Utilization Review Jobs in Rancho Cordova
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Search Results - Utilization Review Jobs in Rancho Cordova
CTTX Health-Rancho Cordova
and in a timely fashion in order to meet facility, physician and payor deadlines.
Attend and/or participate in facility meetings as directed by Center Manager (may include utilization review, infection control, disaster preparedness, etc.)
Completes sufficient...
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Blue Shield of California-Rancho Cordova
methodology to rationalize decisions on UM reviews to be performed based upon staffing costs, productivity, and projected medical cost savings.
• Provides analysis and reports of significant utilization trends, patterns, and resource allocation. Partners...
Rancho Cordova
the department in an efficient manner to ensure timely and compliant care coordination, discharge planning, utilization review and social work interventions resulting in quality patient care. The Supervisor may assign work tasks, realign tasks within...
icims.com -
Blue Shield of California-Rancho Cordova
Your Role
The Utilization Management team reviews the inpatient stays for our members under the guidelines for nationally recognized levels of care. The Utilization Management Nurse, Senior will report to the Utilization Management Nurse Manager...
First Connect-Carmichael (CA), 2 mi from Rancho Cordova
to reprioritize throughout the day. Are they required to do Utilization review as well? yes
We will train candidates in IQ. Both DC Planning and UM are required....
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Blue Shield of California-Rancho Cordova
Your Role
The Utilization Management Prior Authorization team accurate and timely prior authorization of designated healthcare services, continuity or care, and access to care clinical review determinations. The Utilization Management Nurse, Senior...
First Connect-Sacramento, 11 mi from Rancho Cordova
management)
Certs MUST have experience with and proficient at Midas, InterCall, Cerner, Curaspan, and Microsoft Office programs. Experience with discharge planning and utilization review. Minimum of 3 years hospital experience.
Ratios 1:20 patient...
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Rancho Cordova
processes appeals and reconsiderations. Act as a working manager within Utilization Management, performing essential duties and responsibilities (utilization reviews, denials, and authorizations) in non-represented markets, with a time allocation of no more...
icims.com -
Discovery Mood & Anxiety Program-Sacramento, 11 mi from Rancho Cordova
training of facility employees, and sufficient oversight/supervision to ensure that all services are in keeping with the Discovery Mission Statement.
Completes utilization reviews, oversees primary therapist process of utilization review and assists...
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Mindlance-Sacramento, 11 mi from Rancho Cordova
include state and physician filings and decisions on appropriate treatments recommended by utilization review. Maintains professional client relationships. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned.
Supports...
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