or family weekend.
Provides utilization review clinical to UR team member to advocate insurance companies, providing...
resume-library.com -
Aurora San Diego-San Diego
insurance, 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...
workable.com -
Alameda Health System-San Diego
perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification.
Lead and manage a team of utilization review professionals providing guidance, training, and performance...
tiptopjob.com -
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 -
San Diego
room, intensive care, neurology, occupational medicine, or rehabilitation useful. Strong cost containment background, such as utilization review or managed care also useful.
• One to two plus years of recent clinical experience and/or one to two years...
icims.com -
MarSell Wellness Center-San Diego
developing behavioral plans, assessments, conducting utilization review, and evaluation of the program and services after unification with sponsor. The Lead Clinical Social Worker must be active with BBS.
Essential Duties and Responsibilities: To perform...
San Diego
for each claim. These responsibilities may include utilization review, pharmacy oversight and care coordination.
Responsibilities:
• Uses clinical/nursing skills to determine whether all aspects of a patient’s care, at every level, are medically...
icims.com -
Dane Street, LLC-San Diego
Dane Street is an Independent Review Organization and a national provider of Utilization Review services (among other offerings) and we are expanding our physician panel resulting in opportunities for non-traditional physician work and supplemental...
workable.com -
San Diego
and socioeconomic barreris to care transitions. In addition, the Care Coordinator will protect confidentiality while striving to achieve high levels of patient satisfaction. The Care Coordinator consistently conducts the utilization review process and the discharge...
icims.com -
Dane Street, LLC-San Diego
Dane Street is an Independent Review Organization and a national provider of Utilization Review services (among other offerings) and we are expanding our physician panel resulting in opportunities for non-traditional physician work and supplemental...
workable.com -
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