- HCA Healthcare (Riverside, CA)
- …a data-driven environment of quality and cost improvement, and develops systems to review utilization of resources and objectively measure outcomes of care in ... Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...appeals and denials process, discharge planning, case management, and utilization review /management + You will consult with… more
- Humana (Sacramento, CA)
- …quality management, utilization management, case management, discharge planning and/or home health or post-acute services (such as inpatient rehabilitation). ... insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review organization,… more
- Dignity Health (Long Beach, CA)
- …+ AHA BLS card + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure ... services. The RN Care Coordinator performs this role to meet the individual's health needs while promoting quality of care cost effective outcomes and by following… more
- Dignity Health (Long Beach, CA)
- …+ AHA BLS card + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure ... services. The RN Care Coordinator performs this role to meet the individual's health needs while promoting quality of care, cost effective outcomes and by following… more
- VNA Health (Santa Barbara, CA)
- … Health is looking for compassionate Registered Nurse Case Managers (RN CM) to join our Home Health care team. The RN CM plans, organizes and directs home ... of state, federal, local and accreditation regulations pertaining to the delivery of home health services. Qualifications: + Current and active California RN… more
- Alameda Health System (San Leandro, CA)
- …preferred. Minimum Experience: Two years related in acute care facility and/or utilization review training. Minimum Experience: Varied clinical experience or ... preferred. Preferred Licenses/Certification: Public Health Nurse, Case Management, or Home Health . Required Licenses/Certifications: BLS - Basic Life Support… more
- Alameda Health System (San Leandro, CA)
- …preferred. Minimum Experience: Two years related in acute care facility and/or utilization review training. Minimum Experience: Varied clinical experience or ... preferred. Preferred Licenses/Certification: Public Health Nurse, Case Management, or Home Health . Required Licenses/Certifications: BLS - Basic Life Support… more
- Cardinal Health (Sacramento, CA)
- …by federal, state or local law._ _To read and review this privacy notice click_ here (https://www.cardinalhealth.com/content/dam/corp/email/documents/corp/cardinal- ... Headquartered in Dublin, Ohio, Cardinal Health , Inc. (NYSE: CAH) is a global, integrated...role will also promote and sell our dialysis at home specialty products through our metro medical offering for… 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 ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...Radiology you will be a key member of the utilization management team. We can offer you a meaningful… 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 ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...Oncology, you will be a key member of the utilization management team. We can offer you a meaningful… more