Top 38 Clinical documentation & utilization review Jobs in Lancaster, Ca

Case Management Assistant - Patient Care Coordination - Full Time/Days - Req#2134710301
Antelope Valley Medical Center —Lancaster, CA
- $23.72 - $36.62 an hour
- Full-time
- Hospital
- Computer literacy
- Office
Quick Apply
2d
Utilization Management Lead
HIGH DESERT MEDICAL CORP, A MEDICAL GRP —Lancaster, CA
- $25.19 - $37.18 an hour
- Microsoft Word
- Mid-level
- High school diploma or GED
- Paid time off
- Parental leave
Quick Apply
Nurse Practitioner/Physician Assistant
Proactive Wellness Systems LLC —Lancaster, CA
- $65 - $90 an hour
- Full-time
- Vital signs
- Medication administration
- Urgent Care
- Health insurance
- Dental insurance
Quick Apply
UM Genetic Counselor Medical Reviewer
Wollborg Michelson Recruiting —California
- $62.00 - $64.70 an hour
- Full-time
- LVN
- Windows
- Master's degree
- Health insurance
- Dental insurance
Quick Apply
7d
Clinical Supervisor (LMFT/LCSW/LPCC)
Tarzana Treatment Centers, Inc —Lancaster, CA
- $48.63 - $58.65 an hour
- Temporary
- LMFT
- Management
- Doctoral degree
- Paid holidays
- Health insurance
Quick Apply
Nurse Practitioner/Physician Assistant
FOWAD Advanced Nursing Services Inc —California
- $85 - $150 an hour
- Per diem
- Vital signs
- Mid-level
- Outpatient experience
- Flexible schedule
Quick Apply
8d
RN Case Manager - Patient Care Coordination - Per Diem/Days - Req# 2134710296
Antelope Valley Medical Center —Lancaster, CA
- $47.91 - $79.10 an hour
- Per diem
- Acute care
- CPR Certification
- Nursing
Quick Apply
2d
Care Coordinator
360 Behavioral Health —Palmdale, CA
- $23 - $25 an hour
- Weekends as needed
- Background check
- Spanish
- Management
- Paid holidays
- Dental insurance
Quick Apply
10d
NUCLEAR MEDICINE TECHNOLOGIST II
Los Angeles County Department of Human Resources —Los Angeles County, CA
- $104,772 - $141,192 a year
- Weekends as needed
- Mid-level
- Patient care
- US work authorization
RECREATION THERAPIST II/CORRECTIONAL HEALTH
Los Angeles County Department of Human Resources —Los Angeles County, CA
- $84,967.68 - $102,729.84 a year
- Online Application
- CDL B
- Management
- Experience working with individuals with disabilities
Field Registered Nurse - Home Health - Per Diem/Days - Req# 2117935698
Antelope Valley Medical Center —Lancaster, CA
- $53.75 - $88.74 an hour
- Per diem
- CPR Certification
- Nursing
- RN License
Quick Apply
Program Coordinator/Clinical Supervisor
Help Group —Palmdale, CA
- $80,000 - $90,000 a year
- Full-time
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
PSYCHIATRIC TECHNICIAN III/CORRECTIONAL HEALTH
Los Angeles County Department of Human Resources —Los Angeles County, CA
- $56,288.88 - $75,860.88 a year
- Weekends as needed
- Acute care
- Medication administration
- Heavy lifting
Speech Language Pathologist PRN
Antelope Valley Care Center —Lancaster, CA
- $60 - $62 an hour
- Part-time
- CPR Certification
- Management
- Doctoral degree
Quick Apply
Team Manager Home Care
VITAS Healthcare —Lancaster, CA
- Full-time
- RN License
- Mid-level
- Bachelor's degree
- Disability insurance
- Health insurance
Quick Apply
Occupational Therapist - Home Health - Per Diem/Days - req# 1829032972
Antelope Valley Medical Center —Lancaster, CA
- $48.13 - $68.15 an hour
- Per diem
- CPR Certification
- Computer literacy
- Writing skills
Quick Apply
Speech Language Pathologist SLP
Antelope Valley Care Center —Lancaster, CA
- From $60 an hour
- Full-time
- CPR Certification
- Management
- Doctoral degree
Quick Apply
Physical Therapist - Home Health - Full Time/Days - Req#211983352
Antelope Valley Medical Center —Lancaster, CA
- $50.80 - $75.95 an hour
- Full-time
- CPR Certification
- Computer literacy
- Writing skills
Quick Apply
MDS Nurse (RN) - Antelope Valley Care Center
Antelope Valley Care Center —Lancaster, CA
- $45 - $60 an hour
- Full-time
- Nursing
- Skilled nursing facility
- Bachelor of Science
Quick Apply
Speech Language Pathologist SLP
Mirage Post Acute —Lancaster, CA
- $58 - $63 an hour
- Full-time
- CPR Certification
- Management
- Doctoral degree
Quick Apply

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Case Management Assistant - Patient Care Coordination - Full Time/Days - Req#2134710301

Antelope Valley Medical Center -
Lancaster, CA

Quick Apply

Job Details

Full-time
$23.72 - $36.62 an hour
2 days ago

Qualifications

Customer communication
Administrative experience
High school diploma or GED

Full Job Description

Job Objective:

Under the direction of the Director of Case Management, or designee, the Case Management Assistant supports the functions of the Patient Care Coordination department by performing a wide variety of administrative duties.

Essential Duties and Responsibilities:

A. Case Management Assistance

Facilitates communication to department team members from internal and external sources by coordinating telephone calls and messages
Utilizes and documents in the computer systems to facilitate case management workflow and communication
Monitors computer system for admission and continued stay insurance authorizations notifying the Case Manager when a clinical update is needed
Submits clinical reviews to appropriate review agencies and documents in the computer system
Follows up with review agency for authorized days and documents in the computer system
Coordinates the retroactive utilization process by tracking accounts needing reviews, ordering medical records, submitting completed reviews and documenting authorizations or denials
Coordinates the insurance authorization process with appropriate hospital departments.
Assists with referrals to other facilities, home health agencies, and DME agencies
Arranges ambulance, as well as other forms of medical and taxi transportation
Provides support to the discharge coordination process

B. Clerical Duties

Answers telephone calls and greets customers in the department with the highest level of customer service
Provides taxi vouchers
Coordinates mailing of department documentation
Assists the department director with payroll reporting and processing
Establishes and maintains an accurate detailed record for the department billing and payment of vendor claims
Prepares and records department check requests and purchase orders
Efficiently and cost effectively orders and organizes office supplies
Prepares letter, memos, and other documents
Assists with scheduling of meetings and provides clerical support as needed
Sorts and distributes office mail
Maintains department patient information files
Maintains department records for regulatory compliance purposes as indicated.
Other duties as assigned within skill sets and abilities.

Non-Essential Duties:

Assist with other duties as assigned, within skill sets and abilities

Knowledge, Skills and Abilities:

Knowledge

Familiar with Government, State, HMO, PPO, Commercial, and Workers Compensation authorization and billing guidelines
Working knowledge of Microsoft Office applications
Knowledge of medical terminology

Skills

Knowledge of basic personal computers
Proficient in the operation of scanners, copiers, fax machines Good oral and written communication skills Good interpersonal skills and customer focus

Abilities

Ability to handle stress
Ability to manage a heavy caseload in an organized and efficient manner
Ability to maintain a working relationship with other departments within the organization
Ability to document account information at time of account follow-up
Ability to run case management related reports as needed

Core Competencies: All AVH employees will effectively demonstrate these behaviors:

Accountability

Action Oriented

Customer Focused

Compassion

Effective Communication

Teamwork

Ethics & Values

Integrity & Trust

Education and Experience: Education

High School graduate or equivalent

Experience

Minimum 2-years healthcare related office experience, preferably in an acute care setting

Required Licensure and/or Certifications:

None

AVH Conduct/Compliance Expectations:

Ability to adhere with AVH Leaves of Absence Policy
Ability to adhere with AVH Paid Time Off (PTO) Policy
Ability to adhere with AVH Recording of Hours Worked Policy
Ability to adhere to the department dress code
Ability to organize work and establish priorities
Ability to expand on own initiative in performance of duties
Skill and ability to follow the telephone etiquette/standards
Conforms to AVH Standards of Excellence
Ability to function effectively under pressure and meet time parameters
Ability to communicate effectively while maintaining good working relationships with coworkers, managers and other hospital staff
Ability to adhere to the normal standards of courtesy and conduct as defined under the rules of hospitality at AVH
Ability to maintain the confidentiality of patient, hospital and department information
Ability to adhere to safety rules and regulations
Safely and effectively uses all equipment necessary to carry out duties
Ability to interpret and function under hospital and department policies and procedures
Conforms with required and appropriate Joint Commission requirements
Conforms with and supports hospital quality assurance and improvement guidelines
Ability to participate effectively in department and hospital staff education
Display a willingness to work as a team player
Ability to give and support the highest level of patient/customer satisfaction at all times
Supports and adheres to the values and mission statement established by the AVH Board of Directors

Ability to demonstrate knowledge and understanding of Corporate Compliance rules and regulations, complies with duty to report behavior standard, demonstrates understanding of purpose for Corporate Compliance hotline and importance of seeking guidance from a supervisor when in doubt regarding a possible corporate compliance issue

Key Physical Requirements and Working Conditions:

Primarily works in a climate-controlled area
Sitting 80% of time on duty
Tolerate repetitive arm and hand movements

A detailed description of the physical requirements of this job is maintained in the Employee Health Department.

Education and Experience: Education

High School graduate or equivalent

Experience

Minimum 2-years healthcare related office experience, preferably in an acute care setting

Required Licensure and/or Certifications:

None

Quick Apply

Refine Your Search

clinical documentation & utilization review jobs in lancaster, ca

Case Management Assistant - Patient Care Coordination - Full Time/Days - Req#2134710301

Utilization Management Lead

Nurse Practitioner/Physician Assistant

UM Genetic Counselor Medical Reviewer

Clinical Supervisor (LMFT/LCSW/LPCC)

Nurse Practitioner/Physician Assistant

RN Case Manager - Patient Care Coordination - Per Diem/Days - Req# 2134710296

Care Coordinator

NUCLEAR MEDICINE TECHNOLOGIST II

RECREATION THERAPIST II/CORRECTIONAL HEALTH

Field Registered Nurse - Home Health - Per Diem/Days - Req# 2117935698

Program Coordinator/Clinical Supervisor

PSYCHIATRIC TECHNICIAN III/CORRECTIONAL HEALTH

Speech Language Pathologist PRN

Team Manager Home Care

Occupational Therapist - Home Health - Per Diem/Days - req# 1829032972

Speech Language Pathologist SLP

Physical Therapist - Home Health - Full Time/Days - Req#211983352

MDS Nurse (RN) - Antelope Valley Care Center

Speech Language Pathologist SLP

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