- 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)
- …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 - 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)
- …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
- 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
- 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
- UCLA Health (Los Angeles, CA)
- Description Join our renowned UCLA Liver-Small Bowel Transplant Program as an Administrative Supervisor , where you will play a key leadership role in supporting one ... complex and impactful areas of patient care. Reporting directly to the Nurse Manager, you will supervise all Administrative Assistants and provide essential… 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
- 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
- Sharp HealthCare (La Mesa, 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. + ... 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
- 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