Utilization Review Jobs in Rancho Cordova
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Search Results - Utilization Review Jobs in Rancho Cordova
Blue Shield of California-Rancho Cordova
also building a cost-benefit 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...
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....
resume-library.com -
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...
National Coalition Of Healthcare Recruiters-West Sacramento, 13 mi from Rancho Cordova
necessary
Participate in the utilization review process and the established quality assurance program, collaborating on quality improvement activities
Benefits
We are proud to offer you a competitive benefits package that includes:
Competitive salary...
nchcr.com -
Blue Shield of California-Rancho Cordova
Management (CalPERS) will report to the Vice President, Medical Management. In this role you will deliver and collaborate on clinical review activities, which includes management of the physician processes in support of utilization management...
First Steps Recovery-Shingle Springs, 20 mi from Rancho Cordova
transition notes.
• Prepare clinical documentation accurately and within agency time frames.
• Intervene during crisis intervention situations.
• Cooperate with health insurance clinical utilization reviews by providing detailed clinical notes to assist...
Blue Shield of California-Rancho Cordova
will report to the Senior Medical Director, Behavioral Health. In this role you will have core responsibilities in the areas of psychiatric inpatient concurrent review, pre- and post-service utilization review, and collaboration with Nurse Care Managers.
Your...
Shingle Springs, 20 mi from Rancho Cordova
as required by the Utilization Review department.
• Conduct weekly audit of medical records to ensure quality and timely submission of clinical documentation and coordination of treatment planning. Address deficiencies when identified.
• Intervene and assist...
icims.com -
Blue Shield of California-Rancho Cordova
pre and post service utilization review, and collaboration with RN Care Managers. The Senior Medical Director, Behavioral Health will serve as clinical, regulatory and quality improvement resource and clinical behavioral health thought leader within...
Northern California Behavioral Health System-Sacramento, 11 mi from Rancho Cordova
regulations; participating in utilization reviews; and remaining available for emergency consultations.
Improves staff competence by providing training and discussions regarding the interrelationship between psychosocial and physiological problems...
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