Reporting to the Sr Medical Director, the Nurse Manager, Quality Review provides leadership and oversight of SFHP...'s quality review functions, ensuring timely and compliant resolution of clinical grievances, appeals, potential quality issues...
your qualifications. Registered Nurse Case Manager - Home Health San Francisco, CA Full Time Home Health Mid Level For over 45... with empathy, kindness, and respect. TITLE: Registered Nurse Case Manager - Home Health OFFICE LOCATION: South San Francisco...
Position Overview: Conducts preauthorization, concurrent, and retrospective utilization management review using the department... Other: Graduate of an accredited school of nursing CERTIFICATION & LICENSURE: RN-Registered Nurse of California CCM...
. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the.../She collaborates with patients, families, physicians, the interdisciplinary team, nursing management, quality, ancillary...
Reporting to the Director of Clinical Operations, the Nurse Manager, Prior Authorizations, provides clinical..., workload balance, and service quality; identify opportunities for development and process improvement. Conduct regular check...
as appropriate. Coordinates resources and services to assure continuity and quality of care. Attends case management rounds...; recommending and designing research plans that identify new and/or existing options to assure that quality, cost-efficient care...
Nurse of California OR MD-Medical Doctor OR DO-Doctor of Osteopathy OR Foreign trained physician CCS-Certified Coding... transition, including potential impact on data quality for prospective payments, utilization, and reimbursement. Knowledge of ICD...
campaign-Day hours_per_week-40 industry-A01|SEIU|United-Healthcare-Workers-West is_manager-Surg-Tech job_level... of instruments and equipment. Essential Responsibilities: Specifically and regularly assigned to direct, check, review, assign...
Nurse Consultant, Nurse Manager, and/or Nurse Case Managers to review complex claims and establish medical protocols. 13.... Advises the Occupational Nurse Manager and/or Consultant on issues related to medical clinic operations. 14. Provides...
campaign-Evening hours_per_week-1 industry-A01|SEIU|United-Healthcare-Workers-West is_manager-Surg-Tech job_level... Responsibilities: Specifically and regularly assigned to direct, check, review, assign, organize, coordinate, train and reporting...
campaign-Day hours_per_week-40 industry-A01|SEIU|United-Healthcare-Workers-West is_manager-Surg-Tech job_level..., review, assign, organize, coordinate, train and reporting on the work of one (1) or more other Surgical Technicians; or who...
campaign-Day hours_per_week-40 industry-A01|SEIU|United-Healthcare-Workers-West is_manager-Surg-Tech job_level..., review, assign, organize, coordinate, train and reporting on the work of one (1) or more other Surgical Technicians; or who...
campaign-Day hours_per_week-1 industry-A01|SEIU|United-Healthcare-Workers-West is_manager-Surg-Tech job_level... to direct, check, review, assign, organize, coordinate, train and reporting on the work of one (1) or more other Surgical...
campaign-Day hours_per_week-1 industry-A01|SEIU|United-Healthcare-Workers-West is_manager-Surg-Tech job_level... to direct, check, review, assign, organize, coordinate, train and reporting on the work of one (1) or more other Surgical...
campaign-Day hours_per_week-40 industry-A01|SEIU|United-Healthcare-Workers-West is_manager-Surg-Tech job_level..., review, assign, organize, coordinate, train and reporting on the work of one (1) or more other Surgical Technicians; or who...
campaign-Day hours_per_week-1 industry-A01|SEIU|United-Healthcare-Workers-West is_manager-Surg-Tech job_level... to direct, check, review, assign, organize, coordinate, train and reporting on the work of one (1) or more other Surgical...
campaign-Day hours_per_week-1 industry-A01|SEIU|United-Healthcare-Workers-West is_manager-Surg-Tech job_level... to direct, check, review, assign, organize, coordinate, train and reporting on the work of one (1) or more other Surgical...
campaign-Day hours_per_week-40 industry-A01|SEIU|United-Healthcare-Workers-West is_manager-Surg-Tech job_level..., review, assign, organize, coordinate, train and reporting on the work of one (1) or more other Surgical Technicians; or who...
campaign-Day hours_per_week-40 industry-A01|SEIU|United-Healthcare-Workers-West is_manager-Surg-Tech job_level..., review, assign, organize, coordinate, train and reporting on the work of one (1) or more other Surgical Technicians; or who...
campaign-Day hours_per_week-1 industry-A01|SEIU|United-Healthcare-Workers-West is_manager-Surg-Tech job_level... to direct, check, review, assign, organize, coordinate, train and reporting on the work of one (1) or more other Surgical...