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Physicians Care Of Californiea Work Values
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Daily Duties at Physicians Care Of Californiea:
Administered multiple self funded health plans utilizing the IPA model following Inter Qual care guidelines for inpatient hospital stays utilizing evidence based criteria to determine medical necessity of prescribed treatments, surgeries, outpatient procedures/services, inpatient admissions, DME and rehab requests in the most cost effective manner.Reviewed all inpatient admissions and hospital lengths of stay on a prior, concurrent, or retrospective basis. Reviewed paid claims to identify over utilization and trends to identify and mnage patient care costs more effectively. worked with Medical Director on difficult cases and possible denial of benefit coverage. Held monthly meetings with board of directors, fellow case managers, and medical director to discuss trends and how to manage those trends more effectively. Managed the DME and rehab authorization request for all benefit plans that the company managed
What they like about Physicians Care Of Californiea:
You highly value a work environment built on a formal structure, rules, and regulations. You do not enjoy the unpredictability of shifting priorities and deadlines that upset your routine. You require and enjoy direction, input and accountability as part of your work environment. You have a strong need to participate in making key decisions and feel left out if your superiors or co-workers do not seek your input when making decisions. You thrive on providing good customer service to both internal or external customers, and doing so makes you feel good.
Tags
LVN, Case Manager, wound care, wound care consultant, MDS nurse, UM, QA
Information about Physicians Care Of Californiea
Company Rank: 4.0 out of 5
Average length of employment : 1 year
Average salary of employees: $0
These are some of the questions we asked our climbers about their experiences with Physicians Care Of Californiea:
05| | ||
Were your performance expectations clearly communicated? | 5.0 |
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Were you recognized for meeting or exceeding expectations? | 5.0 |
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Did you feel like your personal contribution was important? | 5.0 |
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Was your career path clearly outlined and discussed? | 3.0 |
03| | ||
I would recommend this as a place of employment. | 3.0 | |
I believe in the purpose of this organization. | 3.0 | |
I would work for this organization again. | 2.0 | |
I feel employees are fairly compensated. | 3.0 |
Climbers who worked at Physicians Care Of Californiea had these interests:
Books | |
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Stephen King/The Talisman |
science fiction suspense |
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