- Sharp HealthCare (San Diego, CA)
- …experience in a health care system revenue cycle. + Previous social work or case management experience. + California Notary Public - California Secretary of ... to members of the community.Provides timely communication to the assigned social worker/ case manager regarding the status of application. + Database and… more
- CommonSpirit Health (Rancho Cordova, CA)
- …leading up to or including supervisory role highly preferred + Experience in Utilization Management , Case Management or Care Coordination, ... completing quality assurance reviews of work performed and communicating with department manager and director the outcomes of the review and any identified issues… more
- Molina Healthcare (Long Beach, CA)
- …Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified ... reports submitted to the Eastern US Quality Improvement Collaborative (EQIC) and/or utilization management committees. * Participates as needed in joint… more
- Elevance Health (Los Angeles, CA)
- …Capabilities and Experiences:** + Child and Adolescent experience preferred. + Utilization Management experience. + Applied Behavior Analysis (ABA) experience. ... clinical operational aspects of a program. + Conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss… more
- CommonSpirit Health (Rancho Cordova, CA)
- …+ Progressive responsibilities leading up to or including supervisory role + Experience in Utilization Management , Case Management or Care Coordination, ... completing quality assurance reviews of work performed and communicating with department manager and director the outcomes of the review and any identified issues… more
- Global Foundries (Santa Clara, CA)
- …of either an individual contributor (as directed and/or independently), or as a manager :* Works closely with senior management within specific business units or ... of human resources issues using systemic approaches. * Administers talent management and succession planning activities within client organization. * Assists senior… more
- Sharp HealthCare (San Diego, CA)
- …with the interdisciplinary treatment team, coordinates patient care and provides case management for assigned patients. **Required Qualifications** + Master's ... in a behavioral health setting + Acute/psychiatric hospital experience, discharge planning/ case management experience **Essential Functions** + Communication and… more
- Cedars-Sinai (Los Angeles, CA)
- …required Experience: A minimum of 5 years of experience in Acute Clinical Care, Utilization Review, Coding, or Case Management required Working knowledge of ... Are you ready to bring your advanced Health Information Management skills to a world-class facility recognized as one...general direction of the HID CDI/Core Measures Supervisor or Manager , with responsibility for improving the overall quality and… more
- Horizon Services, Inc. (Hayward, CA)
- …of front-line support and milieu staff to ensure full census and efficient utilization management at assigned program(s). Engages in marketing, client retention, ... youth prevention, youth and adult outpatient, sobering programs, withdrawal management , and co-occurring capable residential programs to support the well-being… more
- Wider Circle (Tracy, CA)
- …The CHW is an integral part of the member's care team and works closely with the Case Manager . + The CHW will lead the Connect For Life program, using Wider ... joy in one another's company. Reporting to the Area Manager , the CHW is a trusted community member who...will record details of interactions with members in the case management system (CMS) using a computer,… more