Medical Manager Jobs in Rancho Cordova
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Search Results - Medical Manager Jobs in Rancho Cordova
Blue Shield of California-Rancho Cordova
based on established workflow.
• Research member eligibility/benefits and provider networks.
• Serves as initial point of contact for providers and members in the medical management process by telephone or correspondence.
• Assists with system letters...
Aditi Consulting-Rancho Cordova
with the physician, physician’s office staff, medical management and other Cross team members to assist with accurate and efficient resolution of prior authorization requests
Assists in providing formulary alternatives and communicates prior authorization criteria...
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Blue Shield of California-Rancho Cordova
Your Role
The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Senior Medical Director, Medical...
Mindlance-Roseville, 10 mi from Rancho Cordova
Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security...
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Blue Shield of California-Rancho Cordova
Your Role
The Medical Management team ensures that Blue Shield of California is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Senior Medical...
Mindlance-Sacramento, 11 mi from Rancho Cordova
and experience required. Skills & Knowledge Working knowledge of regulations, offsets and deductions, disability duration, medical management practices and Social Security and Medicare application procedure as applicable to line of business Excellent oral...
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Blue Shield of California-Rancho Cordova
Your Role
The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Medical Director, Behavioral Health...
Fairfield, 44 mi from Rancho Cordova
Qualifications:
Education and Experience
Healthcare related degree or licensure strongly preferred. Minimum five
(5) years of managed care experience (case management preferred; minimum five (5) years of management experience in a medical management setting...
icims.com -
Placerville (CA), 28 mi from Rancho Cordova
to members’ homes if needed for that market.
Responsibilities:
• Conduct comprehensive assessments that include the medical, behavioral, pharmaceutical, and social needs of the patient, identify gaps in care and barriers to good health; The RN Care Manager...
somatus.com -
Sacramento, 11 mi from Rancho Cordova
with acute episodic illness and refer when appropriate.
• Assess, diagnose, treat, and provide ongoing medical management of workplace injuries and non-occupational conditions (episodic and urgent), including writing prescriptions and facilitating referrals...
icims.com -
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