- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN II is primarily responsible for receiving/reviewing… more
- Cedars-Sinai (Los Angeles, CA)
- …Assists with investigation and follow-up regarding customer complaints. + Serves as liaison with other units in the Admissions department. **Qualifications** ... of service cash collections and cash flow, and provide efficient and appropriate utilization of resources. Acts as a resource for team members by assisting with… more
- Ventura County (Ventura, CA)
- Senior Registered Nurse - Hospital Management Utilization Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5061650) Apply Senior Registered ... Nurse - Hospital Management Utilization Salary $118,668.43 - $141,888.74 Annually...doctor to coordinate and screen for the appropriateness of admissions and continued stays. They make recommendations to the… more
- Sharp HealthCare (San Diego, CA)
- …with Rehab Medical Director and other Physicians regarding potential patient admissions . + Data Management Effectively monitors, collects, and reports ... management systems to monitor referral source patterns and utilization . Reports activity by referral source; and appropriately/strategically adjusts plans to… more
- Ventura County (Ventura, CA)
- …medical policy with the Health Care Agency Director and Insurance Administrator, Utilization Management staff and Quality Assurance Staff. + Participates, as ... surgical procedures, referrals, tests, medication approvals requiring authorization.) + Develops utilization management standards and guidelines for approval by… more
- Select Medical (Los Angeles, CA)
- …allotted time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and ... Management . **Responsibilities** + Clinical Interventions/Discharge and Care Planning Management : Responsible for functioning as the liaison among all… more
- STG International (Victorville, CA)
- …to ensure compliance and patient safety. *Participates in quality improvement, care management , risk management , peer review, utilization review, clinical ... with the veteran and assist in making referrals for services and/or admissions to the VAMC as medically appropriate. Determine which referrals are required… more
- Cedars-Sinai (Beverly Hills, CA)
- …Acts as liaison coordinating administrative support activities including facilities management , patient billing, utilization management , quality ... determines patient's out-of-pocket expenses. A solid understanding of all Health Information Management (HIM) related activities is integral to the role. Duties and… more
- Cedars-Sinai (Los Angeles, CA)
- …+ As liaison coordinates administrative support activities including facilities management , patient billing, utilization management , quality ... staff, insurance plans and other departments. + Actively participate in lean management processes by detailing, monitoring and updating department specific data. +… more
- UCLA Health (Santa Monica, CA)
- …to the team, individual, family or group psychotherapeutic treatment; liaison with community agencies; treatment plan documentation; and disposition planning ... to improve access to psychiatric care and to prevent unnecessary ED admissions and hospitalizations. The clinical advisor has three main functions: 1. Resource… more