- Evolent (Sacramento, CA)
- …training classes as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. ... requested basis, reviews appeal cases and/or attends hearings for discussion of utilization management decisions. + Strong partnership with Physician Business… more
- Evolent (Sacramento, CA)
- …As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference ... the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- Evolent (Sacramento, CA)
- …specialty match reviewer for Spine Surgery cases. you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- Evolent (Sacramento, CA)
- …Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- CVS Health (Sacramento, CA)
- …on outreach priorities based on service territory and capacity constraints + System Utilization & Workflow Management + Operate and maintain Salesforce Field ... day. We are seeking a proactive and highly organized Manager of Production Management to join the Signify Health team to oversee field service dispatch operations… more
- Dignity Health (Bakersfield, CA)
- …as part of the regular schedule for this position.** **Position Summary:** The Utilization Management LVN is responsible for ensuring the integrity of the ... necessity. The position partners with both the Pre-Service and In-Patient Utilization Management teams. Ensures to monitor and assure the appropriateness and… more
- Sutter Health (Roseville, CA)
- …Administration **Position Overview:** Conducts preauthorization, concurrent, and retrospective utilization management review using the department's accepted ... necessity is met and at the appropriate level of care. Coordinates the utilization management , resource management , discharge planning, post-acute care… more
- Sutter Health (Goleta, CA)
- …Santa Barbara **Position Overview:** Conducts preauthorization, concurrent, and retrospective utilization management review using the department's accepted ... necessity is met and at the appropriate level of care. Coordinates the utilization management , resource management , discharge planning, post-acute care… more
- Highmark Health (Sacramento, CA)
- …Therapeutics Committee review. + Assist in the development and implementation of utilization management programs including but not limited to: prior ... account, and member educational initiatives that promote the Organization's Formularies, utilization management programs, and disease management initiatives.… more
- Moss Adams LLP (CA)
- …human resources, and internal accounting to promote people development and maximize utilization . The Resource Management Senior will work to balance business ... **Resource Management Senior** **Description** At Moss Adams, we champion...to plan and implement our people strategy, manage staff utilization , coordinate staff schedules, resolve conflicts and deploy people.… more