- 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)
- …- 5+ years of experience as an RN - 3+ years of experience in case management/ 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
- Fresenius Medical Center (Pomona, 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)
- …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)
- …for 12 years and 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 ... Registered Nurse First Assistant - VCMC Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4845731) Apply Registered Nurse First Assistant -… 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
- 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
- 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 (Beverly Hills, CA)
- …of acute nursing, discharge planning and HMO, previous case management experience, utilization review , and knowledge of medical/nursing standards of care ... More About What You Will be Doing** The RN Supervisor Case Management will assist in the daily operations...and customer service. + Develops policies and procedures for Utilization /Referrals department under the mentorship of the Manager. +… 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
- Sharp HealthCare (San Diego, CA)
- …per minute with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of both back and front ... with providers.Participates in clinical projects as directed by provider, manager, supervisor , or director.Uses universal precautions, may review pre-printed… more
- Sharp HealthCare (Chula Vista, CA)
- …manner.Support and obtain knowledge of new applications and policies.Knowledge of insurance, utilization review , scheduling requirements and support of both back ... providers.Participates in clinical projects as directed by provider, manager, supervisor , or director.Demonstrates clear knowledge and accountability of quality… 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
- 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