- UCLA Health (Los Angeles, CA)
- Description The Appeals & Grievance Intake Coordinator serves as the primary point of contact for receipt of member-initiated complaints and Health Plan ... grievances and appeals. The Grievance and Appeals Intake Coordinator is responsible for managing the...fax portal of received complaints, appeals and grievances. The management of grievances includes initial intake and… more
- Highmark Health (Sacramento, CA)
- …Description :** **JOB SUMMARY** This job captures all inbound inquires for utilization management review from providers and pharmacies. The incumbent assesses ... member, and then creates the case (data entry) in Highmark's Utilization Management system for Prior Authorization clinical review. Ensures all accurate… more
- County of El Dorado (Placerville, CA)
- …MANAGEMENT UNIT IDEAL CANDIDATE STATEMENT: The ideal candidate for the Quality Management Mental Health Program Coordinator position would be al icensed ... will have experience in providing an array of OP mental health services ( intake , assessment, case management , crisis intervention, individual and group therapy).… more
- Behavior Treatment & Analysis (Richmond, CA)
- …* Enforce policies related to attendance, therapy holds, and availability changes. 2. Intake and Enrollment * Oversee and manage all intake processes, including ... Collaborate with the Senior Manager - Operations to monitor intake and enrollment trends. * Ensure a seamless ...* Track and drive metrics related to cancellation rates, utilization , billable hours, and file compliance on a weekly,… more
- Insight Global (Sacramento, CA)
- …is evidence that quality care is being delivered Participates in the Outcomes Management and annual program review Performs utilization review of continuous care ... admission to discharge or transfer to bereavement; serve as patient advocate and coordinator for other social service and health care providers in the community who… more
- Veterans Affairs, Veterans Health Administration (Long Beach, CA)
- …wide range of care including: risk assessment and referral, intake /diagnostic and psychosocial assessments, comprehensive treatment planning, and evidence-based ... and CRH to including: Measurement-Based Care monitoring, Program evaluation, Quality management , Fidelity, efficacy, and outcomes measures, Training required for the… more
- Sacramento Behavioral Healthcare Hospital (Sacramento, CA)
- …rules, Joint Commission requirements, and legal regulations; participating in utilization reviews; and remaining available for emergency consultations. + Improves ... it's 2 to 3 months. The main treatment modalities are: medication management , group therapy, family & individual sessions. Psychiatrists, nurse practitioners, and… more