- Molina Healthcare (Long Beach, CA)
- …regularly and directly engaging in patient care. Provides education on clinical guidelines, coding , quality measures, and documentation excellence. **Job ... team focused on primary, urgent, and preventative care services in various non- clinical community settings such as homes, nursing facilities, shelters, and pop-up… more
- Elevance Health (Walnut Creek, CA)
- ** Nurse Reviewer I** Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... to work weekends if necessary. New Grads are encouraged to apply! The ** Nurse Reviewer I** will be responsible for conducting preauthorization, out of network and… more
- Elevance Health (CA)
- **Medical Management Clinician Senior ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... - Friday 7:00 AM - 3:30 PM PST The **Medical Management Clinician Senior ** is responsible for ensuring appropriate, consistent administration of plan benefits by… more
- CVS Health (Sacramento, CA)
- …products and VPN. **Preferred:** ▪ Licensed Allied Health Professional or Licensed Registered Nurse ▪ Coding or Sales background ▪ Certified Six Sigma Green ... Analysis: Conduct comprehensive analysis of provider performance metrics as well as clinical operations for VBC readiness and risk assessment. This includes … more