- Sacramento County (Sacramento, CA)
- …Licensed Clinical Social Worker, Marriage and Family Therapist, or Registered Nurse . AND Either: Two years of experience coordinating and/or supervising mental ... Two years of experience in the class of Mental Health Counselor, Psychiatric Nurse , Senior Mental Health Counselor, Senior Psychiatric Nurse , or Supervising… more
- Alameda Health System (Oakland, CA)
- …communication and collaboration with internal departments, external agencies, and insurance providers to facilitate the utilization review process. + Participate ... of quality improvement initiatives. + Oversees the secondary review process; actively appeals denied cases when necessary and assists physicians with appeals .… more
- Sharp HealthCare (San Diego, CA)
- …Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse (RN) - CA Board of Registered Nursing; Accredited Case Manager (ACM) ... equivalent experience in the healthcare setting. + California Registered Nurse (RN) - CA Board of Registered Nursing **Preferred...planning, as specified by Sharp, federal, state, and private insurance guidelines. + Core principlesThe RN CM I will… more
- Sharp HealthCare (La Mesa, CA)
- …Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse (RN) - CA Board of Registered Nursing **Hours** **:** **Shift Start ... acute care nursing experience or case management experience. + California Registered Nurse (RN) - CA Board of Registered Nursing **Preferred Qualifications** +… more
- Alameda Health System (San Leandro, CA)
- …other documentation; contacts with payers conducting phone reviews and initiates denial appeals as needed. + Encourages patients to develop realistic plans. Makes ... regarding Advance Directives and POLST when requested. + Understands insurance , governmental, and accrediting agency standards to determine criteria concerning… more
- Sacramento County (Sacramento, CA)
- …available to you. These benefits currently include: health, dental and life insurance ; flexible spending account options for dependent care and unreimbursed dental ... RETIREMENT: Social Security and Sacramento County Employees' Retirement System coverage. HEALTH INSURANCE : The County offers a variety of health plan design options… more
- Cedars-Sinai (Beverly Hills, CA)
- …Hospitals. **Why work here?** Beyond outstanding employee benefits including health and dental insurance , vacation, and a 403(b) we take pride in hiring the best ... Investigates, processes and assists with the resolution of provider grievances and appeals in accordance with contractual requirements and corporate policy. + Begins… more