- LA Care Health Plan (Los Angeles, CA)
- …Coding Specialist (CCS) designation by the American Health Information Management Association (AHIMA). Licenses/Certifications Preferred Required Training ... adjudication process through medical record review for Payment Integrity and Utilization Management projects. The position serves as a subject matter expert (SME),… more
- Evolent (Sacramento, CA)
- …our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... Stay for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to make a meaningful… more
- BMO Financial Group (San Francisco, CA)
- Provides advisory-based sales and relationship management to attract, retain and grow a portfolio of prospect and client relationships and deliver an exceptional ... + Breaks down strategic problems, and analyses data and information to provide insights and recommendations. + Monitors and...regular and ad-hoc reports, and dashboards. + Builds change management plans of varying scope and type; leads or… more
- L3Harris (Carlsbad, CA)
- …be responsible for ensuring compliance with all safety and regulatory standards, maintaining equipment, managing supplies, and supporting engineering activities. ... an efficient and functional work environment Essential Functions: The Senior Specialist , Engineering Services (Lab Manager) duties include but are not limited… more
- Sharp HealthCare (San Diego, CA)
- …PM **AWS Hours Requirement:** 8/40 - 8 Hour Shift **Additional Shift Information :** **Weekend Requirements:** As Needed **On-Call Required:** Yes **Hourly Pay Range ... pertinent clinical experience + Previous human resource, hospital staffing and/or management /leadership experience + California Registered Nurse (RN) - CA Board of… more
- CVS Health (Sacramento, CA)
- …process audits to ensure compliance with internal policies and procedures as well as regulatory guidance from CMS, OIG or other Regulatory body. + Thorough ... + CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician) required. + Experience with International Classification of Disease (ICD)… more
- The County of Los Angeles (Los Angeles, CA)
- …SERVICES Opening Date 07/24/2015 + Description + Benefits + Questions Position/Program Information DEPARTMENT OF HEALTH SERVICES FILING START DATE: 7/27/2015 AT 8:00 ... AND IS SUBJECT TO CLOSE WITHOUT PRIOR NOTICE. EXAM NUMBER: Y5134H REBULLETIN INFORMATION : THIS ANNOUNCEMENT IS A REBULLETIN TO UPDATE THE EXAMINATION CONTENT … more
- CVS Health (Sacramento, CA)
- …and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, policies, procedures and regulatory standards while ... planning and resolution of member issues. - Assessments take into account information from various sources to address all conditions including co-morbid and multiple… more
- CVS Health (Sacramento, CA)
- …and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, policies, procedures and regulatory standards while ... planning and resolution of member issues. + Assessments take into account information from various sources to address all conditions including co-morbid and multiple… more
- Stanford Health Care (Palo Alto, CA)
- …Perfusionist career ladder consists of four levels plus a lead based on management assessment of staffing needs. The distinction between levels is based on ... perfusion duties. LEVEL III: ▪ This is the advanced, specialist and lead level. Incumbents at this level perform...on all aspects of Perfusion Services, ECMO and VAD management and perfusion therapy **Locations** Stanford Health Care **What… more