- Sutter Health (Burlingame, CA)
- …knowledge base of health care delivery and case management within a managed care environment. Comprehensive knowledge of Utilization Review, levels of ... joining Sutter Health! **Organization:** Bay Administration **Position Overview:** Responsible for Care Coordination and Care Transitions Planning throughout the… more
- Ventura County (Ventura, CA)
- …certificate in medical billing or a related field. + Experience in Managed Care /Medicaid/Medicare and/or Commercial Insurance billing. + Experience with multiple ... CA Job Type Full-Time Regular Job Number 0839HCA-25AA (YM) Department Health Care Agency (recruitment by CEO-HR) Opening Date 05/28/2025 + Description + Benefits… more
- CenterWell (Sacramento, CA)
- …minimum of three years clinical RN experience; + Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management ... patients, and the healthcare industry as a whole. Conviva Care Solutions is seeking a RN who will collaborate...seeking a RN who will collaborate with other health care givers in reviewing actual and proposed medical … more
- Sutter Health (San Francisco, CA)
- …knowledge base of health care delivery and case management within a managed care environment. + Comprehensive knowledge of Utilization Review, levels of ... Coordinates the utilization management, resource management, discharge planning, post-acute care referrals and care facilitation. Oversees the management… more
- UCLA Health (Santa Monica, CA)
- …skills. You will work collaboratively with the patient, community resources, other providers, managed care operations, the UCLA Health System, and health plans ... Description Provide positive care solutions within an award-winning health system. Grow...part of The Network. Duties may include psychosocial assessment; care coordination, consultation to the team, individual, family or… more
- Banner Health (CA)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... **Department Name:** Coding-Acute Care Hospital **Work Shift:** Day **Job Category:** Revenue...Looking for a motivated, experienced **Inpatient Facility | Acute Care | Remote Medical Complex Coder, with CPC or… more
- Evolent (Sacramento, CA)
- …professional experience in claims-based healthcare analytics with a payer, provider, vendor, managed care , or related healthcare consulting entity + Extensive ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...we seek to connect the pieces of fragmented health care system and ensure people get the same level… more
- The County of Los Angeles (Los Angeles, CA)
- …meets with pharmaceutical product specialists to discuss current market conditions, managed care implications, disease state management, and obtain information ... the delivery of pharmacotherapeutics or pharmacokinetics in specialized medical care areas; designs, implements and conducts medication usage evaluations; delivers… more
- Evolent (Sacramento, CA)
- …experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care , or related healthcare consulting entity + Ability to ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...we seek to connect the pieces of fragmented health care system and ensure people get the same level… more
- UCLA Health (Santa Monica, CA)
- …coping skills. Works collaboratively with the patient, community resources, other providers, managed care operations, the UCLA Health System, and health plans ... geriatric populations, child and adolescents. Duties may include psychosocial assessment; care coordination, consultation to the team, individual, family or group… more