Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationally recognized clinal criteria across multiple lines of business.
Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationally recognized clinal criteria across multiple lines of business.
Adventist Health Revenue Cycle Training Manager Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus
divh2Care Coordinator/h2pRequired: CA RN License, 2 years previous case manager experience. Responsible for care coordination and care transitions planning throughout the acute care patient experience. This position works in collaboration with the physician, utilization manager, medical
Outpatient Clinical Dietitian The Outpatient Clinical Dietitian plays a key role in the Marshall Medical Center (MMC) Diabetes and Nutrition Education (DNE) Program, which is established to support patients with diabetes, pre-diabetes, gestational diabetes and weight
Case Manager The Case Manager is a Registered Nurse (RN) who uses a collaborative process which assesses plans, implements, coordinates, monitors and evaluates options and services to meet an individuals health needs through communication and available
Behavioral Health Utilization Management Clinician, Senior The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationally recognized clinical criteria across
Speech Language Therapist / SLP (Home Health) Roseville, CA Mission Healthcare, located in seven states, is the largest home health and hospice company in the western United States. We have a critical missionto take care of
Rehab Without Walls Neuro Rehabilitation Make an Impact in our Home and Community Program: Who we are looking for: An experienced OT, enthusiastic about providing functional rehabilitation wherever life happens, whether at home, school, work, or
Service Unit Department Manager RN - Sleep Medicine and Wound Care - Roseville/Sacramento Manages a large unit or multiple units providing ambulatory services. Ensures staff provides high quality, accessible, cost effective care, and patient focused services
Nurse Manager II, NICU In addition to the responsibilities below, this position is also responsible for leading the implementation of best practice models; leading the implementation of patient care delivery systems and practice standards in several
Join Sutter Health Organization: SMCS-Valley Administration Position Overview: Responsible for care coordination and care transitions planning throughout the acute care patient experience. This position works in collaboration with the physician, utilization manager, medical social worker, and
Cardiovascular & Mechanical Circulatory Support Clinical Support Coordinator The Cardiovascular & Mechanical Circulatory Support (MCS) Clinical Support Coordinator provides evaluation, treatment, and follow-up to patients within the cardiovascular and MCS program. Serves as a clinical expert