Utilization Review Jobs in San Jose
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Search Results - Utilization Review Jobs in San Jose
Molina HealthcareSan Jose
with multidisciplinary teams to promote the Molina care model.
• Adheres to utilization management (UM) policies and procedures.
Required Qualifications
• At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization...
San Joseicims.com
Behavioral Health is currently seeking a Utilization Review Specialist - Full Time to assist the Utilization Department staff with comprehensive inpatient care and treatment within our 133-bed Acute Psychiatric Hospital.
San Jose Behavioral Health is where...
San Josetiptopjob.com
knowledge of nursing principles and practices, hospital operations, medical supplies, and their clinical applications.
• Proficiency with Microsoft Office applications, including Word, Excel, Outlook, and PowerPoint.
• Utilization Review experience is a plus...
San Joseicims.com
the Patient Safety Reporting system.
• Facilitate medical staff drug utilization reviews (DURs) as deemed necessary.
• Exhibit basic competency in Microsoft Word, Microsoft Excel, and Microsoft PowerPoint and be able to type 40 words per minute.
• Assess...
South San Francisco, 34 mi from San Joseicims.com
with Concentra 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...
San Joseicims.com
with utilization review activities.
• Track corrective actions and monitor the effectiveness of interventions.
• Support infection prevention and control surveillance activities.
• Competency in gathering information and understanding context from several sources...
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