Trabajos utilization review en Los Angeles, CA - Page 4Crear alertas

Job Opportunity: LVN / LPN - Utilization Review.

The Manager of Utilization Review provides direct supervision to the Utilization Review Specialists, Utilization Management Specialists, Authorization Coordinators, and ancillary staff. The Manager is accountable for daily department operations, including establishing utilization review processes...

Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences as needed. Record evaluations, daily treatment notes, weekly progress notes, recertification documentation, per PT Board State Practice Act and governmental and third party payer requirements. Supe...

The Manufacturing Engineer will be responsible to manage manufacturing redline updates of drawings and for the review and disposition of non-conforming products, components, materials, and assemblies. Essential Duties and Responsibilities: - This position serves as a liaison between the engine...

The Manufacturing Engineer will be responsible to manage manufacturing redline updates of drawings and for the review and disposition of non-conforming products, components, materials, and assemblies. Essential Duties and Responsibilities: - This position serves as a liaison between the engine...

Requirements: 2-3 years Previous Case Management experience in an Inpatient/Acute Care Hospital Setting - Required Experience with InterQual and Millman Experience with discharge planning - Required Experience with all patient populations – Required Case Management or Utilization Review Certifica...

Job DescriptionSalary: $22.50 Position Title: Front Office Assistant Department: Front Office Position Reports to: Clinic Office Manager Status: Union Position Summary: Position requires excellent customer service skills with patients, employees, and the public, including but not limitin...

Job DescriptionSalary: $22.50 Position Title: Front Office Assistant Department: Front Office Position Reports to: Clinic Office Manager Status: Union Position Summary: Position requires excellent customer service skills with patients, employees, and the public, including but not limitin...

Job Description Position Purpose: The Registration Clerk serves as the first point of contact for individuals accessing services through the Harm Reduction Program. This role is vital in ensuring a welcoming, radically hospitable, and trauma-informed environment for clients experiencing homelessn...

Position / Specialty: Outpatient/Utilization Review.

Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences as needed. Participate in in services training program for other staff in the facility. Participate in discharge planning.

Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences as needed. Supervise Physical Therapy Assistants in direct patient care and patient related activities, following state practice act. Participate in discharge planning.

Primary Responsibilities: * Provide daily utilization oversight and external communication with network physicians and hospitals * Daily UM reviews - authorizations and denial reviews * Conduct peer to peer conversations for the clinical case reviews, as needed * Conduct provider telephonic revie...

Summary:The Medical Director of Case Management and Utilization Review leads the hospital specific execution of the Case Management (CM) and Utilization Management (UR) and related activities. The Medical Director functions as the primary physician advisor for the hospital and supervises other Ph...

The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.

The Medical Director of Case Management and Utilization Review leads the hospital specific execution of the Case Management (CM) and Utilization Management (UR) and related activities. The Medical Director functions as the primary physician advisor for the hospital and supervises other Physician ...

Participate in QA, Utilization Review and Patient Care conferences. Actively participate in and assist with all state surveys and required follow up activity. Overall management of the entire nursing department and staffing levels.

Conducting utilization management (UM) activities in accordance with health plan policies and regulatory guidelines. Two or more years of experience in utilization management, preferably in Medicare Advantage or managed care. Proficiency in electronic health records (EHR) and utilization manageme...

Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement, and credentialing functions for the business unit. Perform medical review activities related to utilization review, quality assurance, and complex or controversial medical services, ensuring ti...

Facilitates and processes customer returns through the material review process. Quality Assurance Engineer will actively lead the improvement of customer satisfaction by leading the reduction of internal non-conformances and the elimination of customer returns through the effective utilization of...

Description This position is incentive eligible. Introduction Executives thrive with us! HCA Healthcare is one of the nation’s leading providers of healthcare services, comprising of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We are looking for a Chie...

Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences as needed. Supervise Physical Therapy Assistants in direct patient care and patient related activities, following state practice act. Participate in discharge planning.

Job DescriptionSalary: $33.00-35.00 Job Title: MFT-Associate/Certified Counselor Department: Clinical/Operations Division/Section: PHP Reports To: Clinical Director SUMMARY Under the direction of the Clinical Director the MFT-Associate/Certified Counselor will manage the clinical ...

Job Description Lightfully Behavioral Health is a growing leader in mental health treatment providing high-quality, evidence-based treatment and innovative, compassionate care focused on total wellness for those struggling with mental health conditions. Lightfully provides treatment on a full con...

Job DescriptionSalary: 35.00 Job Title: MFT-Associate/Certified Counselor Department: Clinical/Operations Division/Section: PHP/IOP Reports To: Program Director SUMMARY Under the direction of the Program Director the MFT-Associate/Certified Counselor will manage the clinical integ...

Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences as needed. Participate in in services training program for other staff in the facility. Supervise Physical Therapy Assistants in direct patient care and patient related activities, following state ...

Review prescribing trends and propose cost-saving alternatives.

Formulary Strategy & Utilization Review Pharmacist. Review prescribing trends and propose cost-saving alternatives.

The County will make an individualized assessment of whether your conviction history has a direct and adverse relationship with the specific duties of the job, and will also consider potential mitigating factors, which may include, but is not limited to, evidence and extent of rehabilitation, rec...

Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationally recognized clinal criteria across multiple lines of business. The Behaviora...

Work Schedule M-F 8-5 with late shift of 10:30-7pm about 3x/mo and 1 Saturday per qtr Your Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior Care ...

Your Role The Behavioral Health Utilization Management team performs prospective, concurrent, retrospective utilization reviews and first level determination approvals for members using BSC evidenced based guidelines, policies, and nationally recognized clinal criteria across multiple lines of ...

Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationally recognized clinal criteria across multiple lines of business. The Behaviora...

Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Senior Medical Director FEP Prior Authorization and Post Review will report to the ...

Job Description Join Team Royal! Why Royal? At Royal Electric Company we provide expert electrical design, construction, and service with builders, contractors and facility owners who value relationships, trust, expertise, and a commitment to each other towards achieving exceptional results. We ...

Job DescriptionSalary: $21.00-$25.00 Job Title: MFT-Associate/Certified Counselor Department: Clinical/Operations Division/Section: Residential Detox, RTC Reports To: Program Director SUMMARY Under the direction of the Program Director the MFT-Associate/Certified Counselor will ma...

Job Description Pay Range $27.50 - $32.00 per hour. About Us: One of the reasons why we are the nation’s leading parking management expert is because we recognize that “people” are what makes our company successful. It is this recognition that serves as the foundation and building block for our...

Travel Nurse, Utilization Review, Case Manager, Healthcare Jobs, Travel Nursing, RN Jobs, Nursing Benefits, Medical Solutions, Health Insurance, Flexible Nursing Jobs. Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Los Angeles, Californ...

Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in West Hills, California. Posted job title: Case Management (Utilization Review).

Vetted is seeking a RN - Utilization Review for a travel job in West Hollywood, California.

Job DescriptionOur client is consistently recognized as a best workplace, and for commitment to safety, sustainability, and community partnerships. They hire the very best in the construction industry and strives to create an environment that encourages innovation, responsibility, and client sati...

Job DescriptionCompany Description The Vertex Companies, LLC (VERTEX) is a global $150M professional services firm that offers integrated forensic consulting, expert witness services, construction project advisory, and compliance and regulatory consulting to a myriad of markets and industries. ...

Job Description Project Manager for Fire Alarm and Security - TalentZok OVERVIEW Are you looking for a new career opportunity with an exciting company?! Then we've got the right team for you! In this role, you're responsible for the duties listed below. Immediate opening for an Program ...

Job Description LA (Lindeman & Associates) launched in 2015 and quickly established itself as a leader in the entertainment advertising space, winning Clio’s Agency of the Year in 2017. LA brings together artists, editors, and storytellers into one hyper-collaborative team specializing in craftin...

Job DescriptionSalary: $135,000.00 - $142,000.00/annually Every day at CMTS, we undertake impactful infrastructure projects that positively impact lives and communities. CMTS has extensive 40-year industry experience, which ensures a strong foundation for ongoing success. Our company values empl...

Job DescriptionSalary: $170,000 - $180,000 Annually JOB TITLE: Constructability Review Specialist Every day at CMTS, we undertake impactful infrastructure projects that positively impact lives and communities. CMTS has an extensive 35-year industry experience, which ensures a strong foundation ...

Job Description Position Title: Program Operations Supervisor I, II or III Department: Program Development/Mobile Narcotic Treatment Program Reports To: Program Director POSITION SUMMARY Join a dedicated team of substance use disorder treatment professionals! Seeking a full-time Program O...

Job Description Frost Brown Todd LLP, a national law firm with 1000+ legal and business professionals in eighteen offices, is currently searching for a full-time IP Operations Manager to join our firm. The IP Operations Manager will lead and enhance the business operations of the Intellectual Pro...