- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …of the effectiveness of provided social services. KEY RESPONSIBILITIES: + Audit charts to ensures compliance with all treatment plan requirements including ... weekly review and updates with the patient (indicated by patient...(indicated by patient signatures, initials and dates that each review is completed). + Manages clinical and case management… more
- Volunteers of America Los Angeles (Santa Ana, CA)
- …work. DUTIES AND RESPONSIBILITIES + Assign and monitor case load of team: + Review daily referrals and screenings of potential clients. + Designates clients to case ... to determine quality and effectiveness of services provided + Review cases with Program Coordinator and Case Management Team...cases with Program Coordinator and Case Management Team + Audit case file on a regular basis for completeness… more
- KDG Construction Consulting (Los Angeles, CA)
- …reviewed the claim + Assembling Task Orders and Change Orders + Review Concurrence Letters for conformance with contractual requirements + Communicate all changes ... + Assist in resolving problems and disagreements between contractors + Review contractor invoices for contractual compliance + Conduct closeout actions upon… more
- WestCare Foundation (Fresno, CA)
- …and service coverage using payer portals and eligibility systems. + Review clinical documentation to ensure completeness, accuracy, and compliance before billing. ... and update billing records, logs, and spreadsheets to ensure data accuracy and audit readiness. + Generate billing, payment, and denial reports for management … more
- Evolent (Sacramento, CA)
- …focus on **value-based strategy and transformation** . Unlike traditional medical review roles that emphasize volume throughput, this position integrates utilization ... management with collaborative engagement and innovation. **Core Responsibilities** + **Clinical Review & Peer Collaboration** + Serve as the physician reviewer for… more
- LA Care Health Plan (Los Angeles, CA)
- …and pay/education). (30%) Assist in the technical aspects of the retrospective review process for authorizations and Member or Provider Appeals, including, but not ... or overturn) and filing: Set up GNA files for review , log and keep track all due dates for...Specialist on daily basis. (20%) Support UM Committee and Audit activity via Department performance reporting. Assure the accuracy… more
- Insight Global (San Diego, CA)
- …requirements. ○ Prepare detailed loan summaries and rationale for underwriting review ; submit and track exception requests with appropriate documentation. * Pipeline ... ○ Escalate risks and barriers early; drive issue resolution and maintain clean, audit ‑ready files. * Compliance & Quality ○ Ensure adherence to TRID/TILA/RESPA and… more
- ASM Global (Oakland, CA)
- …receipts.* Prepare invoices as needed.* Assist with month-end accruals and review balances against the trial balance.* Prepare bank reconciliations.* Reconcile and ... payable, accrued liabilities, deferred revenue, and other assigned accounts.* Review contracts and ensure proper revenue recognition.* Gather, compile, analyze,… more
- Capgemini (San Francisco, CA)
- …dataset remediation. + **Inspection Preparedness** : FDA/EMA mock inspections, audit readiness, corrective/preventive actions. + **Health Authority Engagement** : ... in client meetings; translate complex requirements into actionable plans. + Review **CSRs, ISE/ISS** , dossiers, and briefing packages with strategic input… more
- Insight Global (San Francisco, CA)
- …other functions (legal, marketing and management team). . Lead annual process to review and bind insurance coverage of customary corporate risks and clients leased ... requirements . Maintain department policies, operating procedures, and key metrics; support audit needs as applicable. . Set team goals and manage initiatives. Other… more