Utilization Review Jobs in San Diego
Search jobs in
1 - 10 of 10
Search Results - Utilization Review Jobs in San Diego
Aurora San DiegoSan Diegoworkable.com
appeals to third party payers
• Recordkeeping: Maintains appropriate records of the Utilization Review Department
• Training: Provide staff in-service training and education
• Maintains confidentiality of patients at all times
• Ability to cope well...
Sharp HealthCareSan Diegoappcast.io
errors; Have the ability to proof work.
Knowledge of insurance, utilization review, scheduling requirements and support of front desk responsibilities.
Able to operate and maintain department equipment.
Knowledge, Skills, and Abilities
• Demonstrated...
Managed Care AdvisorsSan Diego
involved in any medical disability case.
Qualifications
• Unrestricted State Registered Nursing License
• 3+ years related clinical experience with at least 1 year in workers' compensation, utilization review, disability case management, occupational...
NavitasPartnersSan Diegotalentnest.com
the continuum of care
• Perform discharge planning and utilization review
• Collaborate with physicians, nurses, and allied health professionals
• Ensure appropriate resource utilization and patient advocacy
• Monitor patient progress and adjust care plans...
San Diegoicims.com
Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations
Responsibilities:
MAJOR DUTIES AND RESPONSIBILITIES:
• Reviews medical files and provides recommendations for utilization review, chart reviews...
NavitasPartnersSan Diegotalentnest.com
and hospital policies
• Support appeals, denials, and utilization review processes
• Coordinate complex discharges involving social, behavioral, and medical needs
• Educate patients and families on care plans and post-discharge resources
• Maintain accurate...
San Diegoacentra.com
obligations.
• Skilled in conducting utilization reviews and patient chart reviews with accuracy and timeliness.
• Strong clinical assessment, analytical, and critical-thinking skills with the ability to apply evidence-based criteria.
• Excellent written...
Motive CompaniesSan Diegosmartsearchonline.com
quality assurance reviews, and utilization reviews
• Ensure compliance with HIPAA and state regulatory standards
Financial and Operational Management
• Monitor enrollments, service activity, and billing accuracy
• Support budget planning and financial oversight...
San Diegoicims.com
personnel as necessary.
• Act as a patient advocate, ensuring dignity and confidentiality.
• Demonstrate empathy and compassion for patient experience.
• Advocate for evidence-based practices in case management and utilization review.
• Safety...
Vista Community ClinicVista (CA), 30 mi from San Diego
programs; supervise patient care professionals, technicians and other staff.
• Participate in quality assurance, quality improvement and utilization review
• Provide in-service training to clinic staff to increase staff awareness and to facilitate better...
Utilization Review jobs in San Diego – Similar offers:
Utilization Review jobs – More cities:
Broaden your job search:
Don’t miss out on new job openings!
Create a job alert for: Utilization Review, San Diego
It's free, and you can cancel email updates at any time