- 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
- Sharp HealthCare (San Diego, CA)
- …containment project every year. + CollaborationWorks collaboratively with social workers, home health liaisons, case managers and patient financial services ... in use.Is knowledgeable of current laws and regulations regarding Utilization Review and Discharge Planning.Morning arrival time...home care needs as delineated by agreement with Home Health Liaison.The needs and desires of… more
- Ventura County (Ventura, CA)
- …(Accountant I) or complies and prepares (Accountant II) financial statements and utilization statistics for health services product lines for internal financial ... to a 3.00% match on your 401(k) contributions. + Health Plans-Full time employees are given a flexible credit...The County includes 42 miles of coastline which is home to the fol-lowing cities and points of interest:… more
- CenterWell (Sacramento, CA)
- …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... part of our caring community and help us put health first** The Lead - Medicaid Customer Success oversees...performance and proactively bring issues to the forefront for review + Support new business implementations with a goal… more
- Sevita (Roseville, CA)
- …come join our team -** **_Apply Today!_** Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to ... well lived. **$68,640.00** **Program Management - Program Director IDD Services Host Home ** Are you an experienced QIDP professional with management ability and the… more
- Alameda Health System (Alameda, CA)
- …and a resolution is initiated and presented weekly at Medicare or Utilization Review meetings. **MININUM QUALIFICATIONS** : Education: Graduate of accredited ... Case Manager with the transfer of patients to other health care providers or to home . Transfer responsibilities include determining the appropriate level of care… more
- Actalent (Sacramento, CA)
- Utilization Review Nurse (LVN) - InpatientPrimary Responsibilities + Perform timely utilization reviews for Medicare inpatient admissions, continued stays, ... discharge planning and identify post-acute needs (eg, SNF, rehab, home health , DME). + Communicate avoidable days,...ICU). + At least 1 year of experience in utilization review , case management, or hospital discharge… 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
- Providence (Santa Rosa, CA)
- …with management, medical staff and medical center personnel. Provides payor/ utilization review organizations with concurrent retrospective utilization ... staff, medical center personnel and outside resources to ensure the appropriate utilization of resources according to clinical and financial standards. Monitors the… more
- BrightView (Santa Ana, CA)
- …provides direct support to branch leadership to drive optimal equipment utilization , vendor performance, and compliance with company standards. You'd be responsible ... increase rebate flow-through, and reduce capital expenditures. 3) Operational Support & Utilization + Analyze equipment utilization across branches to identify… more