- Centene Corporation (Sacramento, CA)
- …providers, as appropriate, for any discrepancies between prior authorization and concurrent review processes to ensure clinically appropriate determinations + ... quality of care issues, and if identified, refer to the Medical Director or provider for review and verification + Consults with senior management and healthcare… more
- Sacramento County (Sacramento, CA)
- …Employment Qualifications Minimum Qualifications Either: One year of experience as a Senior Public Health Nurse in Sacramento County service. Or: Two ... improperly rejected may request the Employment Services Division to review its decision to reject the application. If the...+ I have one year of experience as a Senior Public Health Nurse in Sacramento County… more
- Sacramento County (Sacramento, CA)
- Senior Mental Health Worker-Licensed Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/1036656) Apply Senior Mental Health Worker-Licensed ... plans with little direct supervision; provide direction to and review the work of assigned staff. + Establish and...the State of California to practice as a Registered Nurse , Vocational Nurse or Psychiatric Technician AND… more
- Stanford Health Care (Palo Alto, CA)
- …risk stratification of at-risk patient populations, acute and skilled nursing facility concurrent review and complex and episodic case management, including the ... member homes, provider offices or facility settings. S/he will conduct concurrent review and issue appropriate member/provider correspondence. **Locations**… more
- Sacramento County (Sacramento, CA)
- …clinic. OR: Two years of experience in the class of Mental Health Counselor, Psychiatric Nurse , Senior Mental Health Counselor, Senior Psychiatric Nurse , ... Licensed Clinical Social Worker, Marriage and Family Therapist, or Registered Nurse . AND Either: Two years of experience coordinating and/or supervising mental… more
- Dignity Health (San Luis Obispo, CA)
- …role also serves as a resource to employees, management, nursing directors, senior management, councils, physicians and teams on quality management activities and ... experience, efficiency, FMEAS, root cause analyses and medical staff improvement (eg case review for peer review , OPPE, FPPE). + Participates in an integral… more
- Prime Healthcare (Chino, CA)
- …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity ... among the 100 Great Community Hospitals by Becker's Hospital Review in 2018 and as among the 100 Top...care needs with top-rated emergency care as well as senior services, orthopedics, surgical services and more. Learn more… more