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Palomar Pomerado Health-San Diego, CA, 92108, USA
Utilization Review Case Mgr II Department: Clinical Resource Management Schedule: Per Diem Shift: Varies Hours: 08 Union: CNA Req Num: 000007813 Job Details: Responsible for implementing the utilization management process for patients admitted to acute level of care. Conducts daily concurrent clinical reviews for utilization/quality management activities, based on acute care guidelines/standards with focus on appropriateness of admission, monitoring length of stay, and discharge delays. Provides telephonic or fax reviews to multiple health plans/medical groups. Communicates the plan of care...
Utilization Reviewer Jobs in San Diego, California Jobs
MRINetwork | San Diego, CA | 2-5
Compensation: $35-45 hour. Overtime pay would include time and a half, and double time rates. Fully furnished apartment with rental car dependent on compensation requirements. This healthcare system recently opened its most environmentally friendly hospital to date, to patients and staff in the San Joaquin Valley. Facilities include full-service Emergency Departments, providing 24/7 care, along with comprehensive Labor and Delivery Departments. Additionally, facilities are currently functioning with the most up to date electronic health record systems. The system itself has earned national ...
Palomar Pomerado Health | San Diego, CA, 92108, USA | 3-5
Utilization Review Case Mgr II Department: Clinical Resource Management Schedule: Per Diem Shift: Varies Hours: 08 Union: CNA Req Num: 000007813 Job Details: Responsible for implementing the utilization management process for patients admitted to acute level of care. Conducts daily concurrent clinical reviews for utilization/quality management activities, based on acute care guidelines/standards with focus on appropriateness of admission, monitoring length of stay, and discharge delays. Provides telephonic or fax reviews to multiple health plans/medical groups. Communicates the plan of care...
Palomar Pomerado Health Jobs
Palomar Pomerado Health | San Diego, CA, 92101 | 5
NURSE SUPERVISOR Serving San Diego's inland North County communities for more than 50 years, PPH is a family of outstanding healthcare facilities that cover an area of more than 800-square miles. As the largest hospital district in Southern California, we are also one of the most diverse. From our state-of-the-art Cardiac Care and Rehabilitation Facilities and a busy Trauma center to Home Healthcare, we deliver a full spectrum of health services to meet the needs of every member in our community. We promote a philosophy that encourages growth and satisfaction. We provide a work environment ...
Palomar Pomerado Health | San Diego, CA, 92108, USA | >6
Patient Service Rep Department: Patient Access Schedule: Part-Time II Shift: Evening Hours: 12 Union: CHE Req Num: 8118 Job Details: Responsible for pre-admission/registration and admission/registration for all patients seeking service. Obtains eligibility for all payors with access to their database. Effectively explains financial policies and procedures to patients and/or responsible parties. Explains financial responsibilities and collects patient portion or establishes payment schedule. Identifies all avenues of reimbursement. Duties may include bed control, patient valuables, charging,...
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