- Emanate Health (Covina, CA)
- …the United States, and the #19 ranked company in the country. **J** **ob Summary** The Manager , Medical Necessity Review & Appeals is responsible for ... overseeing the evaluation of medical necessity , appropriateness, and cost-effectiveness of healthcare...rates, reduce denials, and support optimal patient care. The Manager collaborates with clinical and operational leaders, and drives… more
- Cardinal Health (Sacramento, CA)
- …including: detection and correction of documentation, coding, and billing errors and/or medical necessity of services billed. Particular areas of focus include: ... coding related to physician or hospital (inpatient and outpatient) billing and/or medical necessity reviews. + Manages focused audits involving specific… more
- Prime Healthcare (Ontario, CA)
- …cost-effective outcomes and to perform a holistic and comprehensive review of the medical record for the medical necessity , intensity of service and ... Registered Nurse license. + Minimum 3 years RN Utilization Manager working for a Health Plan. + At least...+ At least 3 years of experience in utilization review , referrals, authorizations, denials and appeals. + Current BCLS… more
- Alameda Health System (San Leandro, CA)
- …all the patients in his/her caseload in the following areas; admission criteria for medical necessity and appropriateness of care; continued stay criteria for ... SLH Case Manager RN + San Leandro, CA + San Leandro Hospital + SLH...medical necessity and appropriateness of care; resource Management issues; other issues… more
- Dignity Health (San Luis Obispo, CA)
- …patient safety and risk reduction, patient experience, efficiency, FMEAS, root cause analyses and medical staff improvement (eg case review for peer review , ... Summary:** The primary function of the Quality/Patient Safety Program Manager is to support, coordinate, and facilitate the quality...+ Must be able to perform case reviews for medical staff peer review and medical… more
- WM (Fresno, CA)
- …our founding over 30 years ago, we have grown from a small start-up in medical waste management into a leader across a range of increasingly complex and highly ... in a safe, responsible, and sustainable way. **Position Purpose:** The Facility Manager is to be responsible for the overall plant, administration and transportation… more
- Prime Healthcare (Chino, CA)
- …to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity , intensity of service and ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/219949/case- manager -%28rn%29 utilization-management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityChino… more
- Ace Hardware (Los Angeles, CA)
- **The Job** The **Field Sales Manager ** role is to increase B2B retail sales and generate wholesale revenue. They will do so by leading the execution of Ace's B2B ... sales strategies, National Accounts, B2B e-commerce. The Field Sales Manager role will be most successful when they leverage...10.4% of total eligible compensation. + Comprehensive health coverage ( medical , dental, vision and disability - up to 26… more
- Compass Group, North America (San Jose, CA)
- Epicurean Group **Position Title: General Manager ** **Reports To: District Manager ** **Salary: $100,000 to $115,000** **Other Forms of Compensation:** Bonus ... the start of a career where you can flourish. **Job Summary** The General Manager is responsible for the overall management and coordination of all aspects of food… more
- Ace Hardware (Visalia, CA)
- …and E-retailer customer segments. Our team is currently looking for a Territory Manager who will be responsible for growing profitable sales with current and new ... in California** . We are seeking a motivated Territory Manager with a desire to grow into a leadership...7.3% of total eligible compensation. + Comprehensive health coverage ( medical , dental, vision and disability - up to 26… more