- CVS Health (Sacramento, CA)
- …day. **Position Summary** As a Clinical Pharmacist, you will review Prior Authorizations, verify proven and/or medically necessary indications and review clinical ... documentation in support of prior authorization reviews. The primary function of the clinical...will also perform foreign drug reviews, medical record reviews, case analysis, provide clinical support and collaboration for development… more
- Actalent (Redlands, CA)
- …+ Familiarity with Medicare, MediCal, and Milliman Criteria Guidelines. + Proficiency in prior authorizations and case management. + Knowledge of NCQA standards. ... Job Title: Remote LVN Case Manager - Utilization Management Job Description Join...Join our dynamic Utilization Management team as an LVN Case Manager where you will assess requests against clinical… more
- Sacramento County (Sacramento, CA)
- …be obtained. The County may also conduct a background check on the candidate prior to appointment to a position within this class. The background check may include ... California driver license, Class C or higher, is required prior to appointment to this class. Failure to maintain...to a physical disability will be reviewed on a case -by- case basis. Physical Requirements: Positions in this… more
- Sacramento County (Sacramento, CA)
- …be obtained. The County may also conduct a background check on the candidate prior to appointment to a position within this class. The background check may include ... requirement due to disability will be reviewed on a case -by- case basis. Training Requirement: Community Services Officer...they have not submitted their applications and all documentation prior to 5:00 pm on the cut-off date. +… more
- Sharp HealthCare (San Diego, CA)
- …To provide, support, and help facilitate care coordination services provided by the Case Manager. This position is responsible for the care and services delivered to ... 30 days of previous discharge. Reports patient's enrolled in a Sharp Case Management program to HCM.Confirms patients reported in Emergency Room. Informs HCM's… more
- Sacramento County (Sacramento, CA)
- …Applicants are encouraged to take the PELLETB and receive the results (T-score) prior to submitting an application. Information about where to take the PELLETB is ... may also conduct a background check on the candidate prior to appointment to a position within this class....to a physical disability will be reviewed on a case -by- case basis. Employees in this class who,… more
- Sacramento County (Sacramento, CA)
- …be obtained. The County may also conduct a background check on the candidate prior to appointment to a position within this class. The background check may include ... requirement due to disability will be reviewed on a case -by- case basis. Certification/Training Requirement: Incumbents in this...they have not submitted their applications and all documentation prior to 5:00 pm on the cut-off date. +… more
- Sacramento County (Sacramento, CA)
- …Enforcement Test Battery (PELLETB) test with a passing score is required prior to appointment to this class General Qualifications Compliance with Government Code: ... may also conduct a background check on the candidate prior to appointment to a position within this class....requirement due to disability will be reviewed on a case -by- case basis. Certification Requirement: Successful completion of… more
- Sacramento County (Sacramento, CA)
- …be obtained. The County may also conduct a background check on the candidate prior to appointment to a position within this class. The background check may include ... requirement due to disability will be reviewed on a case -by- case basis. Physical Requirements: Positions in this...they have not submitted their applications and all documentation prior to 5:00 pm on the cut-off date. +… more
- Sacramento County (Sacramento, CA)
- …Requirement: A valid California Driver's License, Class C or higher, is required prior to appointment to this class. Failure to maintain a valid California Driver's ... requirement due to disability will be reviewed on a case -by- case basis. Physical Requirements + Sit for...they have not submitted their applications and all documentation prior to 5:00 pm on the cut-off date. +… more