- Alameda Health System (San Leandro, CA)
- Care Management Clinical Appeals Specialist + San Leandro, CA + Finance + Patient Financial Svcs - Facil + Full Time - Day + Business Professional & IT + ... and executes the appeal process for all AHS facilities clinical appeals and third party audits. **DUTIES...documented on all patient medical records. 6. Coordinates with Care Management team when cases do not… more
- Elevance Health (Palo Alto, CA)
- …locations. **Expected Work Hours:** Monday-Friday; 8am-5pm PST The **Manager II Grievance/ Appeals ** is responsible for management oversight of grievances and ... clinical decisions, pharmacy on pre-service and post service appeals and grievances related to non- clinical and...clinical services, quality of service and quality of care issues including executive and regulatory grievances. + Oversees… more
- Stanford Health Care (Palo Alto, CA)
- … Care , Health Care Resource Management / Clinical Cost Efficiency, Financial Assistance/Referrals, Appeals Management , Entitlement ... Education & Training, Risk Management Identification & Referral + Clinical Care Coordination/Facilitation: Plan of Care & Outcomes Management ,… more
- Stanford Health Care (Palo Alto, CA)
- …in the School of Medicine and 1500 trainees who are employed by Stanford Health Care , yet reside in the clinical department ecosystem for their education and ... discovered. Day - 08 Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** The Executive Director for GME plays a crucial role… more
- Elevance Health (Palo Alto, CA)
- …of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management , a ... for autism and depression, and insightful analytics to improve the delivery of care . The ** Clinical Ops Associate Medical Director - Ortho** is responsible… more
- Alameda Health System (San Leandro, CA)
- …CA + San Leandro Hospital + SLH Social Services + Full Time - Day + Care Management + Req #:40181-29621 + FTE:1 + Posted:December 10, 2024 **Summary** **Job ... health deterioration and reduce the need for more costly services such as acute care hospitalization and to develop self- management skills that improve his or… more
- Stanford University (Stanford, CA)
- …the university with Stanford Health Care and Stanford Children's Health network of clinical care facilities. In FY 2023, the university's health care ... ensure that Stanford has the right and most effective management systems and platforms will also be an important...million or 9% to $1.6 billion, driven by patient care needs and growth in the hospitals' clinical… more
- Alameda Health System (Alameda, CA)
- …+ Alameda Hospital + AH Care Coordination + Full Time - Day + Care Management + Req #:40760-30098 + FTE:1 + Posted:November 7, 2024 **Summary** **SUMMARY:** ... health deterioration and reduce the need for more costly services such as acute care hospitalization and to develop self- management skills that improve his or… more
- Sutter Health (San Mateo, CA)
- …managed care and coding departments to maintain accuracy in clinical and billing information. **Job Description** : **JOB ACCOUNTABILITIES:** PATIENT ADVOCATE ... afford meds, treatment or co-pays to access patient assistance programs. RELATIONSHIP MANAGEMENT : * Assists physicians and patients with appeals process when… more