- Sacramento County (Sacramento, CA)
- Treatment Center Program Coordinator Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/1180508) Apply Treatment Center Program Coordinator ... 12/2/24 Under direction, performs a wide range of supervisory and administrative duties, including administration of direct acute care programs, related contracts,… more
- Humana (Sacramento, CA)
- …part of our caring community and help us put health first** The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and ... codes (eg, ICD-10-CM, CPT) to patient records. The Medical Coding Coordinator 3 performs advanced administrative /operational/customer support duties that require… more
- CVS Health (Sacramento, CA)
- …Medicare knowledge is a plus. Fast Turn Around of inventory, collaboration with clinical team and management. Attention to detail is needed and must be able ... of Coverage) relevant to the member to determine accuracy/appropriateness of benefit/ administrative denial. -Research claim processing logic to verify accuracy of… more
- CVS Health (Sacramento, CA)
- …potential contractual deviations to determine the accuracy and appropriateness of a benefit/ administrative denial. + Can review a clinical determination and ... understand rationale for decision. + Able to research claim processing logic and various systems to verify accuracy of claim payment, member eligibility data, billing/payment status, and prior to initiation of the appeal process. + Serves as point person for… more
- Highmark Health (Sacramento, CA)
- …authorization case in Highmark's Utilization Management system for Prior Authorization clinical review, status research, etc. Ensures all accurate information is ... + Ability to navigate through multiple systems simultaneously + Knowledge of administrative and clerical procedures and systems such as word processing, managing… more
- Sacramento Behavioral Healthcare Hospital (Sacramento, CA)
- …a week or so to accomplish. New providers are provided a few hours of administrative and clinical orientation by the Medical Staff Office and by the Medical ... Under the general direction of the Medical Director, the Psychiatrist provides clinical oversight. We are looking for a compassionate, experienced psychiatrist to… more
- Dignity Health (Woodland, CA)
- …the program director is RN Supervisor, Social Work Supervisor, Program Supervisor and Clinical Coordinator . Job Duties: + Ensure that all requirements listed in ... Title 22, California Administrative Code, Sections 54323, 54405, 78313 and 78417 are...community- based services with understanding of working with a clinical team. + Demonstrated skill in budget, program management,… more