- Humana (Sacramento, CA)
- …will work closely with established functions inside utilization management ( Medical Director, clinician decision making teams, quality audits, prior authorization ... and approaches to assignments. **Specific responsibilities** Monitor enterprise controls based on the established pillars for consistent clinical decision-making:… more
- Public Consulting Group (Sacramento, CA)
- …Scale assessment is preferred. + Experience with Home and Community Based Services waivers preferred. + Knowledge of medical terminology, behavioral support, ... to receive services from one of three Virginia DD- Home and Community Based Services Medicaid Waivers...Waivers + An IRQR (Internal Interviewer Reliability and Qualification Review ) is a process used by AAIDD (American Association… more
- County of El Dorado (Placerville, CA)
- …those dining in or those who are having a meal delivered to their home . This position is responsible for coordinating home meal delivery participant assessments, ... volunteer onboarding and training, volunteer assignments to home meal delivery routes, and for coordinating daily activities with the kitchen supervisor to prepare… more
- WelbeHealth (San Jose, CA)
- …program helps seniors stay in their homes and communities by providing comprehensive medical care and community- based services. It's our mission to serve the ... vulnerable seniors with better quality and compassion in a value- based model. The Enrollment RN plays a vital role...Enrollment RN role focuses on conducting initial nursing and home safety assessments of prospective participants at their place… more
- Humana (Sacramento, CA)
- …Management Pharmacist is a clinical expert responsible for conducting medical necessity and comprehensive medication reviews for prescriptions requiring prior ... This role involves evaluating complex clinical scenarios and applying evidence- based criteria to ensure appropriate medication use. The pharmacist addresses… more
- HCA Healthcare (San Jose, CA)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- LA Care Health Plan (Los Angeles, CA)
- …facilitate coordination of services. Duties Responsible for performing assessments and clinical review of medical records to determine appropriate care including ... and/or disabilities in a UM/CM environment. Preferred: Experience in utilization review , skilled nursing, home health, discharge planning, behavioral health,… more
- Humana (Sacramento, CA)
- …for helping people, we likely have the right place for you at Humana! **Work-At- Home Requirements** To ensure Home or Hybrid Home /Office associates' ability ... to work effectively, the self-provided internet service of Home or Hybrid Home /Office associates must meet...protection. Please be aware that applicants selected for leader review may be asked to provide a social security… more
- Banc of California (Santa Ana, CA)
- …(the "bank"). Banc of California is one of the nation's premier relationship- based business banks focused on providing banking and treasury management services to ... diligence, and underwriting of proposed commercial real estate loan requests. Review initial borrower submissions, perform analysis of information submitted, and… more
- Colossal Media (Los Angeles, CA)
- …We're looking for seasoned painters with hands-on experience in the Out of Home industry-specifically working with oil- based enamels and brushes at scale. This ... Out of Home industry. **The Company:** Colossal Media, an award-winning Brooklyn- based company and now a subsidiary of Lamar Advertising, is dedicated to… more