- Tiburcio Vasquez Health Center (Hayward, CA)
- …patients to other services. This position will assist in increasing continuity of care and provider utilization metrics. This is an on-call position, which ... Under the general supervision of the Call Center Manager , the Community Access Specialist will improve patients'...patients in order to ensure everyone receives access to care . + Panel Management: Review all upcoming… more
- Sharp HealthCare (San Diego, CA)
- …with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk ... high level of efficiency of operations and customer service while providing quality care to a designated patient population. Serves as a technical nursing expert for… more
- Pfizer (Sacramento, CA)
- …Cardiac Account Specialist (CAS) - Rare Cardiac, will target health care providers (HCPs), spanning multiple disciplines (eg, Cardiologists, Nuclear Medicine ... appropriate customer stakeholders. The role will report into the Area Business Manager (ABM). The Cardiac Account Specialist (CAS) will demonstrate strong business… more
- Amergis (Orange, CA)
- … Manager to help support a health insurance agency! The Medical Case Manager (BHI Utilization Management) will be responsible for reviewing and processing ... as those listed above may also be qualifying. Preferred Qualifications: + Utilization management reviewer experience. + Managed care experience. + Behavioral… more
- Ventura County (Ventura, CA)
- …Paula, CA Job Type Full-Time Job Number 1707HCA-25AA (EN) Department Health Care Agency Opening Date 06/16/2025 + Description + Benefits + Questions Description ... and coordinates all aspects of the food and nutritional care programs, activities, and personnel at the Ventura County...Collaborates with the lead dietitians to oversee, plan, and review the work and activities of Registered Dietitians and… more
- HCA Healthcare (Campbell, CA)
- …team. Grow your career with an organization committed to delivering respectful, compassionate care , and where the unique and intrinsic worth of each individual is ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- Sharp HealthCare (San Diego, CA)
- …therapeutic interventions via collateral calls, conjoint therapy sessions, utilization review process, and/or referrals and revises care plan as necessary. ... reach the maximum level of functioning during the current episode of care . This position is responsible for conducting behavioral health psychosocial assessments and… more
- Elevance Health (Walnut Creek, CA)
- …necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. + Conducts peer-to-peer ... advanced practice nurses regarding established guidelines and accepted standards of care as it relates to treatments, surgical procedures, imaging and appropriate… more
- The County of Los Angeles (Los Angeles, CA)
- …a Department of Justice Consent Decree to improve conditions and mental health care in County jails, as well as support justice-involved populations post-release. We ... of community partner clinics - DHS annually provides direct care for 600,000 unique patients, employs over 23,000 staff,...team leaders reporting to a mental health clinical program manager or a physician manager . Positions allocable… more
- BrightSpring Health Services (Sacramento, CA)
- …and submit to State Health Services Director and Assigned Director, Clinical Practice* Review utilization report at least monthly to ensure adequate hours on ... area of responsibility. Responsible to supervise all nursing personnel, and ensure care and services are coordinated with behavioral and programmatic staff in… more