Top 53 Monitoring specialist Jobs in Visalia, Ca

Per Diem Clinical UR Specialist
Kaweah Health —Visalia, CA
- $30.17 - $45.26 an hour
- 8 hour shift
- LVN
- Hospital
- Mid-level
Clinical UR Specialist
Kaweah Health —Visalia, CA
- $30.17 - $45.26 an hour
- 8 hour shift
- LVN
- Hospital
- Mid-level
Independent Occupancy Monitoring Specialist
FAR Inspections —Visalia, CA
- $25 - $35 an hour
- Full-time
- Background check
- Computer literacy
- Residential
- Flexible schedule
RN-Clinical Risk Management Specialist
Kaweah Health —Visalia, CA
- $51.22 - $76.84 an hour
- 8 hour shift
- Acute care
- Nursing
- Management
8d
Property Manager
Brilliant Corners —Visalia, CA
- $70,400 a year
- Full-time
- Hybrid work
- Experience working with individuals with developmental disabilities
- Microsoft Outlook
- Salesforce
- AD&D insurance
- Disability insurance
Quick Apply
Integrated Care Nurse Practitioner
Care Career —Selma, CA
- $120,000 - $145,000 a year
- Full-time
- Spanish
- OSHA
- RN License
- Health insurance
- Dental insurance
Quick Apply
12d
Integrated Care Nurse Practitioner
Care Career —Parlier, CA
- $120,000 - $145,000 a year
- Full-time
- Spanish
- OSHA
- RN License
- Health insurance
- Dental insurance
Quick Apply
12d
Military Service - U.S. Air National Guard, Aerospace Medical Service
Military Service - U.S. Air National Guard Recruiting —California
- From $49,838.78 a year
- Full-time
- Anatomy knowledge
- High school diploma or GED
- Assembly
Security and Loss Prevention Specialist, NA
Amazon.com Services LLC —Visalia, CA
- $23 - $31 an hour
- Weekends as needed
- Microsoft Excel
- Mid-level
- Ability to climb stairs
- AD&D insurance
- Health insurance
2d
Talent Development Specialist
Ventura Coastal, LLC —Tipton, CA
- $89,000 - $95,000 a year
- Full-time
- Ability to walk for extended periods
- 5 years
- Office
6d
Asset Protection Specialist
Home Depot —Visalia, CA
- $23 an hour
- Mid-level
Store Protection Specialist
Ross Stores —Tulare, CA
- $17.40 - $17.90 an hour
- Background check
- Supervising experience
- Conflict management
2d
Sales Specialist
Home Depot —Visalia, CA
- $22 an hour
- Entry level
DOT Compliance Specialist
Western Milling —Goshen, CA
- $80,000 - $110,000 a year
- Spanish
- Customer service
- 5 years
DOT Compliance Specialist
Viserion Grain —Goshen, CA
- $80,000 - $110,000 a year
- Spanish
- Customer service
- 5 years
New Home Sales Specialist
San Joaquin Valley Homes —Visalia, CA
- $24.04 an hour
- Online Application
- Bilingual
- Real Estate License
- Communication skills
- Wellness program
- Disability insurance
Quick Apply
Program Manager
California Health Collaborative —Hanford, CA
- $36.06 an hour
- Part-time
- Spanish
- English
- Mid-level
Quick Apply
2d
Data and Technology Manager
4Creeks, Inc. —Visalia, CA
- $30 - $40 an hour
- Full-time
- Computer Science
- Research
- Mid-level
- Health insurance
- 401(k)
Quick Apply
Special Projects Administrator
Living Water Clinic —Lindsay, CA
- Full-time
- Research
- Mid-level
- 3 years
Quick Apply
Photo Specialist
Walgreens —Kingsburg, CA
- $16.90 - $19.00 an hour
- Part-time
- English
- Fair chance
- Entry level
1d

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Per Diem Clinical UR Specialist

Kaweah Health -
Visalia, CA

Apply Now

Job Details

Part-time
$30.17 - $45.26 an hour

Qualifications

LVN
Managing patients as a nurse case manager
Medical record abstraction

Full Job Description

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care.

It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community.

Benefits Eligible

Not Benefits Eligible

Work Shift

Day - 8 Hour or less Shift (United States of America)

Department

6441 Administration-KHRH

The Clinical UR Specialist works in collaboration with RN Case Management staff to gather clinical data to monitor quality and effectiveness of patient care. Assists with planning and execution of safe discharge plan in a timely manner while working in collaboration with the multi-disciplinary team.

QUALIFICATIONS

License /Certification
Required: CA LVN license

Education
Preferred: Degree in Human Services areas of Social Work, Psychology or other health-related fields with medical terminology or equivalence.

Experience
Required:

Experience in extracting data from a medical record.

Minimum of one year of clinical experience (acute care preferred).

Preferred:

Utilization review and/or coding experience.

Department Specific Requirements:

ED- Minimum of two years Case Management experience

JOB RESPONSIBILITIES

Essential

Uses the results of quality of care/performance improvement activities to initiate changes in patient care practices:

Collects clinical data for the RN to monitor quality and effectiveness of patient care.

Identifies aspects of care that are important for quality monitoring.

Participates in interdisciplinary teams.

Performs Utilization Management to meet Case Management Goals:

Reviews and records utilization review data to determine medical necessity for assigned caseload in a manner to ensure all inpatient records are current.

Refers to Case Management team any variances that relate to concurrent review of the medical record. During chart review, is aware of criteria for quality variances. Complies with Kaweah Health Policy by reporting utilization variances to Case Management Committee and/or the P.I. department as indicated.

Reviews medical records for admission and continued stay utilizing InterQual Severity of Illness and Intensity of Service for appropriateness of the admission, continued stay, and utilization of resources. Must also review all cases transferred in and out of special/intensive care areas using specific criteria. Participants in Sub Committee reviews as designated.

Issues a non-certification letter as directed by the Case Management Committee.

Informs the Case Management Team and attending physician of any questionable or denied cases resulting from the review of the onsite Medi-Cal reviewer, CMRI or private insurance companies. Initiates further action by following guidelines set forth in the Hospital Case Management Plan.

Collaborates and communicates with the patient/resident, family, physician, and other health care providers:

Makes referrals, including provisions for continuity of care.

Facilitates and coordinates placement of patients in appropriate long-term care facilities.

Facilitates arrangements for acute transfer to other acute facilities when indicated.

Assists case management team with discharge planning services that can include coordination of equipment, home care, home health, and transportation services. Assists patients with information and reviews Advance Directives.

Participates in Continuum of Care rounds.

Accumulates information on community resources and links patients, families and staff to appropriate services.

Performs special audits/reports as required by the Case Management Team.

Responsible for maintaining a safe workplace for the protection of the patient, staff and visitors. Meets OSHA and TJC standards for safety. Reviews appropriate sections of Environment of Care Manual and MSDS/Infection Control Manual annually. Has had a current TB skin test. Reviews and complies with department safety plan. Safety Test completed annually prior to annual evaluation. Attends Kaweah Health mandatory safety in-services.

Displays attitude which supports Kaweah Health values and department efforts and teamwork.

Addendum (essential for specific dept)

PROGRAM LIAISON FOR INPATIENT REHABILITATION:

Assumes responsibility for the implementation of each individual patient program.

Assists the patient/family to become adequately oriented to their program.

Enables the patient's program to proceed in an orderly, purposeful, and goal directed manner.

Promotes the participation of the person served on an ongoing basis.

Participates consistently in team conferences concerning the person served.

Facilitates the exit/discharge process and arranged for follow-up and appropriate supportive services.

Monitors the patient/family response to treatment and determines need for intervention and/or referral.

Additional

Participates in training of all newly hired Care Coordination staff. Assists the employee in the function of the department.

Evaluates for efficient use of financial and personnel resources and communicates alternatives to the RN and/or physician to maximize resource utilization.

Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area.

Performs other duties as assigned.

Pay Range

$30.17 -$45.26

If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

Apply Now

Refine Your Search

monitoring specialist jobs in visalia, ca

Per Diem Clinical UR Specialist

Clinical UR Specialist

Independent Occupancy Monitoring Specialist

RN-Clinical Risk Management Specialist

Property Manager

Integrated Care Nurse Practitioner

Integrated Care Nurse Practitioner

Military Service - U.S. Air National Guard, Aerospace Medical Service

Security and Loss Prevention Specialist, NA

Talent Development Specialist

Asset Protection Specialist

Store Protection Specialist

Sales Specialist

DOT Compliance Specialist

DOT Compliance Specialist

New Home Sales Specialist

Program Manager

Data and Technology Manager

Special Projects Administrator

Photo Specialist

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