- Ralliant (Sacramento, CA)
- **Job Title:** Product Manager **Location:** Remote, USA **Job Summary:** As a key contributor within Hengstler-Dynapar, the **Product Manager ** will guide the ... aligns with the company's business objectives while collaborating cross-functionally. The Product Manager will work closely with all functions within our company to… more
- Turner & Townsend (Los Angeles, CA)
- …true to the client's vision. **Job Description** **Objective:** The Safety Program Manager will serve as the on-site representative for the Director of Automated ... with federal, state, and local regulations where applicable. The Safety Program Manager will be responsible for evaluating technical and safety compliance and… more
- LA Care Health Plan (Los Angeles, CA)
- …log and keep track all due dates for each file. Inform nurses of a new case received from Grievance and Appeals Specialist.; submit all Grievances and Appeals ... collects information required by clinical staff to render decisions, assists the Manager and Director of the Utilization Management department in meeting regulatory… more
- Sacramento County (Sacramento, CA)
- …the Clerk of the Board and acts as Clerk of the County Assessment Appeals Board, the County Planning Commission and other joint powers agencies. Incumbents in this ... requirement due to disability will be reviewed on a case -by- case basis. Working Conditions: Some positions in...Street, Room 2640, Sacramento, CA 95814, telephone: ###. Such appeals must be filed within thirty (30) calendar days… more
- International Rescue Committee (Oakland, CA)
- …Justice Accredited Representatives, who are supervised by the Senior Immigration Program Manager . The two teams work closely together. JOB OVERVIEW: The Managing ... benefits. The Managing Attorney will work closely with the Senior Immigration Program Manager on funding and strategy for legal services in Northern California. The… more
- Sharecare (Sacramento, CA)
- …enrollment / new hire plan selection, claims issues, ID card issues, grievances/ appeals , utilization management (UM) status, including but not limited to medical, ... 3rd parties for: + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status +...Advocates (Nurse) for conditions that require clinical care and case management assistance + Primary duties include but are… 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 ... care needs of the membership. Serves as a medical manager and policy advisor to SHP and its Chief...+ Participates in risk management, pharmacy utilization management, catastrophic case review, outreach programs, HEDIS reporting, site visit review… more
- Volunteers of America Los Angeles (Los Angeles, CA)
- …of facts and issues in matters affecting disciplinary actions, grievances, appeals , and complaints, refers complex matters to HR Employee Relations Specialist ... or Senior Manager of Employee Relations as required + Participates in...grievances, interactive processes, and disciplinary actions. + Experience with case managing work, preferably in a software program +… more
- Sacramento County (Sacramento, CA)
- …Nurses work under general administrative supervision of a higher-level health program manager , and receive medical direction as needed from a physician or ... higher-level nursing manager such as the designated head of public health...child care, growth, and development, including common illnesses + Case management techniques and the care and treatment of… more
- Sharp HealthCare (San Diego, CA)
- …to Plan policy as needed.Completes and/or supervises the completion of all clinical appeals and grievances. Collaborates with Customer Care Manager to identify ... oversees the health care needs of the membership. Serves as a lead medical manager and policy advisor to SHP clinical and its' Chief Medical Officer. **Required… more