- UCLA Health (Los Angeles, CA)
- …and resolving simple and complex patient/provider issues related to the authorization and claims process. You will also conduct performance evaluations, counsel ... processing ambulatory commercial, Medicare Fee for Service, and Medicare Advantage prior authorizations desired + Knowledge of the HMO referral process, eligibility… more
- Dignity Health (Rancho Cordova, CA)
- …and the appropriate application of policies and guidelines to Managed Care prior authorization referral requests. Under general supervision this position is ... Summary:** Under the guidance and supervision of the department Manager/Director the Supervisor of Utilization Management is responsible and accountable for… more
- Behavior Treatment & Analysis (Antioch, CA)
- …Review progress reports and submit to BTAs Quality assurance team at least 35 days prior from the authorization ending for each client. + Offer coaching and ... clients and providing clinical support to the Associate Clinical Supervisor (ACS). This role involves collaboration with the Executive...retention + Family Satisfaction + Staff billable hours + Utilization of hours in each case. + Excessive client… more
- Sharp HealthCare (Santee, CA)
- …problem, apologizing, tracking the situation, and then presenting it to the PT Supervisor , supervisor point of contact, or supporting clinical specialist (PT ... and customer service will be measured by PT Spec III or Supervisor observation, physician and peer feedback, SharpStar nominations and written or verbal… more
- Sharp HealthCare (Santee, CA)
- …and then resolving it or presenting it with a possible solution to the PT Supervisor , supervisor point of contact, or supporting clinical lead or specialist (PT ... outcomes.Courtesy and customer service will be measured by clinical lead or Supervisor observation, physician and peer feedback, SharpStar nominations and written or… more
- Air National Guard Units (Vandenberg AFB, CA)
- …planning, scheduling, controlling, and directing all unit functions through subordinate supervisor (s) who each direct substantial workloads comparable to the GS-11 ... National Guard, please contact a California National Guard recruiter prior to applying for this position. https://ca.nationalguard.com/california Compatible Military… more
- San Diego Community College District (San Diego, CA)
- …for facilities crews regarding campus events, projects, and provide direction / authorization on a daily basis. Manage operational site improvement process under VPA ... direction Close work with Accounting Supervisor for budget monitoring regarding site improvements, repairs, and...related to: scheduling, safety, budget reports and analytics, space utilization , enrollment projects for VPA , all special projects… more
- Sharp HealthCare (San Diego, CA)
- …of medication related problems, adherence barriers, assistance in drug cost or prior authorization , and other related activities.Provides initial information and ... activities for the team and the department. Completes projects assigned by supervisor .Consistently participates in cost savings measures across the continuum of care… more
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