- LA Care Health Plan (Los Angeles, CA)
- …services. Duties Responsible for performing assessments and clinical review of medical records to determine appropriate care including physical health, behavioral ... needs for members referred to; MLTSS administered programs. Responsible for UM authorization functions for services requiring prior authorizations in a timely manner… more
- Sharecare (Sacramento, CA)
- …. Job Summary: The Quality Control Specialist is responsible for reviewing electronic medical records and conducting quality control on each record to ensure we are ... within HIPAA (Heath Insurance Portability and Accountability) guidelines. This position requires a...electronic records for HIPAA compliance, compliance with request and authorization limits + Ability to review a document and… more
- UCLA Health (Santa Monica, CA)
- …patients; obtain clinical information pertinent to the scheduled exams; collect cash/ insurance and authorization information. Digital Librarian duties include ... and written communication skills are essential for interacting with patients, medical staff, and radiologists. * Computer Literacy: Proficiency with computers,… more
- County of El Dorado (Placerville, CA)
- …a thorough background investigation. Many job classifications require a pre-employment medical screening. Depending on the job classification, medical screening ... your Form I-9 will be used to verify your authorization to work in the United States. Learn more:...meet your needs! For your Health and Well-Being: + Medical + Dental + Vision + Flexible Spending Accounts… more
- Chapa-De (Auburn, CA)
- …+ Employee annual raises when meeting or exceeding job expectations + Employer-paid Health Insurance ( medical , dental and vision) + 17 days PTO per year + ... race, religious creed, color, national origin, ancestry, physical disability, medical condition, genetic information, marital status, sex (including pregnancy,… more
- Gilead Sciences, Inc. (Oceanside, CA)
- …on role), paid time off, and a benefits package. Benefits include company-sponsored medical , dental, vision, and life insurance plans*. For additional benefits ... even bigger advances in cancer therapies, and help shape where our business and medical science goes next. We believe every employee deserves a great leader. People… more
- Elevance Health (Cerritos, CA)
- The **Therapy Services Reviewer** is responsible for the review of medical records to determine if requests for therapy services (physical therapy, occupational ... for care for a patient. . Processes system generated decisions for authorization requests, meeting all contract requirements, processes, and operational unit goals… more
- Centene Corporation (Sacramento, CA)
- …(BH) and/or autism spectrum disorder needs and clinical standards + Performs prior authorization reviews related to BH to determine medical appropriateness in ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- GE HealthCare (CA)
- …a fast-growing business in GE HealthCare, is the global leader in ultrasound medical devices and solutions. The portfolio spans the continuum of care to enable ... of technical project management experience in healthcare software or medical device R&D, with a focus on AI or...Proficiency in project management tools and methodologies.. + Legal authorization to work in the US is required. We… more
- County of El Dorado (Placerville, CA)
- …a thorough background investigation. Many job classifications require a pre-employment medical screening. Depending on the job classification, medical screening ... your Form I-9 will be used to verify your authorization to work in the United States. Learn more:...meet your needs! For your Health and Well-Being: + Medical + Dental + Vision + Flexible Spending Accounts… more