- 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 ... regulatory requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports… more
- 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 ... regulatory requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports… 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
- 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