- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW ... information regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to...implemented for compliance, as needed. + As a unit supervisor at the LA General Medical Center: + Has… 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)
- …in-services and staff development programs; + May participate in quality assurance/ utilization review or other non-direct patient care nursing assignments; ... Registered Nurse II - Pre-op/PACU Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4914734) Apply ...Supervisor Pay - $4.00 per hour + Charge Nurse Premium Pay - $2.50 per hour + Float… more
- Ventura County (Ventura, CA)
- …reports. + At least one (1) year of experience in a quality, informatics, utilization review , compliance or related position. + CPHQ certification. If not ... Senior Registered Nurse - QAPI Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4925952) Apply Senior...Supervisor Pay - $4.00 per hour + Charge Nurse Premium Pay - $2.50 per hour + Float… 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. + ... 1.5% for 17 years + Preceptor Pay- $2.50 per hour + House Supervisor Pay- $4.00 per hour + Charge Nurse Premium Pay- $1.50 per hour + Float Nurse Premium… more
- Ventura County (Ventura, CA)
- …maintains records and prepares reports; + May participate in quality assurance/ utilization review or other non-direct patient care nursing assignments; ... 1.5% for 17 years + Preceptor Pay: $2.50 per hour + House Supervisor Pay: $4.00 per hour + Charge Nurse Premium Pay: $1.50 per hour + Float Nurse Premium… 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 II - Emergency Department (Regular & Per Diem) Print... Supervisor Pay - $4.00 per hour + Charge Nurse Premium Pay - $1.50 per hour + Float … more
- CVS Health (Sacramento, CA)
- …with transferring patients to lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC recognized accreditation preferred. + ... AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support… more
- Dignity Health (Rancho Cordova, CA)
- …years Utilization experience required in health plan/UM operations, Acute or subacute utilization review . - Graduate of an accredited school of nursing. - BS ... Summary:** Under the guidance and supervision of the department Manager/Director the Supervisor of Utilization Management is responsible and accountable for… more
- Cedars-Sinai (Los Angeles, CA)
- …Experience: A minimum of 5 years of experience in Acute Clinical Care, Utilization Review , Coding, or Case Management required Working knowledge of Joint ... you will work under the general direction of the HID CDI/Core Measures Supervisor or Manager, with responsibility for improving the overall quality and completeness… more
- Sutter Health (Tracy, CA)
- …Reports EOC activities, opportunities, and needs to leadership. * Serves as Nurse Educator, providing ongoing education and orientation to clinical staff. Assists ... of decisions implemented on any shift. Documents shift events for administrative review . * In the absence of individual managers, serves as functional authority… more
- Sharp HealthCare (San Diego, CA)
- …**Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** California Registered Nurse (RN) - CA Board of Registered Nursing; Bachelor's Degree **Hours** **:** ... in-patient Care Management program that includes initial and concurrent review ; case management/discharge planning activities. Responsible for operational planning… 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
- 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
- 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. + ... of care and establishes and modifies program monitoring and review methods as necessary. + Oversees audits and the...A valid, current license to practice as a registered nurse issued by the appropriate State of California licensing… 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)
- …with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk ... Professional (AHA BLS Healthcare) - American Heart Association; California Registered Nurse (RN) - CA Board of Registered Nursing; ACLS Certification (Advanced… more
- UCLA Health (Los Angeles, CA)
- …cardiac surgeons, bed control, admissions, case managers, and utilization review . + Assisting the Cardiomyopathy Administrative Supervisor with obtaining ... + Communication and coordination of patient care with heart failure nurse specialist, transplant cardiologist, inpatient team members, heart transplant nurse… more
- Veterans Affairs, Veterans Health Administration (Lancaster, CA)
- …coordinated care delivery model. Coordinates with the patient care team to review clinic appointment availability ( utilization ) to ensure that clinic schedules ... The Advanced MSA plans and organizes work with general assistance from the supervisor as to meet local and VA-wide time frames to complete analysis requirements,… 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