- 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
- Stanford Health Care (Palo Alto, CA)
- …- 3+ years of experience in case management - 3+ years of experience in utilization review Why work at Stanford Medicine | Stanford Health Care (SHC)? - ... on a rotating basis with other managers when on-call Supervisor is unavailable. + Develops and oversees relationships and...Knowledge of principles and best practices of case management, utilization review , social work, care coordination and… 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)
- …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)
- …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 - 1+ ... AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support… 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)
- …Summary:** Under the guidance and supervision of the department Manager/Director the Supervisor of Utilization Management is responsible and accountable for ... Ensures UM Physicians are provided the relevant information needed to accurately review a referral. Fosters the relationship between the Pre-Authorization team and… more
- Cedars-Sinai (Tarzana, CA)
- …care we strive for. **What will you be doing in this role?** The Supervisor , Clinical Operations Oncology RN is responsible for supervising the clinical staff and ... 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
- Fresenius Medical Center (Reedley, CA)
- …and programs. Collaborates with the Medical Director and the Clinical Coordinator /Charge Nurse or Nurse Supervisor regarding the provision of quality ... oversight as needed to, the Clinical Coordinator/Charge RN or Nurse Supervisor acting as nurse ...+ Addressing patient concerns, issues, and questions including the review of patient satisfaction surveys. + Developing and communicating… 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
- Veterans Affairs, Veterans Health Administration (Mather, CA)
- …coordinated care delivery model. Coordinates with the patient care team to review clinic appointment availability ( utilization ) to ensure that clinic schedules ... only the unusual, difficult or complex cases to the supervisor . The supervisor reviews and monitors job...direction and guidance from the team's leadership, ie, charge nurse and medical director. Work Schedule: Full- time Wednesday… 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
- Dignity Health (Red Bluff, CA)
- …high levels of patient satisfaction. The Care Coordinator consistently conducts the utilization review process and the discharge planning process as required ... and Federal and State regulations.The position reports to the Supervisor Care Coordination. **Qualifications** **Minimum Qualifications:** **Required:** + CM… 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
- Veterans Affairs, Veterans Health Administration (Long Beach, CA)
- …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Former EDRP participants ineligible to apply. ... home. Employee can be from anywhere in the US, office will be assigned by Supervisor at your nearest VA Facility/CBOC or Federal Agency. Duties include, but are not… more
- County of El Dorado (Placerville, CA)
- …have experience in providing SUD services and performing Quality Management and/or Utilization Review activities. They would have excellent written and verbal ... IDEAL CANDIDATE STATEMENT: This position will serve as the supervisor for the SUD Quality Management Unit. The ideal...Professional Clinical Counselor (LPCC), a Clinical Psychologist, or Registered Nurse ? Required for IB/II + Yes + No 03… more