• Health Information Manager (Medical…

    Sunnyside Nursing and Post-Acute Care (Torrance, CA)
    …the Medical Records Department, including the development and implementation of health information policies and procedures. The HIM Director also acts as a ... coding as set forth by the American Health Information Management Association and adheres to...least 3-5 years of experience as a Medical Records Director / Health Information Manager of… more
    Sunnyside Nursing and Post-Acute Care (06/26/25)
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  • Vice President - Mid-Revenue Cycle

    Stanford Health Care (Palo Alto, CA)
    …strategic planning, leadership, and operations support for Health Information Management, Hospital and Professional Coding Services, Charge Capture ... discovered. Day - 08 Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** The Vice President of Mid-Revenue Cycle is… more
    Stanford Health Care (07/23/25)
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  • Sr Analyst, Scope Management - Healthcare

    Evolent (Sacramento, CA)
    …Active credential or professional coding certification, such as: + Registered Health Information Technician (RHIT) + Certified Hematology and Oncology Coder ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes... plans to ensure that prior authorization and financial coding stay accurate, compliant, and aligned with evolving needs.… more
    Evolent (07/18/25)
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  • Authorization Technician II (12 Month Assignment)

    LA Care Health Plan (Los Angeles, CA)
    …Medical Coding Certification Required Training Physical Requirements Light Additional Information Required: Weekends and holidays hours may be required, as well ... $47,840.00 (Min.) - $57,062.00 (Mid.) - $68,474.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of California… more
    LA Care Health Plan (08/08/25)
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  • Clinical Resource Coordinator - Inpatient…

    Sharp HealthCare (San Diego, CA)
    …assist in the denial process - gathers documentation after review by medical director , ensure packet information is complete, assesses and select the appropriate ... specific medications, through SCMG Pharmacy or through the patient's health plan when applicable. Has all information ...available to help with the review process.Informs and distributes health plan criteria to the Medical Director ,… more
    Sharp HealthCare (08/08/25)
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  • UM LVN

    Dignity Health (Bakersfield, CA)
    …for referral authorizations either proactively, concurrently or retroactively. Gathering all information needed to make a determination and/or coordinate with the ... Medical Director as needed. - Responsible to coordinate with contracting...in a manner consistent with federal regulations, state regulations, health plan requirements and NCQA standards. - Constructs denial… more
    Dignity Health (07/13/25)
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  • Manager Benefit Administration - Sharp…

    Sharp HealthCare (San Diego, CA)
    …PM **AWS Hours Requirement:** 8/40 - 8 Hour Shift **Additional Shift Information :** Start time can vary. **Weekend Requirements:** As Needed **On-Call Required:** No ... guarantees, service level agreements and operational goals are met. Ensures benefit information is clear, accurate, consistent, and delivered timely to internal and… more
    Sharp HealthCare (08/09/25)
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  • UM LVN

    Dignity Health (Bakersfield, CA)
    …for referral authorizations either proactively, concurrently or retroactively. Gathering all information needed to make a determination and/or coordinate with the ... Medical Director as needed. - Ensure compliance with turnaround times...in a manner consistent with federal regulations, state regulations, health plan requirements and NCQA standards. - Constructs denial… more
    Dignity Health (08/09/25)
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  • Medical Management Clinician Senior 100% Virtual

    Elevance Health (CA)
    …and Experiences:** + Utilization Management experience is strongly preferred. + Health insurance billing and/or medical coding experience is strongly ... appropriate, consistent administration of plan benefits by reviewing clinical information and assessing medical necessity under relevant guidelines and/or medical… more
    Elevance Health (06/06/25)
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  • Manager, Special Investigation

    CVS Health (Sacramento, CA)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...development needs. Assesses training needs and works with SIU Director on development plans for team members. Develops and… more
    CVS Health (08/01/25)
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