- Veterans Affairs, Veterans Health Administration (San Diego, CA)
- …necessity and intensity of service for transfer referrals. 11. Documents outcomes of utilization management in their respective assigned areas where resource ... eligible Veterans and coordinated by an RN specializing in care coordination. The Transfer Coordinator RN facilitates...patients from VASDHS to other-VA medical facilities and non-VA care facilities when necessary. 8. Conducts utilization … more
- Sharp HealthCare (San Diego, CA)
- …setup and daily operational integrity, respectively. The Pharmacy Technician Informatics Coordinator will serve as a facilitator and contributor to Pharmacy's ... potential usage irregularities, forward necessary information to pharmacy and nursing management for their assessment and assist with further review as… more
- Sharp HealthCare (San Diego, CA)
- …and benefits;IDX system modules for Registration, Enrollment, Customer Service, Referrals/ Utilization Management , Premium Billing, and Claims;All member ... information and tools. Supports leadership in the development and management of a quality audit program including audit benchmarks,...Bachelor's Degree in related field. + Experience in health care or managed care environment. + Relevant… more
- Sharp HealthCare (San Diego, CA)
- …a Hospital Revenue Cycle. Years of experience may be supplemented with health care related degree. + Experience implementing workflow solutions related to health ... care regulations. + Driver's License - CA Department of...Communicates project status, targets, activities and issues to Training Coordinator -Revenue Cycle and/or Training and Education Department Manager. Communicates… more