- Prime Healthcare (San Dimas, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/234286/ utilization - review - coordinator ... both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able...standards set forth by the Hospital/ Department at UR Coordinator position for at least 6 months. + 1+… more
- The County of Los Angeles (Los Angeles, CA)
- …OPTION I:One year of experience performing the duties of a Utilization Review Nurse* or Medical Service Coordinator , CCS.** -OR- OPTION II: Two (2) ... UTILIZATION REVIEW NURSE SUPERVISOR I Print...In the County of Los Angeles, a Medical Service Coordinator , CCS (https://www.governmentjobs.com/careers/lacounty/classspecs/1065117) determines medical eligibility of children referred… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE ... direction, administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one… more
- Dignity Health (Los Angeles, CA)
- …90 days of hire. + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure ... bonus not to exceed 10% of salary for this position. The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for… more
- Dignity Health (Long Beach, CA)
- …+ AHA BLS card + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure ... **Job Summary and Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for identified patients… more
- Dignity Health (Long Beach, CA)
- …+ AHA BLS card + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure ... **Job Summary and Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for identified patients… more
- Dignity Health (Glendale, CA)
- …+ AHA BLS card + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure ... **Job Summary and Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for identified patients… more
- Dignity Health (Oxnard, CA)
- …AHA BLS card **Skills** + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ... **Job Summary and Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for identified patients… more
- Cedars-Sinai (Beverly Hills, CA)
- …for medical necessity, appropriateness of care and level of care. Use evidence based review guidelines to conduct utilization review as is appropriate to ... innovation. **A Little More About What You Will be Doing** The RN Care Coordinator is responsible for the case management of patient while hospitalized and upon… more
- Prime Healthcare (Inglewood, CA)
- …and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and ... institution in a Health and Human Services field is highly preferred. 2. Utilization Review /Case Management experience is highly preferred. 3. 1+ year of… more
- Pomona Valley Hospital Medical Center (Pomona, CA)
- …financial system. This position requires a strong understanding of payer policies, utilization review workflows, admission criteria, and hospital revenue cycle ... or equivalent. Three years' experience in patient access, hospital admissions, utilization review , or insurance authorization. Strong communication, critical… more
- Dignity Health (Camarillo, CA)
- …+ At least 3 years previous experience in health care, care coordination, utilization review , discharge planning or similar healthcare setting. + Experience ... **Job Summary and Responsibilities** **Care** ** Coordinator ** **Assistant - Care Coordination** **St. John's Regional Medical Center** The Care Coordinator … more
- UCLA Health (Los Angeles, CA)
- …external, to assist patients with discharge/post hospital care + Interact closely with Utilization Review and Patient Business Services to ensure correct and ... Description In this role as a Transplant Financial Coordinator you will: + Perform all admission functions...in the functional operations of third party payors and utilization review agencies to expeditiously coordinate follow-up… more
- Dignity Health (Los Angeles, CA)
- …and community. + Attends LA County DMH meetings and trainings pertaining to utilization review , billing and audit procedures, data entry, and reimbursement. + ... **Job Summary and Responsibilities** As our Quality Coordinator , you will be a pivotal driver of...meetings with clinical staff. + Conducts internal audit and utilization review activities on cases and informs… more
- Cedars-Sinai (Beverly Hills, CA)
- …Medical Center is seeking a highly motivated and experienced Supply Chain Pharmacy Coordinator to join our team in Los Angeles, CA. Under the direction of ... a Pharmacy Manager, the Coordinator will play a critical role in developing, implementing, and monitoring pharmacy programs, leading pharmacy practice advancement,… more
- Skanska (Riverside, CA)
- Skanska is searching for a dynamic **Equipment Coordinator .** This is a great opportunity to start a career with a company that builds things that matter and values ... our values support and drive our D&I efforts. The Equipment Coordinator 's responsibilities include equipment tracking, coordination and maintenance of the company… more
- University of Southern California (Arcadia, CA)
- …outside referring physicians andmedical groups.* Communicates with insurance company utilization review and authorization personnel.* Gathers and maintains ... physician in complex cases with multiple practitioners.* Ensures appropriate resource utilization relevant to the financial, regulatory and clinical aspects of… more
- Grifols Shared Services North America, Inc (Los Angeles, CA)
- …more than 110 countries and regions. **POSITION SUMMARY** Responsible for the review of manufacturing batch documentation and the preparation of product releases and ... the appropriate personnel. + Monitor documentation error rates of different departments by utilization of a database that requires updating on a daily basis. +… more
- UCLA Health (Los Angeles, CA)
- …Health ICM Coordinator plays a key role in supporting our Utilization Management team to ensure safe, high-quality, and cost-effective care for patients enrolled ... outreach to support continuity of care and prevent avoidable hospitalizations. + Review and track claims, authorizations, and compliance with CMS regulations. +… more
- Pomona Valley Hospital Medical Center (Pomona, CA)
- …education necessary to meet licensure requirements. One year experience in Utilization Review or Case Management discharge planning, current knowledge/use ... vital role within the Case Management Department. The LVN within the Utilization Management team collaborates closely with Case Managers, support staff, insurance… more