- Molina Healthcare (Sacramento, CA)
- …is not a compact state.** Preferred Qualifications * Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), ... professionals in some or all of the following functions: care management , utilization management , behavioral health, care transitions, long-term services and… more
- Lumen (Sacramento, CA)
- …and track improvements in technologies and processes. + Analyze system utilization statistics to identify performance bottlenecks and recommend enhancements for ... update, and adhere to corporate and team-level processes, including change and outage management protocols. **What We Look For in a Candidate** + Bachelor's degree… more
- 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