- Cummins Inc. (Downey, CA)
- …plans by determining the length of repair based on parts and labor availability; review plan with the Service Supervisor/Team Lead prior to customer contact. + ... Open and review work orders to ensure accuracy for invoicing and warranty, explain charges to Customers to resolve any concerns and close work orders once complete.… more
- Snap Inc. (Los Angeles, CA)
- …objectives for operational reviews identified as part of the RAP team's Business Process Plan + Prepare and review audit results (ie, control design and ... of an operational, regulatory, or compliance internal audit project or operational review that resulted in management recommendations for improving a process +… more
- Prime Healthcare (Ontario, CA)
- …actively seeking new members to join our corporate team! Responsibilities The Utilization review tech essentially works to coordinate the utilization review and ... related correspondence to the respective EMR/ tracking tool. Utilization review tech will follow up on all denials while...not limited to, paid time off, a 401K retirement plan , medical, dental, and vision coverage, tuition reimbursement, and… more
- Deloitte (Fresno, CA)
- …group health care reform modeling for health plans + Prepare SQL models to price health plan benefit changes + Review MA and Part D bid submissions for accuracy ... to calculate ROI for medical management and other health plan initiatives + Prepare IBNR modeling spreadsheets for audit...serve Preferred: + 4+ years of consulting and/or health plan /insurance company experience + 4+ years of experience in… more
- Clark Construction Group, LLC (Oxnard, CA)
- …and completion + Implement and manage the "Three Phases of Control" Quality Control Plan + Oversee submittal review and approval + Schedule and conduct quality ... excellence. **Responsibilities** + Partner with the project team to understand, plan , and implement the contract drawings and specifications + Collaborate with… more
- Rincon Consultants (Ventura, CA)
- …of Key Duties and Responsibilities:** **Technical Work and Project Management** + Plan , conduct and review tree surveys, appraisals, and tree ... choices, ensuring you have the flexibility to select the plan that best suits your needs. Additionally, you can...made easier through our 401(k) / Profit Sharing Retirement Plan and bonus opportunities. Beyond the essentials, Rincon recognizes… more
- CVS Health (Sacramento, CA)
- …in a collaborative process to implement, coordinate, monitor and evaluate medical review cases. + Applies the appropriate clinical criteria/guideline and plan ... thinking, evidenced based clinical criteria and clinical practice guidelines. Med Review nurses use specific criteria to authorize procedures/services or initiate a… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …of patient's admission to the hospital. + Ensures compliance with all treatment plan requirements including weekly review and updates with the patient (indicated ... The Inpatient Clinician is the lead facilitator of the patient treatment plan and continuously monitors the implementation of active treatment with assigned… more
- Molina Healthcare (San Diego, CA)
- California residents preferred.** **EMERGENCY ROOM ADMISSIONS REVIEW NURSE** **_3-12 DAY SHIFT 7:30AM - 08:30PM PACIFIC HOURS NON EXEMPT, 3 days a week will ... hours are mandatory._** **_This position supports our California Health Plan . Candidates can live anywhere in the USA if...Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of InterQual /… more
- UMB Bank (Sacramento, CA)
- …under normal and stressed scenarios. Within Credit Administration, the **Appraisal Review ** team supports Commercial, Small Business and Consumer Lending. As a ... Senior Commercial Review Appraiser, you will ensure compliance with the valuation...incentive pay; paid holidays; a comprehensive company sponsored benefit plan including medical, dental, vision, and other insurance coverage;… more