- Veterans Affairs, Veterans Health Administration (Redding, CA)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... within the Physical Medicine and Rehabilitation Service of the VA Northern California Health Care System which is a Complexity Level 1b facility. The Physical… more
- Ventura County (Ventura, CA)
- …that establish, expand, and maintain the pool of eligible service providers. + Utilization review : + Uses professional skills in quality management activities ... class requires more independent action in the promotion and utilization of effective mental health techniques. PAYROLL...such as utilization review , monitoring and evaluation procedures, and… more
- Evolent (Sacramento, CA)
- … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director.… more
- Dignity Health (Bakersfield, CA)
- **Responsibilities** This position is work from home ** **within California** **.** Please note: Rotating holidays and weekends will be expected as part of the ... regular schedule for this position.** **Position Summary:** The Utilization Management LVN is responsible for ensuring the integrity of the adverse determination… more
- Humana (Sacramento, CA)
- …quality management, utilization management, case management, discharge planning and/or home health or post-acute services such as inpatient rehabilitation ... management, provider relations, quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will develop and present… more
- Evolent (Sacramento, CA)
- …the support services review process. Responsible for the quality of utilization review determinations, including appeals. + Provides input into audit ... for select health plans or regions, assuming overall accountability for utilization management while working in conjunction with the SVP, CCO and/or CMO. +… more
- Rising Medical Solutions (Los Angeles, CA)
- …nursing, medical case management, occupational health , orthopedics, home health care, utilization review , or quality assurance + Familiarity ... Benefits + Opportunity to make a difference in reducing health care costs and increasing the value of ...health care costs and increasing the value of health care to individuals and their employers + Compensation… more
- Evolent (Sacramento, CA)
- … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director.… more
- Evolent (Sacramento, CA)
- … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director.… more
- Evolent (Sacramento, CA)
- … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director.… more