- Highmark Health (Sacramento, CA)
- …insights and guidance to internal departments. The Analyst conducts audits of Medical Directors, Utilization Management (UM) and Case Management (CM) ... Risk Compliance Analyst is responsible for monitoring and analyzing medical and utilization management activities to ensure compliance with internal policies,… more
- Deloitte (Sacramento, CA)
- …PMs, Project Coordinators, etc. + 3+ years of project / program financial management (eg, Planning, Forecasting, Budgeting, Business Case Development, etc.) in ... you will play a key role in leveraging leading program and project management practices and methodologies to enable world-class delivery of our major internal… more
- The County of Los Angeles (Los Angeles, CA)
- …welfare eligibility determination, appeals investigation, quality auditing, fraud investigation, or GAIN case management . OPTION 2: Four years of experience in a ... will need a copy of your DD214 form to review , so please include that with your application or...Investigation + Quality Auditing + Fraud Investigation + GAIN Case Management + None of the Above… more
- Ventura County (Ventura, CA)
- …expand, and maintain the pool of eligible service providers. + Utilization review : + Uses professional skills in quality management activities such as ... families in collaboration with other members of the mental health team. + Case Management : + provides case management /brokerage including linkage and… more
- Sevita (Roseville, CA)
- …strategy to manage census, maintain occupancy, improve daily attendance, and/or maximize utilization + Financial Management + When applicable, approve purchase ... day. Join us today, and experience a career well lived. **$68,640.00** **Program Management - Program Director IDD Services Host Home** Are you an experienced QIDP… more
- Dignity Health (Bakersfield, CA)
- …as part of the regular schedule for this position.** **Position Summary:** The Utilization Management LVN is responsible for ensuring the integrity of the ... The position partners with both the Pre-Service and In-Patient Utilization Management teams. Ensures to monitor and...as deemed appropriate. - Identify cases that require additional case management . - Composes denial letter in… more
- Global Foundries (Santa Clara, CA)
- …negotiate formal business agreements + Participate in operations, engineering, and business review meetings + Conduct weekly customer and channel partner face to ... Accredited College and or University in Engineering, Technology, Business, Accounting, Finance, Management or Related Discipline + 5 Plus Years of Experience and… more
- Genesis Healthcare (Carmichael, CA)
- …of the rehabilitation department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient ... The Director of Rehab is responsible for the efficient management of rehabilitation services in their assigned account(s). This...Director in the timely completion of the annual merit review for therapy staff. 7. Assists Clinical Operations Area… more
- Datavant (Sacramento, CA)
- …###@datavant.com . We will review your request for reasonable accommodation on a case -by- case basis. For more information about how we collect and use your ... As a Salesforce System Architect, you will be responsible for user management , data maintenance, security configuration, and training users on using Salesforce… more
- Sharp HealthCare (San Diego, CA)
- …for admission to rehab, including patients not admitted, for reporting purposes, utilization review , marketing, and rehab administration and in compliance with ... PPS Certification required within 1 year of hire date. Management to track and maintain this certification - REQUIRED...data for monthly discharge reports, quarterly financial reports chart review and on ad hoc basis.Creates ad-hoc and scheduled… more