- Molina Healthcare (Long Beach, CA)
- …least 2 years health care experience, including experience in hospital acute care , inpatient review , prior authorization, managed care , or equivalent ... a medical unit or emergency room. Previous experience in Managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …health and co-occurring psychiatric and substance abuse conditions. POSITION TITLE: Utilization Review Clinician PAY RANGE: LVN /LPT $31.50-37.50 Per Hour ... and optimize reimbursement for external reviewers/third party payers. The Utilization Review Clinician maintains knowledge of, participates in further training… more
- Datavant (Sacramento, CA)
- …sciences companies, government agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a high-performing, values-driven ... is to effectively defend utilization of available health services, review of admissions for medical necessity and necessity of...and necessity of continued stay in the inpatient patient care setting and/or discharge to an alternative level of… more
- University of Southern California (Los Angeles, CA)
- …the supervision of a clinician , Registered Nurse (RN), or Licensed Vocational Nurse ( LVN ) to ensure safe patient care . This incumbent will provide support to ... clinician , Registered Nurse (RN), or Licensed Vocational Nurse ( LVN ) to ensure safe patient care . +...to order prescription refills. Determine the need for physician review of prescription refills. + Be willing to be… more