- Cedars-Sinai (Beverly Hills, CA)
- …resources and social supports required. One (1) year of utilization management or managed care experience preferred. **About Us** Cedars-Sinai is a leader in ... of Utilization Management, Patient and Provider Services, Claims Department and other Care Coordination Department staff. In addition, the coordinator assists in… more
- Humana (Sacramento, CA)
- …+ Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization + Proficient utilizing electronic medical record ... caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management. The UM Administration … more
- Providence (Apple Valley, CA)
- …Associate's degree in a related field. + Medical Assistant Certification (CMA) upon hire. + Managed care or case management. + Experience with Mcg Care ... this position is responsible for providing support to the Care Management team who coordinates care for...to the Care Management team who coordinates care for identified members/patients throughout the healthcare continuum. This… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …of California Mental Health Laws. + Two or more years' experience working in managed care environment + Ability to apply and interpret admission and continued ... part of the greater Santa Rosa and Northern California mental health system of care . Conveniently located in the North Bay, this hospital consists of 144 acute… more
- Cardinal Health (Sacramento, CA)
- …long- and short-range changes in the reimbursement environment including Medicare, Medicaid, Managed Care , and Commercial plans while planning for various ... Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain...serves as the first line of communication for Health Care Providers who require special handling. The position is… more
- Sharp HealthCare (San Diego, CA)
- …experience in claims, utilization review, appeals or member services in a managed care environment **Preferred Qualifications** + Bachelor's Degree Business ... and follow-up. **Knowledge, Skills, and Abilities** + Thorough understanding of managed care principles and models. + Thorough understanding of health services… more
- UCLA Health (Los Angeles, CA)
- …guidance to patients and callers regarding the referral intake process + Processing managed care authorizations + Maintaining daily and weekly records of ... of the Transplant Financial Manager, the Transplant Financial Referral Coordinator provides essential administrative support to the Transplant Financial Referral… more
- Robert Half Office Team (Berkeley, CA)
- Description We are looking for a meticulous Human Resource Coordinator to join our team on a contract basis in Berkeley, California. In this role, you will provide ... skills. Responsibilities: * Handle inbound and outbound calls with care to address inquiries and provide timely assistance. *...tasks to ensure deadlines are met and priorities are managed . * Maintain organized records and files to support… more
- Sharp HealthCare (San Diego, CA)
- …experience in claims, utilization review, appeals or member services in a managed care environment. **Preferred Qualifications** + Bachelor's degree in business ... and follow-up. **Knowledge, Skills, and Abilities** + Thorough understanding of managed care principles and models. + Thorough understanding of health services… more
- Sutter Health (Santa Rosa, 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