- BrightSpring Health Services (Yuba City, CA)
- …of person(s) served, develop and implement nursing care plans, and maintain medical records. Administer nursing care. Advise person(s) served and staff on health ... Drive and deliver profitable growth Essential Job Responsibilities + Review daily appointment needs: packets completed and available to...accredited school of nursing OR License as a Registered Nurse , current and in good standing + Valid driver's… more
- CVS Health (Sacramento, CA)
- …1 year of varied UM (utilization management) experience within an inpatient, concurrent review or prior authorization. + Remote work experience. **Education** + ... with heart, each and every day. **Position Summary** **100% remote position from anywhere in the US** **Work hours:...EST, Monday-Friday.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS… more
- CVS Health (Sacramento, CA)
- …do it all with heart, each and every day. **Position Summary** This is a fully remote role open to candidates with an active RN licensure in the state in which they ... time, talking on the telephone, and typing on the computer. The UM Nurse Consultant utilizes clinical skills to coordinate, document and communicate all aspects of… more
- Magellan Health Services (San Diego, CA)
- This is a remote position in California, candidates must be licensed and reside in CA. This position is responsible for the assessment, reassessment, care planning ... care plan, member education and care management. Conducts initial and concurrent review for prior authorization of higher levels of care against medical… more
- CenterWell (Sacramento, CA)
- …are excited to offer the role of Virtual Physician Collaborator for CenterWell Medical Group, a new virtual care delivery group within CenterWell Senior Primary ... are excited to offer the role of **Virtual Physician Collaborator for CenterWell Medical Group** , a new virtual care delivery group within CenterWell Senior Primary… more
- CenterWell (Sacramento, CA)
- …will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review ... Bilingual We offer tangible and intangible benefits such as medical , dental and vision benefits, 401k with company matching,...culture and much more. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- Stanford Health Care (Palo Alto, CA)
- … Medical Center experience preferred. + Case management, utilization review and/or direct provider interaction experience, preferred. + Experience in public ... and experience in computer systems, reporting software and electronic medical record systems used in functional area. + Demonstrated...+ CCDS-O or CDIP . + Nursing\RN - Registered Nurse - State Licensure And/Or Compact State Licensure preferred… more
- Veterans Affairs, Veterans Health Administration (CA)
- …range of medical clinicians across multiple disciplines (eg medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social ... call center operations and other elements in the electronic medical record and medical systems. Responsibilities VA...Not Available Virtual: This is not a virtual position. Remote : This is not a remote position.… more
- Teleflex (Fresno, CA)
- Medical Sales Representative, Vascular, Central Valley CA **Date:** Aug 1, 2025 **Location:** Fresno, CA, US **Company:** Teleflex **Expected Travel** : Up to 50% ... **Requisition ID** :12409 **About Teleflex Incorporated** As a global provider of medical technologies, Teleflex is driven by our purpose to improve the health and… more
- Fresenius Medical Center (Rancho Cucamonga, CA)
- Remote role with up to 60% travel **PURPOSE AND SCOPE:** Develops, implements, maintains and evaluates an effective, data-driven, quality assessment and performance ... improvement. This includes promoting the adoption and utilization of Corporate Medical Advisory Board Recommended Algorithms and Standing Orders, clinical pathways… more