- Centene Corporation (San Diego, CA)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... (CST)** **Remote - CA or Remote - TX** **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and… more
- Elevance Health (Walnut Creek, CA)
- …and external physicians. + Applies clinical knowledge and skills to utilization review processes. + Adheres to medical policies and clinical guidelines. ... **Behavioral Health Medical Director- Child Psychiatrist** Location: This role enables...or territory of the United States when conducting utilization review or an appeals consideration and cannot be located… more
- Gilead Sciences, Inc. (Foster City, CA)
- …product lifecycle in compliance with relevant regulations, standards, and guidelines for medical devices, combination products and diagnostics. + Review device ... Safety Strategic Operations** team as an **Associate Director, Patient Safety Medical Device Safety** responsible for supporting activities to ensure ongoing safety… more
- Dignity Health (Rancho Cordova, CA)
- …from home** **within driving distance of Sacramento, CA** **.** As a Utilization Review (UR) LVN, you will use clinical judgement in providing utilization management ... high quality, cost-effective care which will enable patients to achieve maximum medical improvement while receiving care deemed medically necessary. You will assist… more
- Centene Corporation (Sacramento, CA)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... a fresh perspective on workplace flexibility. **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance abuse.… more
- Health Advocates Network (Santa Clarita, CA)
- …of all medical records. *Assist Health Service Administrator with the review of medical files to determine all provided services are documented. ... Licensed Independent Provider for treatment orders. *Assist in coordinating professional medical services provided by contract personnel and seeing that their needs… more
- City National Bank (Los Angeles, CA)
- *SENIOR CREDIT RISK REVIEW OFFICER* WHAT IS THE OPPORTUNITY? The Credit Risk Review Department (CRR), is part of the 3rd line of defense, and as such is ... are adequately identified, fully justified and properly approved. May lead credit review examinations, prepare final reports, and conduct overall meetings with Bank… more
- Robert Half Legal (Oakland, CA)
- Description We are seeking a California-barred Document Review Attorney for a fully remote opportunity supporting litigation and compliance projects. This role is ... East Bay area for occasional in-person meetings or onboarding. Responsibilities + Review and analyze large volumes of documents for relevance, privilege, and… more
- PennyMac (Moorpark, CA)
- …mortgage journey. A Typical Day Position Summary:The Operations Manager - Precision Review at PennyMac will lead and oversee a specialized team responsible for ... team development, driving efficiency and accuracy across the Precision Review function. The Operations Manager will serve as a...have you covered. Some key benefits include: + Comprehensive Medical , Dental, and Vision + Paid Time Off Programs… more
- Health Advocates Network (California City, CA)
- …of all medical records. -Assist Health Service Administrator with the review of medical files to determine all provided services are documented. ... Licensed Independent Provider for treatment orders. Assist in coordinating professional medical services provided by contract personnel and seeing that their needs… more