- Cedars-Sinai (Marina Del Rey, CA)
- …and policies. + Maintains department cleanliness and safety. **Qualifications** **Education:** + Associate 's degree in Nursing (required). + Bachelor's degree ... - Per Diem (8-hour day shifts) - Marina Hospital **Department** : Case Management ** Business Entity** : Cedars-Sinai Marina Hospital **Job Category** : Patient… more
- Humana (Sacramento, CA)
- …prioritized opportunities **Use your skills to make an impact** **Role Essentials** + Bachelor's degree in math or business related + Minimum 2 years of ... team focused on creating data-driven strategies to transform our business and the experiences we create for our members,...will generate tangible value to all stakeholders. Within Utilization Management , our goal is to enable members to receive… more
- Humana (Sacramento, CA)
- …course of action. **Use your skills to make an impact** **Required Qualifications** + Bachelor's Degree or BSN degree . + Minimum 3 years of experience in NCQA ... Health Plan Accreditation and/or Utilization Management + Exceptional attention to detail. + Demonstrated excellent time management skills with proven ability to… more
- Burlington (Merced, CA)
- …respect among peers and staff, building strong teams and partnerships, and driving business results. You'll coach, train and develop a team of Cashiers and Customer ... Supervisors, Receiving team members and Receiving Supervisors while also overseeing business operations to ensure our associates are delivering excellent customer… more
- Humana (Sacramento, CA)
- …caring community and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful submission and ... to detail** **Self-starter, ability to work independently** **Preferred Qualifications** **Bachelor's degree in business , Finance, Operations or other related… more
- Humana (Sacramento, CA)
- …resolution. **Use your skills to make an impact** **Required Qualifications** + Bachelor's degree in business , healthcare studies, or related field or equivalent ... be overseeing the vendor contracting, due diligence and day-to-day relationship management of Interoperability vendor partners. You will contribute to the growth… more
- CVS Health (Sacramento, CA)
- …high-volume clinical call center or prior remote work environment. **Education** + Associate 's degree in nursing (RN) required, BSN preferred. **Anticipated ... : Monday-Friday (10:30am-7:00pm EST Hours; Shift times may vary based on business needs) **Location** : 100% Remote (US only) **Position Summary** American Health… more
- Humana (Sacramento, CA)
- …of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require… more
- Humana (Sacramento, CA)
- …of our caring community and help us put health first** The Care Management Support Assistant 3 assists in ensuring TRICARE beneficiaries receive the highest quality ... the appropriate ASN to address beneficiary concerns and needs. **The Care Management Support Assistant 3 responsibilities include:** + Assist ASN with care… more
- Humana (Sacramento, CA)
- …our caring community and help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting medical necessity and ... **1 company holiday in 2025** **Job Description:** The Staff Utilization Management Pharmacist is a clinical professional responsible for conducting comprehensive… more