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CommonSpirit Health
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Sacramento, California
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profiles, clinical service utilization and support for revenue management activities ... remote position.**
Summary
The Utilization Management Physician Advisor II conducts
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Alameda Health System
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Oakland, California
...
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-Performs daily clinical rounds and monthly audit of charts on care management activities (utilization ... cases regularly with staff; acts as clinical consultant regarding care management issues; guides
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Alameda Health System
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Oakland, California
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as clinical consultant regarding care management issues; guides clinical staff with review of ... Care Management at Highland is responsible for the day-to-day operations of facility wide utilization
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Kaiser Permanente
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Hayward, California
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Job Summary:
In a Consultant-Liaison role, evaluates and diagnosis Health Plan members ... management.
Prepares concise intake evaluations and treatment plans, and maintains ongoing
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Kaiser Permanente
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Pasadena, California
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clinical practice expert/resource to staff.
Participates in program management, including ... professional staff providing direct patient care which may include one or more of the following clinical/care
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L.A. Care Health Plan
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Los Angeles, California
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Utilization Management Clinical Quality Nurse Reviewer RN II
Job Category: Clinical
Department: Utilization Management
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Kaiser Permanente
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La Mesa, California
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clinical practice expert/resource to staff.
Participates in program management, including ... professional staff providing direct patient care which may include one or more of the following clinical/care
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Cedars-Sinai
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Los Angeles, California
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Consultant, Operations, works as part of a cross-functional team to enhance clinical efficiencies, promote ... of interventions, including clinical, patient-centered, utilization, and financial outcomes and
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Acadia Healthcare
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Carlsbad, California
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management for prevention of clinical risks throughout the facility.
Develop and lead educational activities to enhance the clinical understanding and utilization of the Full Disclosure process
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Sharp HealthCare
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San Diego, California
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**
California BBS Licensed Clinical Social Worker (LCSW) - CA Board of Behavioral Sciences; AHA Basic Life ... conducting behavioral health psychosocial assessments and clinical interventions, inclusive of individual
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Kaiser Permanente
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San Leandro, California
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Job Summary:
In a Consultant-Liaison role, evaluates and diagnosis Health Plan members ... management.
Prepares concise intake evaluations and treatment plans, and maintains ongoing
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Dignity Health
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Northridge, California
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skills, functions as educator, consultant, and researcher. The Clinical Manager/Educator, working in ... clinical issues in order to promote quality patient care. Serves as a consultant to nursing staff
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L.A. Care Health Plan
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Los Angeles, California
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Supervisor, Utilization Management RN
Job Category: Clinical
Department: Utilization Management
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Sharp HealthCare
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San Diego, California
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Time**
Master's Degree; California BBS Licensed Clinical Social Worker (LCSW) - CA Board of ... conducting behavioral health psychosocial assessments and clinical interventions, inclusive of individual
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Sharp HealthCare
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San Diego, California
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interdisciplinary team.Provides leadership as role model and/or consultant to develop/retain professional clinical ... conducting behavioral health psychosocial assessments and clinical interventions, inclusive of individual
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Sharp HealthCare
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San Diego, California
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assessments and clinical interventions, inclusive of individual, group, and family therapy in the partial ... , coordinates patient care and provides case management for assigned patients.
**Required Qualifications
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Lucile Packard Children's Hospital Stanford
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Palo Alto, California
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This paragraph summarizes the general nature, level and purpose of the job.
Clinical Nurse ... specific clinical area
Use advanced clinical skills in the assessment, diagnosis, treatment and
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Kaiser Permanente
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San Francisco, California
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Job Summary:
In a Consultant-Liaison role, evaluates and diagnosis Health Plan members ... management.
Prepares concise intake evaluations and treatment plans, and maintains ongoing
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Lucile Packard Children's Hospital Stanford
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Palo Alto, California
...
general nature, level and purpose of the job.
Clinical Nurse Specialists are Master's Degree ... :
Provide care for patients with multiple or complex health needs within a specific clinical area
Use
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Kaiser Permanente
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Tracy, California
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: responsible for utilization management.
Kaiser Permanente conducts compensation reviews of ... .
Secondary Functions:
Behavioral Health Manager (BHM) I for Behavioral Health Consultant
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Hospice Of San Joaquin
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Stockton, California
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team and the Clinical team.
ESSENTIAL DUTIES AND RESPONSIBILITIES ... daily facility visits to ensure clinical records are accurate, comprehensive, and assists in
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Sutter Health
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San Francisco, California
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house staff, and all utilization management (UM) personnel, Care Management (CM) personnel to develop ... utilization of health care services. The PA meets with care management, UM staff and health care team members
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Kaiser Permanente
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Salinas, California
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Job Summary:
In a Consultant-Liaison role, evaluates and diagnosis Health Plan ... brief case management.
Prepares concise intake evaluations and treatment plans, and
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Sharp HealthCare
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San Diego, California
...
**
Bachelor's degree
Prior experience in Quality Improvement/Utilization Management
California ... Record, including financial and clinical applications. Acts as the regulatory and compliance expert and
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Sharp HealthCare
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San Diego, California
...
**
California BBS Licensed Clinical Social Worker (LCSW) - CA Board of Behavioral Sciences; AHA Basic Life ... conducting behavioral health psychosocial assessments and clinical interventions, inclusive of individual
...
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Lucile Packard Children's Hospital Stanford
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Palo Alto, California
...
the general nature, level and purpose of the job.
Clinical Nurse Specialists are Master ... responsibilities:
Provide care for patients with multiple or complex health needs within a specific clinical
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Kaiser Permanente
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Anaheim, California
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utilization review, clinical records audit, claim denials, member satisfaction surveys, and auditing surveys ... :
Knowledge, Skills, and Abilities (KSAs): Clinical Quality Expertise; Negotiation; Risk Management
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Boehringer Ingelheim
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Los Angeles, California
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Description
The Cardiovascular-Renal Sales Consultant is responsible for partnering in ... directives. The Cardiovascular-Renal Sales Consultant will conduct their business with key targeted
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Kaiser Permanente
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Santa Clara, California
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utilization review, clinical records audit, claim denials, member satisfaction surveys, and auditing surveys ... :
Knowledge, Skills, and Abilities (KSAs): Clinical Quality Expertise; Negotiation; Risk Management
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L.A. Care Health Plan
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Los Angeles, California
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, federal and regulatory requirements in Appeals/Care/Case/Utilization Management/Quality ... Supervisor, Appeals and Grievances Clinical Operations RN
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