Utilization Review Jobs in San Jose
Search jobs in
1 - 10 of 10
Search Results - Utilization Review Jobs in San Jose
Health Net-San Jose
development, monthly 1:1s, mentorship/career development, and annual evaluations
• Support Chief Medical Officer in the execution of strategic clinical initiatives
• Participate in utilization review studies, evaluate adverse trends; and collaborate with CMO...
Evolvetreatment-San Jose
in the delivery of treatment
• Monitor all program documentation of treatment plans and clinical notes for Utilization Review
• Randomly audit client documentation to confirm record-keeping system complies with all governmental regulations and standards...
appcast.io -
San Jose
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 -
Encompass Health-San Jose
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...
San Jose
Overview:
The Floater Pharmacist appropriately dispenses prescribed drugs, handles incoming physician calls, logs data into the computer, performs Rx workflow processing, and conducts drug utilization reviews.
This position will fill in (as needed...
avitapharmacy.com -
J. Edward Staffing LLC-San Leandro, 28 mi from San Jose
manager experience.
BLS
InterQual
EPIC
Allscripts/Careport
4 or more years is preferred
Utilization Review is a plus/preferred,
ACM or CCM Certification is a plus/preferred....
resume-library.com -
Delta View Post Acute-Antioch, 43 mi from San Jose
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...
Talent Software Services, Inc.-Oakland, 32 mi from San Jose
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, 43 mi from San Jose
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...
Discovery Mood & Anxiety Program-Brentwood (CA), 39 mi from San Jose
and/or snack a minimum of once per week.
Facilitates multi-family groups, family program, and/or family weekend.
Provides utilization reviews to insurance companies, providing appropriate clinical information to obtain initial authorization and continuing...
resume-library.com -
Companies now hiring in San Jose:
Utilization Review jobs – More cities:
Broaden your job search:
Don’t miss out on new job openings!
Create a job alert for: Utilization Review, San Jose
It's free, and you can cancel email updates at any time