Medical review physician jobs in Fresno, California - Page 2Create job alerts

Job Description JOB DESCRIPTION Position: OCM RN Case Manager Pay Range: $95,000 -$105,000 PER YR Reporting To: Lead OCM RN Case Manager Work Type: Remote POSITION SUMMARY: The OCM RN Case Manager is responsible for the clinical care and coordination of services provided to patients in their home or place of residence. This includes providing clinical services, such as comprehensive assessments, administration and management of medications or performing treatments ordered by the physician, identifying, organizing, coordinating, and monitoring services needed by a recipient. QUALIFICATIONS: * Must have a current, unsuspended, un-revoked license to practice as a Registered Nurse in California. * Knowledge of the current Nursing Practice Act. The Nursing Practice Act (NPA) is the body of California law that mandates the Board to set out the scope of practice and responsibilities for RNs. The NPA is in the California Business and Professions Code starting with Section 2700. Regulations which specify the implementation of the law appear in the California Code of Regulations. * Possesses current CPR certification. * Proficient in the use of computers. * Minimum two (2) years’ experience in a home health organization, primary care clinic, or a health facility. One (1) year experience in healthcare quality management preferred. * Current and satisfactory report on pre-employment physical examination including TB Screening Test or chest X-ray as required by Agency policies and procedures. Must be free from signs of infection and illness. * Exercises excellent judgment and possesses knowledge of current nursing practices, with demonstrated exemplary clinical, analytical, and documentation skills. * Possesses good written and verbal communication skills. Fluent in English. * Must be a licensed driver with an automobile that is insured and is in good working order, in accordance with state and/or organizational requirements. * Familiarity with Title 22 ESSENTIAL DUTIES AND RESPONSIBILITIES: The following is a representation of the major duties and responsibilities of this position. The Registered Nurse will use the nursing process to assess and manage the patient’s medical needs. The Agency will make reasonable accommodations to allow otherwise qualified applicants with disabilities to perform essential functions. The RN will provide and maintain proper licensure and provide such to the Agency. * Provides nursing services, as part of the Case Management Team, for each assigned caseload and client. * Ensures proper tracking, charting, progress notes and case records for each enrolled client within time guidelines and assures completion according to Agency’s policies and procedures. Documents patient intervention and response for accurate intervention using established guidelines. * Ensures proper timekeeping and scheduling, as discussed with supervisor. * Works collaboratively with the Social Worker on their Case Management Team (CMT). * Completes assessments and reassessments based on the timeline determined upon a participant’s enrollment in the program. * Follow up with the participant after emergency and inpatient facility admission. * Reports all incidents and issues that arise before, after or during an assessment to the lead RN. * Maintain all scheduled visits on the calendar. * Review all documents associated with the applicant to be prepared before completing assessment. * Completes all assessments within the outlined timeframe which is stated in the HCBA policy and procedure handbook. * Manages complaints from clients, families or friends. * Reports all signs of abuse or neglect to DHCS and the Ombudsman (if abuse or neglect occurs in an RCFE) or DHCS and APS (if abuse or neglect occurs in PH). Reports fraud. * Reviews the Significant Incident Reports (SIRs) with client and staff, as necessary. * Participates in Education, Training and Quality Improvement Activities. Monitors compliance and assists Agency in maintaining compliance with Federal, State, Local, and HIPAA Regulations, as well as Joint Commission Standards and Labor Laws. * Screens applications/applicants for HCBA Waiver to determine if the applicant meets the minimum HCBA Waiver LOC eligibility requirements. * Schedules and conducts comprehensive health and psychosocial assessments of participants’ medical needs, diagnosis, functional and cognitive abilities, and environmental and social needs, to determine which service(s) are required to meet participants’ needs and preferences in the community. Works with MSW to perform initial evaluations and works with applicant, his or her legal representative, circle of support, physician and providers to develop a Plan of Treatment to: * i. Develop goals associated with the participant’s assessed needs, individual circumstances, and preferences. * ii. Mitigate risk and minimize disruptions in services. * iii. Identify when services outlined in POT are available through friends, family, and/or publicly funded programs. * iv. Implement the POT, which includes identifying service providers and community resources to help assure the timely, effective, and efficient mobilization and allocation of services. * v. Identify (and train, if necessary), backup caregivers who are willing and able to provide unpaid support if waiver service providers are not available. * vi. Provide information, education, counseling, and advocacy to, and on behalf of, participants. * Provides information, education counseling, and advocacy to, and on behalf of participants. * Monitors the delivery of HCBA Waiver Services to ensure participants are receiving services as authorized in their POT’s. * Respects the patient's and family's rights and property as defined by the federal and state laws. * Always maintains and conserves confidentiality of patient and agency information conforming to HIPAA regulations. * Regularly attend and participate in scheduled case conferences, staff meetings and Agency in-services (in person, by phone, or by web). * Participates in appropriate continuing education as may be requested and/or required by immediate supervisor. * Regularly self-assess nursing skills and educational needs to meet the nursing care requirements of patients assigned for care. Upgrades professional skills and attends in-services and continuing education classes as needed. * Attending all State mandated in-service trainings. * Conforms to all agency policies and procedures. * Provides Agency of current licensure for RN. Maintains licensure and provides Agency proof of such. * Maintain all required credentials up to date. * Familiarity with Title 22. * Maintains comfortable work environment for all employees. * Maintains constant communication with department team. * Enhances efficiency and productivity of procedures and employees. * Maintains positive customer satisfaction/service. * Significant amount of driving may be required throughout LA, Fresno, San Bernardino and Ventura County. * Performs other duties as assigned. PHYSICAL REQUIREMENTS: * Stand, sit, talk, hear, reach, stoop, kneel and use of hands and fingers to operate computer, telephone, and keyboard on a frequent basis (up to 75% of the time). * Close vision requirements due to computer work. * Light to moderate lifting may be required (Up to 25lbs). * Some driving/traveling may be required up to 25% of the time.

Job Description Purpose: The Medical Assistant supports ancillary and physician staff in providing for the needs of patients. Responsibilities/Essential Functions: • Rooms patients and accurately collects and records patients' medical history; including vital statistics, allergies, medications and concerns., • Prepares exam room, stocks and maintains supplies and equipment, keeping the rooms neat and clean., • Assists with scheduling routine appointments and check out procedures., • Addresses patients with a compassionate, friendly and caring attitude., • Consistently maintains and updates medication knowledge, staying current with industry trends and standards, attends in-services internal or external., • Requests insurance authorizations when needed., • Documents receipt, assists with ensures completion of disability and other miscellaneous forms/ letters in a timely manner., • Effectively assists with E-Prescribing, authorizing drug refills and physician and Physician Dispensing., • Triages phone calls and routes and relays information in a timely manner to staff and providers in a timely manner., • Daily review and processing of voicemails, reminders, and emails., • High school diploma or equivalent required, • Medical Assistant Certificate from an accredited education institution, • Knowledge of computer/telephony support, preferably in a health care environment, • Strong customer service background, preferably in health care environment, • Excellent verbal communication skills, • Competence with computer processing functions and other standard office equipment, • Ability to manage and prioritize multiple tasks, • Ability to calmly and professionally resolve customer issues with diplomacy and tact, • Ability to work independently with minimal supervision, • Strong organizational skills

In close collaboration with Medical Safety Physician and/or Medical Safety Scientist line manager, this role is also responsible for contributing to regulatory submission safety strategy. The Associate Director, Medical Safety (Scientist) is a key member of the Medical Safety team. Provides medical

Fusion Medical Staffing provides career opportunities to healthcare professionals by helping medical facilities fill their staffing needs. Comprehensive medical, dental, and vision insurance with first day coverage. At Fusion Medical Staffing, our goal is to improve the lives of everyone we touch, a

Day-one medical, dental, and vision insurance. Since 2001, Medical Solutions has made it our mission to provide "Service That Inspires" to our Travel Nurses, our Hospital Clients, and our internal employees. Medical Solutions is seeking an experienced Physical Therapy Assistant for an exciting Trav

Physician Assistant or Family Nurse Practitioner for Urgent Care Medicine. Position: Physician Assistant or Family Nurse Practitioner. We are hiring Physician Assistants and Family Nurse Practitioners for our clinic locations in Fresno, CA.

Precise is a physician-owned and led organization that enables a mix of digital, telehealth, in-person, and community resources for improved patient outcomes. We are seeking a dedicated Medical Director - Psychiatrist with experience in reproductive psychiatry to join our team and provide exceptiona

AMT– American Medical Technologists Certification as a Registered Medical Assistant (RMA). We are urgently hiring a Certified Medical Assistant for our client who will work under the direction of licensed medical providers. Completion of an accredited Medical Assistant program.

As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. This position will lead in the development of D

Direct support from an experienced Medical Director and clinical leadership team. Nurse Practitioner / Physician Assistant. We are seeking an experienced and independent Nurse Practitioner or Physician Assistant to provide advanced wound care services within Skilled Nursing Facilities (SNFs) through

As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Zero co-payments for employed physician office

AMT– American Medical Technologists Certification as a Registered Medical Assistant (RMA). We are urgently hiring a Certified Medical Assistant for our client who will work under the direction of licensed medical providers. AAMA – American Association of Medical Assistants.

The ability to communicate effectively with resident physicians, teaching faculty, hospital administration and associates of the Saint Agnes Medical Center. Saint Agnes Medical Providers (SAMP). Our practice is affiliated with Saint Agnes Medical Center (SAMC) which has been voted Best Regional Hosp

Looking for a Physician Assistant or Nurse Practitioner to contribute to the care of Orthopedic Surgery Patients. Physician Assistant or Nurse Practitioner. Current California licensure as a Physician Assistant or Nurse Practitioner.

Medical Director of Menopause Care and Hormone Replacement Therapy. With that aim in mind, we’re seeking a passionate, experienced, and visionary physician leader to serve as our. Medical Director of Menopause Care and Hormone Replacement Therapy.

Inspire Health Medical Group is seeking a full-time Physician Assistant to join an enthusiastic team in the Trauma (TSS)/Acute Care Surgical (ACS) Division that serves the growing population of Fresno, CA at Community Regional Medical Center (CRMC).

We are seeking an experienced Nurse Practitioner or Physician Assistant to support outpatient clinic operations across Hand Surgery, Gastroenterology, and Urology. This role focuses on routine patient care, follow-ups, and care coordination in a collaborative, physician-led environment. Order and re

Efficient, collaborative, and comfortable managing routine outpatient care across multiple specialties while working closely with physicians. We are seeking an experienced Nurse Practitioner or Physician Assistant to support outpatient clinic operations across Hand Surgery, Gastroenterology, and Uro

Reviews medical record for follow up or ordering of diagnostic studies under established protocols. Consults with supervising physician or other clinicians as dictated by patient need and assessment findings. Participates with physicians and other clinicians in the department to assure effective pat

Order and review labs and imaging (within scope). Coordinate care with physicians and clinical staff. This is a collaborative role — complex cases are escalated to supervising physicians.

Efficient, collaborative, and comfortable managing routine outpatient care across multiple specialties while working closely with physicians. We are seeking an experienced Nurse Practitioner or Physician Assistant to support outpatient clinic operations across Hand Surgery, Gastroenterology, and Uro

Hot Job – Oncology NP | Bellflower, CA.Schedule: Day shifts | No call.Duration: 3 months (extension possible).Compensation: Competitive all-inclusive package.Oncology clinic role with some inpatient follow-ups.Pre-chemo evaluations, med management, treatment follow-ups.Great opportunity for an Onc

The X-Ray Technician/MA will be responsible for assisting in examination and treatment of patients under direction of the Physician. Inventories and orders medical supplies and materials. Operates x-ray, electrocardiograph (EKG), and other equipment to administer routine diagnostic test or calls med

In addition to our hospitals, our health system includes a vast medical network, medical foundation, medical group and health plan. We also operate four acute-care hospitals - Community Regional Medical Center, Clovis Community Medical Center, Fresno Heart & Surgical Hospital and Community Behaviora

Minimum 2 years of front office medical assistant or medical reception experience. Front Office Medical Assistant (OB/GYN). Hire Up Staffing is seeking a dependable and experienced Front Office Medical Assistant to join a busy OB/GYN practice in Fresno.

Community Health Partners (CHP) is seeking a full-time Nurse Practitioner (NP) or Physician Assistant (PA) to join our established outpatient Medical Oncology practice in Fresno, CA. The Community Provider Network is a network of provider affiliates and partners that provides our patients access to

Only QUALIFIED Healthcare Professionals accepted).Family-NP - Nurse Practitioner Family $Open.

Medical insurance coverage (Medical, Dental, Vision). Work collaboratively with WelbeHealth physicians, community-based PACE physicians, and IDT to oversee and ensure effective care coordination. At the direction of the Medical Director, review outcomes and utilization data, including hospitalizatio

The physicians with whom the position will work offer a wide array of treatment options for their patients; primarily procedural as opposed to medication/pain medicine. Sierra Pacific Orthopedics is the trusted medical team of the Fresno State Bulldogs, Fresno City College Rams, and the Fresno Pacif

Reviews medical record for follow up or ordering of diagnostic studies under established protocols. Consults with supervising physician or other clinicians as dictated by patient need and assessment findings. Participates with physicians and other clinicians in the department to assure effective pat

The Front Office / Back Office Medical Assistant, when designated by the Director of Operations will report to home assigned clinic unless otherwise told and floated to another clinic to assist with staffing shortages. Minimum two years of medical office experience in health care outpatient clinic s

We have an opportunity in Fresno Jensen, CA for a Physician Associate Director of Medical Operations to care for patients in Occupational Medicine.

HSS I (Medical Assistant) (Fulton, Fresno). Screens financial, medical and social history with correct documentation of pertinent information. For further information, please review the Know Your Rights notice from the Department of Labor.

Under a licensed physician, podiatrist, registered nurse, licensed vocational nurse, a physician assistant or a qualified medical assistant. Completion of training consistent with the requirements for Medical Assistants as specified by the Medical Board of California:. Job Summary: Under the supervi

We are committed to being the most coveted partner for physicians, carriers, attorneys, and patients by connecting those in need of medical opinions with the most qualified and highly regarded medical professionals in the U. Support the physician with taking vitals and measurements which include blo