Utilization Review Jobs in Bakersfield
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Search Results - Utilization Review Jobs in Bakersfield
Bakersfield Behavioral Healthcare Hospital-Bakersfield
Assists the utilization review process taking on various tasks including data collection of demographic, claim and medical information; non-medical analysis; and outcomes reporting. Performs routine record keeping tasks. Provide clerical support...
jobvertise.com -
Bakersfield
and compliant care coordination, discharge planning, utilization review and social work interventions resulting in quality patient care.
Qualifications:
Minimum Requirements:
• Current State License for Social Work (LCSW.)
• Masters Degree in Social Work from...
icims.com -
Bakersfield
Consults with nursing and medical staff on prescription orders, patient reactions, and errors or complaints. Conducts drug utilization reviews and prepares drug review criteria for medical staff approval. Monitors drug therapies as assigned by medical staff...
ernesthealth.com -
Kaiser Permanente-California
and patient needs.
• Assures compliance with Federal, State, TJC, NCQA, other regulatory agencies and internal standards and requirements.
• Provides direction to staff regarding utilization review, care coordination, discharge planning, and other services...
Encompass Health-California
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...
Kaiser Permanente-California
and obtaining all authorizations/approvals as needed for outside services for patients/families.
• Conducts daily clinical reviews for utilization/quality management activities based on guidelines/standards for patients in a variety of settings, including...
Hanover Insurance Group, Inc.-California
to treatment adherence by the claimant or insured party
• Collaborates with claim handler for utilization review services as appropriate
• Coordinates and monitors clinical treatment services such as discharge planning, medical specialty referrals, and vendor...
Kaiser Permanente-California
as needed for outside services for patients/families.
• Conducts daily clinical reviews for utilization/quality management activities based on guidelines/standards for patients in a variety of settings, including outpatient, emergency room, inpatient and non...
California
setting
• Minimum 1 years of management and supervisory experience
• Background in utilization review, risk management and licensure standards
SKILLS:
• Bilingual Preferred (English/Spanish)
• Able to quickly build and maintain rapport with patients...
icims.com -
Kaiser Permanente-California
and obtaining all authorizations/approvals as needed for outside services for patients/families.
• Conducts daily clinical reviews for utilization/quality management activities based on guidelines/standards for patients in a variety of settings, including...
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