- Sacramento County (Sacramento, CA)
- …paid by insurance or reimbursed by any other benefit plan. WORKERS' COMPENSATION: In case of injury while on the job, each employee is protected under the Workers' ... Street, Room 2640, Sacramento, CA 95814, telephone: ###. Such appeals must be filed within thirty (30) calendar days...+ Position held + From and to dates + Manager /supervisor name and contact information. If you selected "No… more
- Elevance Health (CA)
- …with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss ... for posting. + Works independently with oversight from immediate manager . + May be responsible for an entire clinical...the United States when conducting utilization review or an appeals consideration and cannot be located on a US… more
- Sacramento County (Sacramento, CA)
- …Incumbents work under general administrative supervision of a higher level Health Program Manager or Facility Manager and receive medical direction as needed ... reimbursed by any other benefit plan. WORKERS' COMPENSATION: In case of injury while on the job, each employee...Street, Room 2640, Sacramento, CA 95814, telephone: ###. Such appeals must be filed within thirty (30) calendar days… more
- Elevance Health (Walnut Creek, CA)
- …necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. + Conducts peer-to-peer consultation ... alternative surgical and non-surgical treatments. + Performs first level provider appeals of coverage decisions. + Provides support and education to internal… more