- Cedars-Sinai (Beverly Hills, CA)
- …and social supports required. + 1 year of previous utilization management or managed care experience; word processing spreadsheet skills also preferred. **Req ... of Utilization Management, Patient and Provider Services, Claims Department and other Care Coordination Department staff. In addition, the coordinator assists in… more
- 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
- 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
- UCLA Health (Los Angeles, CA)
- …information to incoming callers regarding the referral intake process. Process managed care authorizations. Typing, faxing and maintain daily/weekly records ... regarding internal and incoming transplant program referrals . Delivering CICARE World Class Care expectations in all dealings with patients, referring… more
- Sutter Health (Santa Rosa, CA)
- …Overview:** Coordinates the utilization management, resource management, discharge planning, post-acute care referrals and care facilitation. Oversees the ... base of health care delivery and case management within a managed care environment. + Comprehensive knowledge of Utilization Review, levels of care ,… more
- Sutter Health (Sacramento, CA)
- … and/or authorizations accurately and consistently with minimal supervision. In Managed Care , processes authorization and referral requests for members ... so glad you are interested in joining Sutter Health! **Organization:** SCAH-Sutter Care at Home - Valley **Position Overview:** Successful candidate will have… more
- Sutter Health (San Francisco, CA)
- … and/or authorizations accurately and consistently with minimal supervision. In Managed Care , processes authorization and referral requests for members ... in coordination with health plans and contracted providers. Provides support to the Case Management staff. Serves as a resource to providers regarding the authorization process. **Job Description** : **EDUCATION:** HS Diploma or GED **TYPICAL EXPERIENCE:** 2… more
- Humana (Sacramento, CA)
- …AND/OR Clinical Psychologist (Ph.D.)** . + 3 or more years of clinical or managed care experience. + Experience in managing mental health crisis intervention. + ... a part of our caring community and help us put health first** The Telephonic Care Manager will be part of the Humana Military Case Management team; providing a… 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