Your Role The Care Management team independently manages complex and high-risk care management cases by applying advanced clinical judgment to assess medical necessity, develop cost-effective care plans, and support quality outcomes aligned with benefit and contract requirements. You
Your Role The Case Management team performs case management (CM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members’ care including clinical nurses and treating MDs. The Case Management Nurse, Senior will report
Medical Director, Utilization Management Commercial Prior Authorization Review The Medical Management team ensures that Blue Shield of California (BSC) is on the cutting edge of utilization management reimagined to accelerate the development and sustainability of a value-based health care
Roseville Coordinator 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 - a rejuvenating place
Job Description The Utilization Management team reviews inpatient stays and prior authorization for our members and correctly applies the guidelines for nationally recognized levels of care for both our Medi-Cal and Medicare populations. The Utilization Management Manager will
Job Posting POSITION SUMMARY The HIM Tech I position is responsible for providing front-line support by answering incoming calls courteously and efficiently, offering technical assistance for MyChart accounts, and managing document workflows including faxed requests and
System Cabinet Executive Assistant Adventist Health Roseville is looking for a System Cabinet Executive Assistant for full-time, day shift. We are looking for a great individual who can work onsite to our location in Roseville, CA. Located in
Job Description The Care Management team coordinates, educates, and advocates care for the Dual-Special Needs (DSNP) population with Blue Shield of California. The Case Management Nurse, Senior will report to the Manager of Care Management within Medical Care Solutions.
Job Description The Behavioral Health Utilization Management (UM) team performs prior authorization and concurrent reviews for members by applying evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple lines of business. The Manager, Behavioral Health
Integration Manager (Medicaid/Medi-Cal Systems) KAI Partners is seeking an Integration Manager, Medicaid/Medi-Cal Systems to support complex health and human services technology initiatives. This role is intended for a senior consultant who can advise client leadership, align program, technical,
VP, Systems & Reports Analyst The VP, Systems & Reports Analyst is a resource for other departments of the Bank to assist them with utilizing the Banks core systems and generating custom reports needed to fulfill their job responsibilities.
Director Of Manufacturing, Data Systems The Director of Manufacturing, Data Systems plays a central, integrative, strategic role within the Manufacturing organization. This role ensures that manufacturing processes are efficient, visible, and continuously improving by owning the systems, data flows,
Job Title Day to Day Responsibilities Identify, elicit, and document business requirements and needs into required artifacts by collaborating with stakeholders and subject matter experts Identify potential risks in business processes and recommend mitigations Develop end-to-end
Job Title Support the work of the Accreditation, Regulatory and Licensing Program at the system level. Job Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for
Senior Manager of Care Management The Care Management team is looking for a leader who can lead and oversee our team to ensure the effective coordination of patient care across multiple settings. In this role you will be
Building Automation Systems (BAS) Project Manager A reputable mechanical contractor is seeking an experienced Building Automation Systems (BAS) Project Manager to lead and manage automation projects in the Granite Bay area. This individual will oversee estimating, project engineering,
The Program Lead manages all programmatic and staffing aspects of an early care and education center, in accordance with the agency’s program and people management goals. This position ensures program quality is maintained in a single Catalyst
Job DetailsJob Location: iCrash Collision, a Kniesel Company - Rocklin, CA 95765Position Type: Full TimeSalary Range: $70,350.00 - $110,000.00 Salary/yearJoin iCrash Collision - A Kniesel’s Collision CompanyAbout Us:iCrash Collision is a proud division of Kniesel’s Collision,
Job DetailsJob Location: El Dorado Hills, CA 95762Position Type: Full TimeSalary Range: $18.00 - $25.00 HourlyAre you passionate about golf course maintenance and dedicated to creating exceptional playing conditions? Serrano Country Club is seeking a skilled
Description AvonRisk is the nations leading specialty risk manager for self-insured organizations, uniting respected regional leaders in workers compensation, liability, managed care, and risk management across 32 states. With nearly 700 professionals and brands including Intercare, InterMed,