- Cedars-Sinai (Beverly Hills, CA)
- …eligibility before processing authorizations. + Contacts facilities identified by the UM Nurses/Manager/ Director / Medical Director to research any issues (ie ... cost patient population, including referrals to community resources, facilitation of medical services , referral to ancillary providers, etc. **Qualifications**… more
- Dignity Health (Bakersfield, CA)
- …Gathering all information needed to make a determination and/or coordinate with the Medical Director as needed. - Responsible to coordinate with contracting to ... hierarchy and composition of compliant denial notices to review medical records, authorize requested services and prepare...for accessibility within the network. - Consults with the medical director on cases that do not… more
- Sharp HealthCare (San Diego, CA)
- …for medical necessity are issued under the direction of the Medical Director or designee.Assists with transfers, when necessary. + Demonstrates knowledge ... primary care physician, and ancillary staff to ensure cost effective quality service throughout the continuum of care. **Required Qualifications** + Other : Graduate… more
- Cedars-Sinai (Beverly Hills, CA)
- …eligibility before processing authorizations. + Contacts facilities identified by the UM Nurses/Manager/ Director / Medical Director to research any issues (ie ... Management **Department** : MNS Ambulatory Care Mgmt **Business Entity** : Cedars-Sinai Medical Center **Job Category** : Patient Services **Job Specialty** :… more
- Motion Recruitment Partners (Pleasanton, CA)
- …criterion for obtaining results. The subject matter expert reports directly to the IT Director - Voice Services , Client Enablement Services , but may have a ... fully remote role. Under general supervision of the IT Director , this position is responsible for our client's Voice..., this position is responsible for our client's Voice Services (Contact Center) systems infrastructure to maintain a reliable… more
- Dignity Health (Bakersfield, CA)
- …Gathering all information needed to make a determination and/or coordinate with the Medical Director as needed. - Ensure compliance with turnaround times and ... defined levels of hierarchy and composition of compliant denial notices to review medical records, authorize requested services and prepare cases for physician… more
- LA Care Health Plan (Los Angeles, CA)
- …records and documentation programs. Licenses/Certifications Required Licenses/Certifications Preferred Medical Coding Certification Required Training Physical ... clinical staff to render decisions, assists the Manager and Director of the Utilization Management department in meeting regulatory...coding . Proficient utilizing electronic medical … more
- Cedars-Sinai (Los Angeles, CA)
- **Job Description** **Passionate about providing outstanding and high-quality service to patients and their family members?** **Come join our team!** The Patient ... Access Service Supervisor is accountable to the Patient Access Manager or Director and is responsible for the daily planning, organizing and supervising of the… more
- Robert Half Finance & Accounting (Spreckels, CA)
- …to measure the performance of company operations. * Manage outsourced functions and services for the Accounting and Finance team. * Ensure the quality and accuracy ... information to external auditors for the annual audit. * Develop consistency in G/L coding invoices for A/P and ensure that all reasonable discounts are taken. *… more
- Norstella (Sacramento, CA)
- …wider breadth of expertise, cutting-edge data solutions and expert advisory services alongside advanced technologies such as real-world data, machine learning and ... If yes, Norstella could the next step in your career. Reporting into Senior Director , the Technical Engineering Lead will be responsible for leading and managing a… more