Utilization Review Jobs in Apple Valley (CA)
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Search Results - Utilization Review Jobs in Apple Valley (CA)
ICONMA-Apple Valley (CA)
Requirements
• 2 years of Acute care CM experience - can consider travelers with 1.5 years.
• Experience with Utilization Review and Discharge Planning.
• Experience with InterQual....
mindmatch.ai -
Ontario, 44 mi from Apple Valley (CA)
Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf
Responsibilities:
The Utilization review tech essentially works to coordinate the utilization review and appeals...
icims.com -
Pyramid Consulting, Inc-Fontana, 34 mi from Apple Valley (CA)
and Technology Experience:
One should have Demonstrated ability to utilize/apply the general and specialized principles, practices, techniques and methods of Utilization review/management, discharge planning or case management. Working knowledge of regulatory...
resume-library.com -
Encompass Health-Beaumont (CA), 41 mi from Apple Valley (CA)
with organizational standards.
Completes special projects and other duties as requested to support needs of organization.
Coordinates and participates in hospital utilization review process.
Performs case management analysis.
Oversees concurrent review functions...
Alura Workforce Solutions-Rancho Cucamonga, 35 mi from Apple Valley (CA)
disease states and respective medication therapy management and drug utilization review.
Ensure regulatory reporting requirements and fraud and abuse reporting are met for all clinical and prior authorization operations.
Participate in multi-disciplinary...
resume-library.com -
Inland Empire Health Plans-Rancho Cucamonga, 35 mi from Apple Valley (CA)
Current trends in health care and clinical operations
• Administrative practices and procedures including but not limited to quality assessment and improvement, care coordination, utilization review, peer review, credentialing and risk management
Start...
appcast.io -
Montclair (CA), 44 mi from Apple Valley (CA)
operate a comprehensive Case Management Program. Provides leadership and supervision to case managers, social workers, case management coordinators/discharge planners, utilization review coordinators and utilization review technicians.
Assesses needs...
icims.com -
Inland Empire Health Plans-Rancho Cucamonga, 35 mi from Apple Valley (CA)
management, utilization management (UM), and grievance and appeals and committee participation. The Medical Director of Behavioral Health oversees the inpatient/concurrent review process, care integration efforts, and all levels of behavioral health care...
appcast.io -
Ontario, 44 mi from Apple Valley (CA)
oversight of the Utilization Review process for the self-insured Employee Health Plans, according to the EPO Plan Documents and any other applicable documents.
• Integrates and coordinates services using continuous quality improvement initiatives to promote...
icims.com -
San Bernardino, 29 mi from Apple Valley (CA)
appropriate knowledge of RN scope of practice, current state requirements, CMS Conditions of Participation, EMTALA, The Patient Bill of Rights, AB1203 and other Federal or State regulatory agency requirements specific to Utilization Review and Discharge...
icims.com -
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