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Utilization Review Jobs in Fresno

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Search Results - Utilization Review Jobs in Fresno
Community Medical Centers-Fresno-
community agencies, and physicians to facilitate efficient and appropriate management of all cases. In collaboration with the Command Center, the RN Case Manager - ED assists the Utilization Review Coordinator in identifying patients appropriate...
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Community Medical Centers-Fresno-
ED assists the Utilization Review Coordinator in identifying patients appropriate for inpatient or observation admission status./n /n Qualifications: /n Education /n /n  •  Bachelor's Degree in Nursing required /n  •  Master's Degree in Nursing...
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BoldAge PACE-Fresno-
quality improvement, utilization review, and compliance initiatives.  •  Maintain current licensure, certifications, and participation in ongoing professional development. EXPERIENCE AND EDUCATION:  •  Advanced degree in Occupational Therapy from...
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Westcare-Fresno-
Participate in design and implementation of research, such as program evaluation and outcome studies.  •  Arrange for staff development, education, and training activities.  •  Implement Quality Assurance and Utilization Review systems that monitor...
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BoldAge PACE-Fresno-
quality improvement, utilization review, and compliance initiatives.  •  Maintain current licensure, certifications, and participation in ongoing professional development. EXPERIENCE AND EDUCATION:  •  Advanced degree in Occupational Therapy from...
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Community Health System-Fresno-
community agencies, and physicians to facilitate efficient and appropriate management of all cases. In collaboration with the Command Center, the RN Case Manager - ED assists the Utilization Review Coordinator in identifying patients appropriate...
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Fresno-pacificclinics.org-
regional quality improvement committees, processes and activities using a Continuous Quality Improvement - Continuous Learning Approach.  •  Develop, implement and maintain the regional utilization review process that is consistent with federal, state, county...
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BoldAge PACE-Fresno-
as needed/when assigned. May perform the duties of other IDT members based on professional licensing, competencies, and experience as needed  •  Actively participates in utilization review meetings and quality improvement projects / meetings.  •  Evaluates...
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Madera Community Hospital-Madera (CA), 11 mi from Fresno-
with the patient. Utilization review procedures include those stated for discharge planning in addition to knowledge of criteria for Medicare, Medicaid coverage and that of HMO or private insurers. Qualifications:  •  Minimum of 1–3 years of related acute care...
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Madera Community Hospital-Madera (CA), 11 mi from Fresno-
with flexible schedule. Qualifications: Requires completion of Registered Nurse program, prefer BSN. Requires Minimum 5 years clinical nursing experience, including experience in quality improvement and utilization review. Requires proficiency in data...
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