- Emanate Health (Covina, CA)
- …States, and the #19 ranked company in the country. **J** **ob Summary** The Utilization Review Nurse will evaluate medical records to determine medical necessity ... Requirement :** **Minimum Experience Requirement :** Minimum of three years of utilization management experience. Experience in quality - related job preferred.… more
- Cedars-Sinai (Beverly Hills, CA)
- …patient care standards and requirements, including areas such as safety and quality assurance are being followed. Stays current with applicable standards. ... Responsible for administrative support activities involving facilities management, pharmacy, utilization management, quality management, risk management. +… more
- Cedars-Sinai (Tarzana, CA)
- …patient care standards and requirements, including areas such as safety and quality assurance are being followed. Stays current with applicable standards. ... Responsible for administrative support activities involving facilities management, pharmacy, utilization management, quality management, risk management. +… more
- UCLA Health (Los Angeles, CA)
- …tools and techniques to optimize performance (including individual performance expectations, quality assurance based on patient/customer feedback, focus on ... Description The staff RN is a professional caregiver who provides pre-operative...the creation of educational teaching material for patient care/staff utilization . Working knowledge of various CareConnect templates for the… more
- LA Care Health Plan (Los Angeles, CA)
- …Licensed Clinical Social Worker (LCSW); Current and unrestricted California License or Registered Nurse ( RN ); current and unrestrited California License. ... (DMHC) regulations, applicable state and federal regulations, National Committee on Quality Assurance (NCQA) CM Certification, Management Services Agreements &… more
- LA Care Health Plan (Los Angeles, CA)
- …Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese. Licenses/Certifications Required Registered Nurse ( RN );current and unrestricted California ... continuum of programmatic levels including those within National Committee for Quality Assurance (NCQA) scope or otherwise Complex/Catastrophic cases, which… more