- 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
- 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
- Dignity Health (Sacramento, CA)
- …effectively with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs integrate. + ... achieve high levels of patient satisfaction. The RN Care Coordinator consistently conducts the utilization review process...hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year… more
- Dignity Health (Sacramento, CA)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... effectively with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs integrate. +… 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 (Sacramento, 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
- 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
- Veterans Affairs, Veterans Health Administration (Mather, CA)
- …ineligible to apply for incentive. Contact ###@va.gov, the EDRP Coordinator for questions/assistance Pay: Competitive salary, annual performance bonus, regular ... and Rehabilitation Service (PM&R), is responsible for the administrative supervision, management , and direction of the PM&R Pain programs, including the… 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