Utilization Management Jobs in Santa Rosa, CA (NOW HIRING)

MUST HAVE CALIFORNIA LICENSE Utilization Management Experience The Utilization Management, Medical Director works with Senior Medical Officers, Regional Medical Officers, Extensivists, the Healthcare ...

MUST HAVE CALIFORNIA LICENSE Utilization Management Experience The Utilization Management, Medical Director works with Senior Medical Officers, Regional Medical Officers, Extensivists, the Healthcare ...

MUST HAVE CALIFORNIA LICENSE Utilization Management Experience The Utilization Management, Medical Director works with Senior Medical Officers, Regional Medical Officers, Extensivists, the Healthcare ...

PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN: * 1 year of experience in utilization management and discharge planning. SKILLS AND KNOWLEDGE * Oral and written communication skills. * Interpersonal ...

PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN: * 1 year of experience in utilization management and discharge planning. SKILLS AND KNOWLEDGE * Oral and written communication skills. * Interpersonal ...

Minimum 2 years experience working in Utilization Management (admissions, utilization review, and/or discharge planning). For prompt and confidential consideration, please apply to the link below:

Supports utilization management and ensures compliance with payer guidelines. Onboarding typically takes 2-4 weeks based on documentation and clearance processes. Requirements Required for Onboarding:

Supports utilization management and ensures compliance with payer guidelines. Onboarding typically takes 2-4 weeks based on documentation and clearance processes. Requirements Required for Onboarding:

Utilization Management * Patient Advocacy * Interdisciplinary Team Collaboration * Proficiency with Epic EMR preferred * Strong communication and organizational skills Traveler Requirements * First ...

Utilization Management. Reviews medical record to ensure patient continues to meet level of care (LOC) requirements and that chart documentation supports LOC determination and assignment. Works with ...

Knowledge of value-based care, fee for service and Medicare Advantage/Dual (Medicare/Medicaid), NCQA, HEDIS and basic Utilization Management functions * Expertise in care coordination for geriatric ...

The Registered Nurse will be responsible for providing skilled nursing care, case management, and ... Experience in Utilization Review or case management roles. * Specialty certifications relevant to ...

This includes case management and utilization management. The Case Manager provides concise management of patients' hospitalization from pre-admission through discharge in the areas of patient care ...

Utilization Review * Discharge Planning * Care Coordination Preferred * Data Abstraction * InterQual Criteria utilization * Disease Management * Disability and Worker's Compensation Case Management ...

... in Utilization Management or Interdisciplinary Care Management Meeting to facilitate appropriate discharge planning: 3.5.1. Communicates team's recommendations for discharge to the attending ...

... in Utilization Management or Interdisciplinary Care Management Meeting to facilitate appropriate discharge planning: 3.5.1. Communicates team's recommendations for discharge to the attending ...

Travel Registered Nurse Case Management Profession: Registered Nurse Specialty: Case Management Job ... Need discharge planning with knowledge of Utilization Review and Status

Acute Care Hospital - Case Management / Care Coordination Shift: 8-Hour Day Shift Pay Rate: $186 ... Promote efficient utilization of healthcare resources * Drive department performance improvement ...

Directs appropriate utilization of resources and achievement of clinical and financial outcomes. Responsibilities : * Responsible for daily operations of care management to hospital units.

Directs appropriate utilization of resources and achievement of clinical and financial outcomes. Responsibilities : * Responsible for daily operations of care management to hospital units.