- Evolent (Sacramento, CA)
- …(NCQA) guidelines. + Provides clinical rationale for standard and expedited appeals . + Ensures documentation of all communications with medical office staff ... and/or MD provider is recorded in a timely and accurate manner. + Participates in on-going training per inter-rater reliability process. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall… more
- Elevance Health (Walnut Creek, CA)
- …responsible for representing clients at legal hearings before the Workers' Compensation Appeals Board. **How you will make an impact:** + Securing optimal workers' ... compensation and third-party recoveries through court and office negotiations. + Engaging with the team during group discussions and questions from peers. + Drafting and filing various legal documents. + Navigating Alternative Dispute Resolution. **Minimum… more
- Robert Half Legal (Irvine, CA)
- …complex real estate litigation matters, from case inception through trial and appeals , managing strategy, and execution. + Strategic Legal Counsel: Provide expert ... legal guidance to clients on a wide range of real estate-related issues, including commercial, residential, and development disputes. + Draft Legal Documents & Motions: Prepare comprehensive legal documents, including pleadings, motions, and discovery, and… more
- Evolent (Sacramento, CA)
- …of the request and provides clinical rationale for standard and expedited appeals . . Utilizes medical/clinical review guidelines and parameters to assure consistency ... in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. . Aids and acts as a… more
- WestCare Foundation (Fresno, CA)
- …Manages the creation ofpromotional materials for fundraising efforts, including appeals , impact reports, and donor recognition content. Qualifications ESSENTIAL ... QUALIFICATIONS: + To perform this job successfully, an individual must be able to perform the duties and responsibilities satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. + Experience and… more
- Nevada County (Nevada City, CA)
- …05 Describe in detail your courtroom experience with respect to motions, trials, appeals , etc. How many trials have you been responsible for? Required Question ... Employer County of Nevada Address 950 Maidu Avenue Nevada City, California, 95959 Phone 530 265 7010 Website https://www.nevadacountyca.gov/ Apply Please verify your email addressVerify Email more
- Sharp HealthCare (San Diego, CA)
- …policy as needed. + Completes and/or supervises the completion of all clinical appeals and grievances. Collaborates with Customer Care Manager to identify trends in ... grievances. Supervises the process for identifying Potential Quality Issues. + Supervises Physician Reviewer(s) + Shares after-hours coverage responsibilities with other physicians + Assists the CMO, as needed, to oversee the credentialing process. + Assists… more
- Executive Office for US Attorneys and the Office of the US… (Sacramento, CA)
- …cases with substantial responsibility for all aspects of discovery, trial, and appeals . Applicants must demonstrate a quick analytical ability and the facility to ... accurately and precisely articulate the critical issues in a case. Applicants must demonstrate superior oral and wring skills as well as strong research and interpersonal skills, and good judgment. Applicants must possess excellent communication and courtroom… more
- Zoological Society of San Diego (San Diego, CA)
- …collaborates with the Marketing team to coordinate comprehensive direct response appeals and membership programming. This position reports to the Chief Philanthropy ... Officer and closely collaborates with the Senior Director of Philanthropy as well as major gift, planned giving, and events staff. WHAT YOU WILL DO + Identify, cultivate, steward and solicit a dedicated portfolio of high potential donors. + Develop and oversee… more
- City and County of San Francisco (San Francisco, CA)
- …in person via court appearances and in written petitions, motions, appeals , and/or other court documents. Includes the preparation (word processing/database ... management) of such court documents. May require being placed in a high-stress environment and/or exposure to complex and challenging cases; + Dedicates role to the pursuit of justice by exercising fair and ethical prosecution practices and respecting the… more