- 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
- Sutter Health (Sacramento, CA)
- …of the ICD-10-CM and CPT-4 Classification systems, HCPCS, and Evaluation and Management coding guidelines and thorough understanding of the effect of data quality ... on prospective payment, utilization , and reimbursement for multiple medical professional service specialties....Medicare and Medicaid guidelines and compliance issues. + Time management and project management skills. + Working… more
- ERP International (Camp Pendleton, CA)
- …is seeking a **Nurse Practitioner** for a full-time position supporting the **Pain Management Clinic** at **Camp Pendleton, CA.** **Be the Best!** Join our team of ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- Evolent (Sacramento, CA)
- …Doing:** As a Field Medical Director, Oncology, 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:** Job Description As a FMD, Radiology 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)
- …Field Medical Director, Physical Medicine and Rehab 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
- Cardinal Health (Sacramento, CA)
- …Networks works with over 11,500 providers across 1,500+ independent specialty physician practices and groups. Furthermore, this business unit leverages the strength ... projects, 360 Member Profiles and overall success of membership network with utilization and optimization of Salesforce keeping up to date outcomes and progress… more
- Fresenius Medical Center (Los Angeles, CA)
- …Charge Registered Nurse, utilizing standard nursing techniques to assist the physician in optimum patient outcomes following facility policies and procedures. ... on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other organization administrative… more
- Hospice Of San Joaquin (Stockton, CA)
- …the time of the patient's death with coordination of services with the physician , mortuary, DME, and supplier. + Assists family in making transition from caregiving ... advocate, in collaboration with Case Manager, IDT, and primary physician . + Additional duties as assigned. INTERDISCIPLINARY COLLABORATION/COMMUNICATION: Ensure… 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 ... medical necessity. The position partners with both the Pre-Service and In-Patient Utilization Management teams. Ensures to monitor and assure the appropriateness… more