• Care Review Clinician

    Molina Healthcare (San Diego, CA)
    …Experience** Previous experience in Hospital Acute Care , ER or ICU, Inpatient / Concurrent Review , Utilization Review / Utilization Management and ... **EMERGENCY ROOM ADMISSIONS REVIEW NURSE** **_3-12 NIGHT SHIFT: 7:30PM - 08:30AM...assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long… more
    Molina Healthcare (05/07/25)
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  • Care Review Clinician

    Molina Healthcare (San Diego, CA)
    …Bachelor's Degree in Nursing **Preferred Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care ,… more
    Molina Healthcare (04/12/25)
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  • Clinical Documentation Improvement (CDI)…

    Guidehouse (Escondido, CA)
    …+ One of the following: RN, MD, or MD Equivalent (MBBS) + 2-4 years acute care inpatient hospital coding or CDI experience + Familiarity with encoder and DRG ... CMS or other regulatory standards. + Conducts daily, concurrent review of inpatient records on assigned unit(s)...unit(s) to ensure complete and accurate physician and or clinician documentation is present at the time of discharge… more
    Guidehouse (04/25/25)
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