- Emanate Health (Covina, CA)
- …States, and the #19 ranked company in the country. **J** **ob Summary** The Utilization Review Nurse will evaluate medical records to determine medical necessity ... Requirement :** **Minimum Experience Requirement :** Minimum of three years of utilization management experience. Experience in quality - related job preferred.… more
- LA Care Health Plan (Los Angeles, CA)
- …verbal and written communication skills. Preferred: Knowledge of National Committee for Quality Assurance (NCQA) requirements for Utilization Management or ... Utilization Management Nurse Specialist RN...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Dignity Health (Glendale, CA)
- **Responsibilities** Responsible for Quality Assurance /Departmental revenue audits. This person will be responsible for a variety of tasks including daily review ... with DH affiliated IPA's to discuss opportunities around patient utilization + Provide daily/weekly/monthly OON reports/updates to Director, Clinical Partnerships… more
- UCLA Health (Los Angeles, CA)
- …tools and techniques to optimize performance (including individual performance expectations, quality assurance based on patient/customer feedback, focus on ... Description The staff RN is a professional caregiver who provides pre-operative...the creation of educational teaching material for patient care/staff utilization . Working knowledge of various CareConnect templates for the… more
- Cedars-Sinai (Tarzana, CA)
- …patient care standards and requirements, including areas such as safety and quality assurance are being followed. Stays current with applicable standards. ... Responsible for administrative support activities involving facilities management, pharmacy, utilization management, quality management, risk management. +… more
- The County of Los Angeles (Los Angeles, CA)
- …casting. + Evaluates assessment data to define health and developmental problems. + Conducts quality assurance studies of chart documents and the quality ... second largest health system in the nation, providing compassionate, quality care through its integrated system of 4 acute...LICENSE(S) REQUIRED: + A license to practice as a Registered Nurse and a certificate to practice… more
- Terumo Medical Corporation (Los Angeles, CA)
- …forwarding of customer complaints (ie adverse events, product performance reports, etc.) to Quality Assurance (QA), and by ensuring all promotional messaging (ie ... Corporation (TMC) develops, manufactures, and markets a complete, solutions-based portfolio of high- quality medical devices used in a broad range of applications for… more