- Providence (Mission Hills, CA)
- …strong clinical background combined with well-developed knowledge and skills in Utilization Management , medical necessity, and patient status determination. ... **Description** Provide prospective, retrospective, and concurrent utilization reviews for our LA ministries. Conduct clinical reviews and review medical records… more
- Providence (Tarzana, CA)
- …Healthcare related field (Acute, Ambulatory, Post-Acute, etc.) + 2 years of experience in Case Management (Care Coordination or Utilization Management ) ... **Description** Case Management is a collaborative practice...care coordination along a continuum through effective transitional care management and utilization management . Recognizing… more
- Cedars-Sinai (Los Angeles, CA)
- …and vetting of any community MH provider as needed. + Supports and advises Utilization Management , CS 360, and population health teams as needed, including ... currently exists to support primary care physicians and their management of patients with mild to moderate depression and...to track all assigned patients and prioritize patients for case review and treatment adjustment. + Recommends any treatment… more