- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to ... services and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work assignments are varied and frequently require… more
- Charles River Laboratories (San Diego, CA)
- …therapies. When you join our family, you will have a significant impact on the health and well-being of people across the globe. Whether your background is in life ... that you can feel passionate about. **Job Summary** We are seeking an Enironmental Health & Safety Specialist to join our Insourcing Solutions team, located in San… more
- Sunnyside Nursing and Post-Acute Care (Torrance, CA)
- …residents stay for short-term treatment or long-term care. Job Description + The Health Information Manager (HIM) is responsible for the overall management of the ... Medical Records Department, including the development and implementation of health information policies and procedures. The HIM Director also acts as a liaison… more
- Providence (CA)
- **Description** **Community Connect Revenue Cycle Health Senior Program Manager** **The Community Connect Revenue Cycle Health Senior IS Program Manager position ... program objectives. They lead processes to accomplish Community Connect Revenue Cycle Health program objectives, manage change, and resolve issues that span across… more
- Always Best Care Senior Services (San Diego, CA)
- RN Home Health Clinical Manager Always Best Care Home Health is seeking a RN Clinical Manager with Medicare experience to guide, lead and build a fast growing, ... results oriented Home Health Agency. The Clinical Manager compliments the Administrator in...efficiency, such as staffing levels, patient supply needs, insurance claims and reimbursement. Must have excellent, organizational skills, ability… more
- Sedgwick (Sacramento, CA)
- …**:** To supervise the activities of the adjuster department; to assign caseload of claims to adjusters and to ensure customer satisfaction of claims services ... Attends litigation hearings. + Establishes reserves and estimates in unassigned claims files. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties… more
- Sedgwick (Sacramento, CA)
- …Insurance Marine Investigator **PRIMARY PURPOSE** **:** To perform detailed admiralty claims investigation and analysis through examination of the loss, collection ... or other stakeholders. + Runs and interprets formal background checks related to claims through online resources, evaluating the results as it relates to policy… more
- The Hartford (San Francisco, CA)
- …the investigation, valuation, disposition and settlement of large Commercial property claims in a manner consistent with corporate claim settlement policies and ... properly assess the indemnity and expense exposure of assigned claims . They will report to a Property Major Case...world? What else can we do to destigmatize mental health in the workplace? Can we make our communities… more
- CVS Health (Sacramento, CA)
- At CVS Health , we're building a world of health...+ May assist in the research and resolution of claims payment issues - Supports the administration of the ... ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health ...transforming health care. As the nation's leading health solutions company, we reach millions of Americans through… more
- Elevance Health (Rancho Cordova, CA)
- …coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically. **How you ... + Ensures member access to services appropriate to their health needs. + Conducts assessments to identify individual needs...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more