- Engage Partners, Inc. (Orange, CA)
- The Nurse Supervisor supervises and manages nursing staff to ensure provision of quality client care and effective team performance to meet agency goals in ... culturally competent services. Ensure charts meet quality management standards per monthly utilization review and/or chart review process, including… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW ... and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General...REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.… more
- Ventura County (Ventura, CA)
- …and patient care as indicated and required; + May participate in quality assurance/ utilization review or other non-direct patient care nursing assignments; and + ... Registered Nurse I/II and Nurse Extern -...Services + Public Health + Telemetry + Trauma + Utilization Review (UR) + None/Other 05 Please… more
- Fresenius Medical Center (Harbor City, CA)
- …or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse , Supervisor or Physician as needed. + Assesses, collaborates, and ... and collaborates with supervisor and Education Department regarding progress of new nurse + Continues to mentor and support new nurses once released to work… more
- Ventura County (Ventura, CA)
- …and patient care as indicated and required. + May participate in quality assurance/ utilization review or other non-direct patient care nursing assignments. + ... Registered Nurse I/II - Emergency Department (Regular & Per Diem)...Supervisor Pay - $4.00 per hour + Charge Nurse Premium Pay - $1.50 per hour + Float … more
- Sutter Health (San Francisco, CA)
- …and case management within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation status. + Some awareness ... is responsible for Care Coordination, Care Transitions, Discharge Planning and Utilization Management throughout the acute care patient experience. The RN Case… more
- Cedars-Sinai (Culver City, CA)
- …as well as patient care assessments, and a variety of medically related tasks. The Supervisor is a licensed nurse who works in an administrative role in an ... named us one of America's Best Hospitals. **Why Work Here?** The Clinical Supervisor , Operations supports the physician and clinical staff in the delivery of health… more
- Cedars-Sinai (Tarzana, CA)
- **Job Description** The Supervisor , Clinical Operations Oncology RN is responsible for supervising the clinical staff and clinical operations of the Oncology ... the following duties personally or through assigned personnel. The Supervisor is expected to manage the overall unit, is...and complete, appropriate staffing levels. Although not a staff nurse , will be expected to step into direct patient… more
- LA Care Health Plan (Los Angeles, CA)
- …Auditor RN II is responsible for ensuring that delegates contracted to perform Utilization Management (UM) functions on behalf of LA Care (LAC) is in compliance ... Care Health Plan regarding UM issues. The position assists in improving access and utilization performance of Plan Partners and PPGs by being a resource for best… more
- LA Care Health Plan (Los Angeles, CA)
- …and unrestrited California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required ... Requirements Light Additional Information Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), … more
- Cedars-Sinai (Beverly Hills, CA)
- …individualized patient care in support of Medical Center philosophies. The Assistant Nurse Manager functions as the Department Supervisor and an experienced ... **Job Summary: Key Job Responsibilities** Under the leadership of the Nurse Manager/Associate Director/Executive Director ( Nurse Leader) the Assistant … more
- Sharp HealthCare (San Diego, CA)
- …with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk ... Healthcare Professional (AHA BLS Healthcare) - American Heart Association; California Registered Nurse (RN) - CA Board of Registered Nursing **Hours** **:** **Shift… more
- The County of Los Angeles (Los Angeles, CA)
- …goals. Develops and implements reporting procedures to ensure that program services utilization and revenue data are reported accurately and in a timely manner. ... acceptable standards of care and establishes and modifies program monitoring and review methods as necessary. Oversees audits and the implementation of audit… more
- Veterans Affairs, Veterans Health Administration (San Francisco, CA)
- …identified and resolved. The Advanced MSA coordinates with the patient care team to review the clinic utilization by using various reports (eg, Clinic ... and only refers to the non-routine and high technical problems to his/her supervisor . The incumbent reports status of projects and tasks to the supervisor… more
- Sutter Health (San Francisco, CA)
- …and case management within a managed care environment. Comprehensive knowledge of Utilization Review , levels of care, and observation status. Some awareness ... is responsible for Care Coordination, Care Transitions, Discharge Planning and Utilization Management throughout the acute care patient experience. The RN Case… more
- Stanford Health Care (Palo Alto, CA)
- …and Abilities** + Knowledge of principles and best practices of case management, utilization review , social work, care coordination and discharge planning. + ... discussions and decisions. Oversees service line efficiencies to ensure appropriate utilization of Health System resources including patient financial assistance. +… more
- e CancerCare (Fresno, CA)
- …the creation and execution of the clinical trial development strategy, study contract review , study budget review , negotiation, and in consultation with the ... excellence through applied clinical knowledge, leadership, team recommendations and research utilization . Ensure timely reporting and follow up of all patient… more
- Sharp HealthCare (San Diego, CA)
- …correct billing codes and modifiers as appropriate.Demonstrate competency in utilization of computer applications including RIS, PACS, voice recognition, ... employee, supply, adverse incidents, and Workers' Compensation issues to Lead/ Supervisor in an appropriate period. + Patient EducationProvides information and… more
- City and County of San Francisco (San Francisco, CA)
- …General Hospital and Trauma Center.** Under direct supervision of a licensed nurse , the Certified Nursing Assistant (CNA) performs a variety of routine duties ... + Adheres to health, safety, and infection control policy and resource utilization . + Manages work time effectively, efficiently and productively. AND + Performs… more
