Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full

…management process. Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the admission process

…continuum. Through their intervention they will promote the efficient and appropriate utilization of resources identify and address care gaps promote health behavior

…a large portfolio for CCS SOC that includes: 1) Quality Assurance, 2) Utilization Management, 3.) Mobile Crisis Benefit Monitoring), 4) Cal Aim Reform and new

…residents, and addiction psychiatry fellows. + Providing oversight to ensure appropriate utilization of services throughout the CeDAR levels of care by developing an

…oversight for the local OCC Department to include administrative staff for review of eligibility, authorizations and scheduling etc., Registered Nurses (RN's) for

…swallowing consistent with physician referral. 2. Perform evaluations consisting of a review of the patient's medical, surgical and social history. Interpretation of

…will determine the efficacy of therapeutic interventions, technologies and outcomes and the utilization of COTA's, students and support personnel. + You will work as

…care in an ambulatory clinical setting. + Participate as needed in chart review and clinical coding compliance activities. + Assist in the supervision of Advanced

…the information needed to make decisions and choices. + Facilitate appropriate utilization of the medical system cost-effectively without jeopardizing the quality of