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Utilization Review Jobs in San Jose

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Search Results - Utilization Review Jobs in San Jose
NCH Healthcare System-San Jose
Actively collaborates with utilization review team to facilitate and meet organizational and department goals. · Recognizes situations that require referral to quality or risk management and makes a timely referral. EDUCATION, EXPERIENCE AND QUALIFICATIONS...
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
and maintenance of incoming mail  •  Timely response to Request for Authorization or referral for Utilization Review  •  Consistent communication and claim reviews with all parties, including our Claims Services Account Manager in relation to brokers and policy...
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
the Patient Safety Reporting system.  •  Facilitate medical staff drug utilization reviews (DURs) as deemed necessary.  •  Exhibit basic competency in Microsoft Word, Microsoft Excel, and Microsoft PowerPoint and be able to type 40 words per minute.  •  Assess...
icims.com -
NCH Healthcare System-Saratoga (CA), 12 mi from San Jose
Actively collaborates with utilization review team to facilitate and meet organizational and department goals. · Recognizes situations that require referral to quality or risk management and makes a timely referral. EDUCATION, EXPERIENCE AND QUALIFICATIONS...
Integrated Resources, Inc-Santa Clara, 4 mi from San Jose
and Responsibilities: Demonstrates ability to utilize/apply the general and specialized principles, practices, techniques and methods of Utilization review/management, discharge planning or case management. Working knowledge of regulatory requirements...
resume-library.com -
On Lok Inc.-Fremont, 14 mi from San Jose
with interdisciplinary teams required.   8.  Excellent skills in written and verbal communication.   9.  Experience in quality assurance and utilization review desirable.  10.  Willingness to work within the framework of an interdisciplinary team in the On Lok health delivery...
appcast.io -
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 -
Tiburcio Vasquez Health Center-Hayward, 23 mi from San Jose
with maintaining updated dental protocols. Participates in peer and utilization review. Provides feedback and supports CDO with performance evaluations for dentists and dental support staff. Participates in the recruitment and selection of dental staff...
resume-library.com -

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