- Sharp HealthCare (San Diego, CA)
- …to discuss high risk patients requiring case management follow up.Attends clinical in-services or required operational/ clinical training sessions. + Act ... benefits and accurately follows Health Plan and/or Medicare Guidelines when issuing denials .Ensures that all denials for medical necessity are issued under… more
- Cardinal Health (Sacramento, CA)
- Coordinator , Benefits Eligibility and Authorization **_What Benefits Eligibility and Authorization contributes to Cardinal Health_** Practice Operations Management ... also obtain authorization for all requested procedures, tests, drugs, etc. The Coordinator , Benefits Eligibility and Authorization may be asked to perform other… more
- Highmark Health (Sacramento, CA)
- …workflow within the department. + Prioritize requests for drug authorizations or denials . + Review of prior authorization criteria for drug products. + Recommend ... obtain necessary and/or additional information when necessary. + Consult with staff clinical pharmacist for guidance and assistance as necessary. + Document all… more
- University of Southern California (Arcadia, CA)
- POSITION SUMMARY The purpose of the Case Coordinator position is to support the physician and interdisciplinary team in the provision of patient care, with the ... underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate… more
- Ventura County (Ventura, CA)
- …events. + Provides case management and data/record management. + Participates in clinical staff meetings and program related trainings. + Assists with on-call duties ... Prepares statistical and fiscal reports as required by the program coordinator , division manager, or department administration. Typical Qualifications These are… more