- 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
- 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