Healthcare Utilization Specialist
4 weeks ago
Monterey Park Hospital, a leading healthcare provider in the San Gabriel Valley, is seeking a skilled Case Manager to join our Utilization Review Department. As a key member of our team, you will play a critical role in ensuring the highest quality patient care and outcomes.
Key Responsibilities:
• Conduct thorough admission reviews to determine medical necessity and develop effective care plans.
• Collaborate with physicians, families, and medical teams to prioritize patient care and optimize resource utilization.
• Process TAR submissions and stay up-to-date with Interqual and MCG guidelines to ensure compliance with regulatory requirements.
• Refer high-risk cases to the UR Physician Advisor for review and guidance.
• Coordinate with third-party payors and financial counselors to ensure seamless coverage and authorization.
Requirements:
• Current California RN license preferred.
• Current BLS certification preferred.
• Strong knowledge of medical terminology and case management principles.
• Excellent verbal and written communication skills, with the ability to work independently and make sound decisions.
• Proficiency with case management databases and systems required.
About Us:
Monterey Park Hospital is a 101-bed acute care community hospital that has provided advanced medical and culturally sensitive healthcare services to our community for over 50 years. We are committed to delivering exceptional patient care and outcomes, and we are seeking a dedicated and skilled Case Manager to join our team.
-
Healthcare Support Specialist
4 weeks ago
Whittier, California, United States PIH Health Full timePatient Care and OperationsAs a key member of the healthcare team, the Healthcare Support Specialist plays a vital role in ensuring the delivery of timely and effective patient care. This includes facilitating the provision of high-quality care under the supervision of licensed healthcare professionals. The ideal candidate will have excellent communication...
-
Medical Transcription Specialist
4 weeks ago
Whittier, California, United States AHMC Healthcare Full timeOverview:AHMC Healthcare is seeking a skilled Medical Transcription Specialist - Pathology to join our Laboratory Department. This full-time position is for day shifts and reports to the Clinical Lab Director.Responsibilities:The successful candidate will be responsible for accurately transcribing pathology dictation using electronic dictation equipment,...
-
Medical Transcription Specialist
4 weeks ago
Whittier, California, United States AHMC Healthcare Full timeJob Summary:We are seeking a skilled Medical Transcription Specialist - Pathology to join our team at AHMC Healthcare. The successful candidate will be responsible for accurately transcribing pathology dictation using electronic dictation equipment, ensuring correct spelling of medical terms and other words, and utilizing accurate punctuation and...
-
Community Care Specialist
4 weeks ago
Whittier, California, United States AHMC Healthcare Full timeOverview: AHMC Healthcare, a reputable healthcare provider in the San Gabriel Valley, is seeking a skilled Community Care Specialist to join our Utilization Review Department. As a leading acute care community hospital, we have been providing advanced medical and culturally sensitive healthcare services for over 50 years.Responsibilities: Deliver direct...
-
Health Information Management Specialist
4 weeks ago
Whittier, California, United States CodeForce Full timeJob Title: Health Information Management SpecialistAt CodeForce, we are seeking a skilled Health Information Management Specialist to join our team. As a key member of our healthcare team, you will be responsible for processing information into patient health records, preparing, scanning, indexing, and quality checking medical records and documents.Key...
-
Medical Dosimetry Specialist
1 month ago
Whittier, California, United States PIH Health Full timeJob SummaryWe are seeking a highly skilled Medical Dosimetry Specialist to join our team at PIH Health. As a key member of our radiation oncology department, you will be responsible for performing treatment planning procedures, including dose calculations and computerized treatment plans.Key ResponsibilitiesOperate radiation oncology equipment with technical...
-
Healthcare Support Specialist
4 weeks ago
Whittier, California, United States PIH Health Full timePatient Care OverviewAt PIH Health, we are committed to delivering high-quality patient care. As a Care Technician, you will play a vital role in facilitating timely and effective patient care under the supervision of licensed healthcare professionals. Your primary responsibility will be to maintain a safe and clean environment, ensuring the smooth operation...
-
Dedicated Ultrasound Specialist
2 days ago
Whittier, California, United States Travel Nurses, Inc. Full timeWe are seeking a skilled and dedicated Ultrasound Technologist to join our team at Travel Nurses, Inc.About the JobThis 13-week contract offers an exciting opportunity to work in Whittier, California, with a guaranteed 40 hours per week, split into 8-hour evening shifts. As an experienced Ultrasound Technologist, you will be responsible for providing...
-
Higher Education Support Specialist
2 weeks ago
Whittier, California, United States Rio Hondo College Full timeJob Title: Higher Education Support SpecialistJob Type: Full-timeJob Description:The Rio Hondo College seeks a highly motivated and detail-oriented individual to fill the role of a Higher Education Support Specialist. The successful candidate will provide exceptional support services to students, staff, and faculty by performing a variety of tasks related to...
-
Financial Collections Specialist
4 weeks ago
Whittier, California, United States vTech Solution, Inc. Full timeJob SummaryAs a Financial Collections Specialist at vTech Solution, Inc., you will play a crucial role in ensuring timely payments from patients, insurance companies, and third-party payers. Your strong analytical skills and knowledge of CMS regulations, Managed Care, and insurance company payment principles will enable you to effectively resolve billing and...
-
Travel Radiology Technologist
4 weeks ago
Whittier, California, United States Access Healthcare Full timeJob Title: Travel Radiology TechnologistJob Summary: Access Healthcare is seeking a skilled Travel Radiology Technologist to join our team. As a Diagnostic Imaging Specialist, you will be responsible for operating CT scanners and providing high-quality imaging services to patients.Key Responsibilities:Operate CT scanners to produce high-quality images of...
-
Visual Merchandiser
3 weeks ago
Whittier, California, United States Target Optical Full timeWe are seeking a Visual Merchandiser - Eye Care Specialist to join our team at Target Optical. This role is a great opportunity for someone who is passionate about delivering exceptional customer service and has a keen eye for visual merchandising.Job Summary:As a Visual Merchandiser - Eye Care Specialist, you will be responsible for maintaining a visually...
-
Exercise Specialist 10 Hour Shift, FT Days
1 month ago
Whittier, California, United States PIH Health Full timeJob Title: Exercise Specialist 10 Hour Shift, FT DaysPIH Health is a leading healthcare provider in the Los Angeles County, Orange County and San Gabriel Valley region. We are seeking an experienced Exercise Specialist to join our team.Job Summary:The Exercise Specialist will develop, implement and supervise exercise training guidelines and sessions for...
-
Nurse Specialist
4 weeks ago
Whittier, California, United States PIH Health Full timeJob Summary: We are seeking a skilled Registered Nurse to join our team at PIH Health. As a Nurse Specialist, you will provide direct nursing care to patients, including assessment, plan of care, education, and evaluation.About PIH Health: PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles...
-
Whittier, California, United States PIH Health Full timeAt PIH Health, we are seeking an experienced Linen Services Operations Specialist to join our team in Whittier, CA. As a valued member of our linen services team, you will play a critical role in ensuring the efficient distribution and storage of linens, surgical packs, and maintaining our computerized linen inventory system.Our linen services team is...
-
Mental Health Specialist
4 weeks ago
Whittier, California, United States Paragon Strategic Staffing Full timeJob Opportunity:Paragon Strategic Staffing is seeking a compassionate and patient-focused Mental Health Specialist to join our team in a serene environment. As a Psychiatric Services Provider, you will deliver comprehensive psychiatric services to adult patients, helping them navigate through their mental health journeys. Key Responsibilities:Deliver...
-
Radiologic Imaging Specialist
4 weeks ago
Whittier, California, United States Mantro Mobile Imaging Full timeMobile Radiology Career OpportunitiesLaunch Your Career in Radiology with Mantro Mobile ImagingWe are seeking a skilled Radiologic Imaging Specialist to join our team in Los Angeles and surrounding areas. As a Mobile X-ray Technologist, you will travel throughout the region, providing high-quality diagnostic imaging services directly to patients.Key...
-
Pediatrician - Compassionate Care Specialist
4 weeks ago
Whittier, California, United States PIH Health Full timeWe are seeking a highly skilled Pediatrician to join our team at PIH Health, a nonprofit, regional healthcare network with a commitment to delivering top-quality healthcare.The ideal candidate will have a strong background in pediatric history taking, assessment, diagnoses, intervention, and patient care management, as well as experience performing routine...
-
Instructor - Family Support Specialist
4 weeks ago
Whittier, California, United States MERCEDES DIAZ HOMES INC Full timeJob DescriptionWe are seeking a compassionate and dedicated individual to join our team as a Family Support Specialist. In this role, you will work closely with individuals with intellectual and developmental disabilities, providing support and guidance to help them achieve their goals and live independently.Key Responsibilities:Provide daily living skills...
-
Medical Support Specialist
4 weeks ago
Whittier, California, United States PIH Health Full timeJob SummaryThe Medical Assistant works under general supervision to perform a variety of procedures; must keep updated on any changes made within the Medical Assistant scope of practice.Key ResponsibilitiesPerform clinical and administrative tasks in a fast-paced environment.Provide excellent patient care and support to patients and families.Work...