At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. We
About Altais: At Altais, we’re on a mission to improve the healthcare experience for everyone—starting with the people who deliver it. We believe physicians should spend more time with patients and less time on administrative tasks.
About Altais: At Altais, we’re on a mission to improve the healthcare experience for everyone—starting with the people who deliver it. We believe physicians should spend more time with patients and less time on administrative tasks.
Job Title Utilization Management Team Leader Job Description The Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple lines of business, assessing medical necessity, coding accuracy, treatment plans, discharge planning, and compliance requirements while supporting clinical consistency,
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 report to
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 Utilization Management will
Medical Director, Utilization Management 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, Utilization Management will
Utilization Management and Discharge Planning RN Location: San Jose, CA Department: Utilization Management - 510 Employment Duration: full-time Salary Range: $98,601 - $147,902 The expected pay range is based on many factors, such as experience, education, and the market. The
Utilization Management Registered Nurse The Utilization Management Registered Nurse (UM RN) will be responsible for ensuring the efficient and effective use of healthcare resources while promoting quality patient care. Working in collaboration with Physician Advisors, Financial Services, Compliance, Denials Management, Patient
Utilization Review/Case Management RN Immediate need for a talented Utilization Review/Case Management RN. This is a 03+ Months Contract opportunity with long-term potential and is located in Santa Clara, CA (Onsite). Job ID:25-96149 Pay Range: $75 - $85/hour. Employee benefits
Utilization Review/Case Management RN Immediate need for a talented Utilization Review/Case Management RN. This is a 03+ Months Contract opportunity with long-term potential and is located in Santa Clara, CA (Onsite). Job ID:25-96149 Pay Range: $75 - $85/hour. Employee benefits
We are so glad you are interested in joining Sutter Health! Organization:MPHS-Mills-Peninsula Medical Center Position Overview:Acts independently to perform and coordinate all activities related to the billing, denials, and appeals of all types. Reports out monthly
onsemi is seeking a Director, Program Management Operations (PMO) to lead program execution across the Intelligent Sensing Group (ISG). ISG develops advanced image sensing technologies and system-level solutions for automotive, industrial, commercial, aerospace and defense, and intelligent
Minimum qualifications: Bachelor’s degree, or equivalent practical experience. 8 years of experience in software development. 3 years of experience with developing large-scale infrastructure, distributed systems or networks, or experience with compute technologies, storage or hardware architecture.
We’re in an unbelievably exciting area of tech and are fundamentally reshaping the data storage industry. Here, you lead with innovative thinking, grow along with us, and join the smartest team in the industry. This type
Are you looking for a role that motivates and challenges you? Are you ready for an opportunity for growth? Do you want to work on teams where people roll up their sleeves to take on tough
SummaryThe Apple Services Engineering team is one of the most exciting examples of Apple’s long-held passion for combining art and technology. These are the people who power the App Store, Apple TV, Apple Music, Apple Podcasts,
Location: San Francisco, CA, United States Job ID: 89667 We Elevate. Quality of urban life Our elevators, escalators, and moving walks safely transport more than two billion of us up and down buildings and across transportation
Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists
At Cepheid, we are passionate about improving health care through fast, accurate diagnostic testing. Our mission drives us, every moment of every day, as we develop scalable, groundbreaking solutions to solve the world’s most complex health