- Evolent (Sacramento, CA)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management ** at Evolent will serve as a ... regulatory requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly… 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 ... They will have experience in providing SUD services and performing Quality Management and/or Utilization Review activities. They would have excellent written… more
- Elevance Health (Sacramento, CA)
- …associates, and may be involved in process improvement initiatives. + Submits utilization /authorization requests to utilization management with documentation ... **LTSS Service Coordinator ** Location: Candidate should reside in California and...plan, engaging the member's circle of support and overall management of the individuals physical health (PH)/behavioral health (BH)/LTSS… more
- Elevance Health (Rancho Cordova, CA)
- …**LTSS Service Coordinator - RN Clinician** is responsible for overall management of member's case within the scope of licensure; provides supervision and ... with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator , Case Management , or similar role; or any combination of… more
- Dignity Health (Sacramento, CA)
- …Home. **Responsibilities** **Position Summary:** The Facilities Safety & Operations Support Coordinator will be responsible for supporting management of the ... and Responsibilties:** + Supports directs and allocates resources for operational management of maintenance repair and improvement ofphysical systems and equipment… more
- Sunrun (Sacramento, CA)
- …+ Own and develop partner or branch relationships including weekly/monthly reviews, utilization and workload management , process updates and identification and ... commitment to diversity, inclusion and belonging. **Overview** The Field Service Coordinator is responsible for coordinating effective execution of field service… more
- Highmark Health (Sacramento, CA)
- …:** **JOB SUMMARY** This job captures all inbound phone inquires for utilization management review from providers and pharmacies. The incumbent assesses ... verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical review, status… more
- Merck (Sacramento, CA)
- …expense reports, time‐off requests and provide proper oversight of CTC's productivity/ utilization . + Provide input for capacity planning, including reporting of ... issues to CRM and CRD/TA-Head. + People and Resource Management : - Manages CTC - career development, performance reviews,...the line manager. + Ability to proactively develop risk management and mitigation plans in the country and resolve… more
- Sunrun (Sacramento, CA)
- …and dispatch customer appointments in conjunction with Tech routes, schedules and utilization + Initiate and create tasks to complete further work required for ... within or across projects or cross functional teams with minimal direction from management + Meets all identified team and client performance metrics, goals and… 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
- 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