- Evolent (Sacramento, CA)
- …when available, within the regulatory timeframe of the request. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- Evolent (Sacramento, CA)
- …Provides clinical rationale for standard and expedited appeals. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the MD ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- Abbott (Sylmar, CA)
- …to develop content and to train the field team on areas such as clinical competence, technical knowledge, resource utilization and selling skills, and to train ... people in more than 160 countries. **Job Title** **Global Clinical Trainer - Leadless Technologies** **Working at Abbott** At...you can do work that matters, grow, and learn, care for yourself and family, be your true self… more
- Evolent (Sacramento, CA)
- …provides clinical rationale for standard and expedited appeals. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the MD ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- Fresenius Medical Center (San Bernardino, CA)
- …auditing activities. *Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. *Manages clinic financials ... including efficient utilization of supplies or equipment and regular profits and loss review . * Responsible for all required network reporting and on-site state… more
- Evolent (Sacramento, CA)
- …provides clinical rationale for standard and expedited appeals. . Utilizes medical/ clinical review guidelines and parameters to assure consistency in the MD ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- Veterans Affairs, Veterans Health Administration (Redding, CA)
- …in the utilization of this specialized information for effective client care . Plan and implement a comprehensive treatment regimen designed to maximize the ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- Liberty Healthcare Corporation (Redwood City, CA)
- …finance, quality assurance and operations teams + Participating in peer review , utilization management, incident reporting, performance improvement, and quality ... Psychologists, LCSWs and LMFTs are encouraged to consider an available Clinical Director position with Liberty Healthcare. Liberty Healthcare operates a 10-bed acute… more
- Dignity Health (Bakersfield, CA)
- …to coordinate patient care . - Promotes quality, cost effective medical care through strict adherence to all utilization management policies and procedures. ... management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …knowledge and skills in areas of risk management, infection control, and utilization review . + Current knowledge of continuous quality improvement methodology. ... part of the greater Santa Rosa and Northern California mental health system of care . Conveniently located in the North Bay, this hospital consists of 144 acute… more