- Dignity Health (Sacramento, CA)
- **Job Summary and Responsibilities** **Job Summary:** The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning ... for identified patients requiring these services. The RN Care Coordinator performs this role to meet...Able to apply clinical guidelines to ensure progression of care . + Knowledge of managed care… more
- HCA Healthcare (Thousand Oaks, CA)
- …join an organization that invests in you as a(an) OR Supply Materials Coordinator ? At Thousand Oaks Surgical Hospital, you come first. HCA Healthcare has committed ... and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +...resources for emotional, physical and financial wellbeing + 401(k) Plan with a 100% match on 3% to 9%… more
- County of El Dorado (Placerville, CA)
- …clients and those that support co-occurring clients such as mental health clinicians, primary care providers, managed care systems and other health workers ... is desirable. Our ideal candidate is an energetic and compassionate counselor and care coordinator , is comfortable with advocating for the best care… more
- Prime Healthcare (Victorville, CA)
- …Discharge Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non- managed care environments.2. ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/234790/ care - coordinator … more
- Dignity Health (Rancho Cordova, CA)
- …including HIPAA, CMS, and state-specific requirements **Preferred Qualifications:** - 2 years managed care experience preferred - 1 year delegation oversight ... DMHC, NCQA, CMS and other regulatory bodies preferred - Knowledge of HIPPA, managed care environment preferred - Strong technical proficiency in data analysis;… more
- Humana (Sacramento, CA)
- …+ Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization + Proficient utilizing electronic medical record ... and help us put health first** The UM Administration Coordinator provides clerical support for the department. We are...policies and procedures ensuring best and most appropriate treatment, care or services for members. The Home Solutions UM… more
- Dignity Health (San Bernardino, CA)
- …care unit program through education to the community including healthcare providers and managed care organizations. This position acts as the MDS RN ... employee shall support Community Hospital of San Bernardino strategic plan and the goals and direction of the quality...within 6-12 months. + 6 months experience as MDS Coordinator in Long Term Care setting preferred.… more
- Cardinal Health (Sacramento, CA)
- …independently with minimal supervision. + Strong organizational skills. + Understanding of managed care contracts and fee schedules, including Medicare and ... Coordinator , Benefits Eligibility and Authorization **_What Benefits Eligibility...that may need to happen to not delay patient care . + Complete any pre-service appeals to obtain paying… more
- Dignity Health (Stockton, CA)
- …hospitals and agencies who serve as referral sources, including utilization review and managed care companies. This position requires providing service to a one ... **Job Summary and Responsibilities** The Evaluator Coordinator is responsible for enhancing referrals and gathering...Core Values. The employee shall support the Organization's strategic plan and the goals and direction of the Performance… more
- Highmark Health (Sacramento, CA)
- …degree + Pharmacy technician certification certificate + Experience working in a managed care medication formulary management environment + Working knowledge of ... reviewer in monitoring and ensuring adherence to the health plan 's state and federal multiple drug benefit design offerings....to ensure that the needs of the provider and plan member are addressed in a courteous, helpful and… more