- Molina Healthcare (San Jose, CA)
- …of illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** + Assesses inpatient services for members to ensure optimum outcomes, cost effectiveness and ... expected length of stay for requested treatments and/or procedures. + Conducts inpatient reviews to determine financial responsibility for Molina Healthcare and its… more
- Sutter Health (Los Altos, CA)
- …**Organization:** SHSO-Sutter Health System Office-Bay **Position Overview:** The nurse case manager conducts preauthorization, concurrent, and retrospective ... continuity of care using community resources. * For cases not meeting criteria, the case manager documents applicable guideline, rationale, and routes to the UM… more
- Horizon Services, Inc. (Hayward, CA)
- …months, and $500 after 12 months of employment) JOB TITLE: Clinical Program Manager LOCATION: Hayward, CA Employment Type: Full-time Who are we? Horizon Services, ... in people's lives? We are seeking a Clinical Program Manager who is fluent in one or more of...direct service positions in coordination with the Direct of Inpatient Operation (DIO). + Coordinate and maintain all direct… more