- Molina Healthcare (San Diego, CA)
- …financial responsibility for Molina Healthcare and its members. May also perform prior authorization reviews and/or related duties as needed. + Processes ... requests within required timelines. + Refers appropriate cases to Medical Directors and presents them in a consistent and efficient manner. + Requests additional… more
- Molina Healthcare (Sacramento, CA)
- …financial responsibility for Molina Healthcare and its members. May also perform prior authorization reviews and/or related duties as needed. + Processes ... requests within required timelines. + Refers appropriate cases to Medical Directors and presents them in a consistent and efficient manner. + Requests additional… more
- Dudek (CA)
- …and interested in environmental survey experience are highly encouraged to apply. Prior field experience is not necessary. Learn more about the projects ... successful candidates are required to pass the following pre-employment requirements prior to beginning employment: pre - employment drug test and background… more
- Dignity Health (Sacramento, CA)
- …of payor guidelines/ authorization as needed, in a timely manner (ie, prior to scheduling/treating patient or obtaining equipment. Attempts made to contact MD ... are thoroughly completed. Appropriate goals are set relative to the patient's prior level of function. Treatment plan is relevant to patient's problems identified.… more
- Mendocino County Sheriff's Office (Ukiah, CA)
- …present reports on personal, social, educational, financial, health, and/or prior criminal involvement of probationers; present sentencing recommendations in court. ... the dates are subject to change. You will be notified at least 7 days prior to the actual test date. Important Application Information: + It is your responsibility… more
- Centene Corporation (Sacramento, CA)
- …management and healthcare providers, as appropriate, for any discrepancies between prior authorization and concurrent review processes to ensure clinically ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- The County of Los Angeles (Los Angeles, CA)
- …at 8:00 AM (PT) THE FILING PERIOD MAY BE SUSPENDED AT ANY TIME WITHOUT PRIOR NOTICE. THIS EXAMINATION MAY REOPEN AS THE NEEDS OF THE SERVICE REQUIRE. NO APPLICATIONS ... choose among a variety of pre-tax and after-tax benefits that include Medical and Dental coverage, Group life insurance, Accidental Death and Dismemberment… more
- CVS Health (Sacramento, CA)
- …and legal review. + Provide day-to-day support and guidance for ABA prior authorization clinical team and the health plan medical directors. + Attend and ... individual Aetna member cases. **Expectations/Responsibilities:** + Review and prepare cases for medical necessity review of ABA. + Provide input into medical … more
- US Tech Solutions (San Francisco, CA)
- …The Senior Admitting Worker must comply with all guidelines put forth by the Medical Center Policies and Procedures. All Senior Admitting Workers play a key role in ... a patients' health care experience in our Medical Center and must act as an ambassador. The...+ Must have demonstrated strong customer service skills + Prior experience in healthcare, insurance-related or comparable level +… more
- UCLA Health (Los Angeles, CA)
- …collection of accurate demographic information, soliciting for insurance information and prior authorization requirements and follow up. Provide general ... World Class Care expectations in all dealings with patients, referring physicians, medical groups, insurance plans and colleagues. Comply with all hospital and… more