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 -
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 -
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 -
San Ysidro Health-San Diego
consultation.
• Actively participates in Quality Assurance activities of the Division with regard to treatment Utilization Review, medication monitoring, peer review, procedures and processes.
• Completes all required documentation in a timely fashion including...
appcast.io -
Casa Palmera-San Diego
orientated and psychoeducation groups daily/weekly.
Provides utilization reviews to insurance companies, providing appropriate clinical information to obtain initial authorization and continuing stay authorization, as necessary.
Is appropriately accessible...
resume-library.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 -
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 -
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
approach 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...
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 -
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 -
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