- Dignity Health (Woodland, CA)
- …vehicle. + Current BLS through the American Heart Association. **Overview** As our Home Health Physical Therapist at Woodland Memorial Hospital, now part of ... by a designated evaluation tool. + Documents appropriate management of visit utilization and authorization status as measured by a designated evaluationtool. + Meets… more
- Dignity Health (Camarillo, CA)
- …healthcare industry we'll take care of you with benefits that include health /dental/vision FSA matching retirement plans paid vacation adoption assistance and more. ... In keeping with the Dignity Health core values the Clinical Nurse III (CN III)...techniques in patient care. + Consistently demonstrates knowledge and utilization of CQI techniques in patient care improvement projects.… more
- Dignity Health (Redding, CA)
- …Care Unit in Shasta County. In addition, the hospital's network of care includes Mercy Home Health and Hospice and Dignity Health Connected Living. Mercy ... + Schedules nursing staff to specific shifts, taking into account past utilization trends. Measures employee performance. Assists in the training of new staff… more
- CommonSpirit Health (Rancho Cordova, CA)
- …within multiple markets in a region. Oversees the centralized functions of Utilization Management Services, including but not limited to medical necessity reviews ... CNOs, and departments such as Revenue Cycle, Payer Strategy, Community Health , Physician Enterprise Continuing Care, Quality, Performance Improvement, Ethics, and… more
- Dignity Health (Camarillo, CA)
- …industry, we'll take care of you with benefits that include health /dental/vision, FSA, matching retirement plans, paid vacation, adoption assistance, and more. ... In keeping with the Dignity Health core values, the Clinical Nurse III (CN III)...techniques in patient care. + Consistently demonstrates knowledge and utilization of CQI techniques in patient care improvement projects.… more
- Evolent (Sacramento, CA)
- **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health ... care, we seek to connect the pieces of fragmented health care system and ensure people get the same...Nurse, you will be a key member of the utilization management team. We can offer you a meaningful… more
- Evolent (Sacramento, CA)
- …experience and as an RN - **Required** + Minimum of 5 years in Utilization Management, health care Appeals, compliance and/or grievances/complaints in a quality ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies… more
- Banner Health (CA)
- …education, & experience. In accordance with State Pay Transparency Rules. Help lead health care IT into the future. Our Information Technology professionals play a ... across the system. **This is a Monday-Friday work from home position with on call responsibilities outside of normal...UT, VA, WI, WV, WA, & WY** Within Banner Health Corporate, you will have the opportunity to apply… more
- Alameda Health System (Alameda, CA)
- …and PPS. 3. Assists Case Manager with the transfer of patients to other health care providers or to home . Transfer responsibilities include determining the ... or resident. Designs, promotes and organizes Resident education and counseling based on health needs. Ensure all MDS information and care delivered is as outlined in… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Senior Policy Governance Professional will focus on compliance processes and execution ... factors. Become a part of our caring community and help us put health first for our members, providers and ourselves. Desired Senior Policy Governance Professional… more