We are so glad you are interested in joining Sutter Health! Organization:SMPMC-Sutter 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
The Position Re-Announcement *Open Until Filled * Why Join Contra Costa County Health Services? The Contra Costa Health Department is seeking to fill two (2) Utilization Review Manager positions in Contra Costa Health Plan, in the Case Management
About IntusCare IntusCare is the only end-to-end ecosystem built specifically to help Programs of All-Inclusive Care for the Elderly (PACE) programs deliver exceptional care, strengthen financial performance, and stay compliant. IntusCare replaces outdated technology and manual
Description Position Summary: The Manager, Clinical Workforce Utilization owns the end-to-end optimization of field clinician staffing across HealthFlex Home Health Services. This role is accountable for maximizing productive utilization of the clinical workforce, matching clinician capacity to patient
The Utilization Management (UM) team is made up of experienced physicians and clinicians who work together to ensure Clover members receive medically appropriate, evidence-based care while optimizing quality and resource utilization. As the Medical Director, Utilization Management, you will
OUR COMMITMENT TO A HUMAN HIRING PROCESS We believe every candidate deserves thoughtful consideration. That’s why we do not use AI or automated systems to review applications. Every application is reviewed by a real human member of
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.
At Clover Health, we provide high-quality, affordable, and easy-to-understand healthcare for Americas seniors. Through the Clover Assistant, we combine data, technology, and preventive care to give physicians a more complete view of each members health—helping improve
About IntusCare IntusCare is the only end-to-end ecosystem built specifically to help Programs of All-Inclusive Care for the Elderly (PACE) programs deliver exceptional care, strengthen financial performance, and stay compliant. IntusCare replaces outdated technology and manual
Become a part of our caring community The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires
About IntusCare: IntusCare is the only end-to-end ecosystem built specifically to help Programs of All-Inclusive Care for the Elderly (PACE) programs deliver exceptional care, strengthen financial performance, and stay compliant. IntusCare replaces outdated technology and manual
Job Description Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated
Director Of Utilization Review Bayside Marin can accommodate 30 residents in two high-end residential estates 12 on the Canyon side and 18 on the Mountain side. Our staff is the heart and soul of our drug rehabilitation program.
Manager, Clinical Workforce Utilization The Manager, Clinical Workforce Utilization owns the end-to-end optimization of field clinician staffing across HealthFlex Home Health Services. This role is accountable for maximizing productive utilization of the clinical workforce, matching clinician capacity to patient
Join Our Team! At Hill Physicians Medical Group, were shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members. Hill Physicians has
Primary location: Oakland, California Relocation offered: No Employment status: Full-Time Travel: 10% Non-compete: No The estimated base salary range for this role is “$90,000 to $120,000” per year. Individual pay is based upon location, skills and
Company Description Organizations everywhere struggle under the crushing costs and complexities of “solutions” that promise to simplify their lives. To create a better experience for their customers and employees. To help them grow. Software is a
Fastly helps people stay better connected with the things they love. Fastly’s edge cloud platform enables customers to create great digital experiences quickly, securely, and reliably by processing, serving, and securing our customers’ applications as close
TheGuarantors is a fintech company helping multifamily owners and operators mitigate leasing risk while expanding access for renters. With a deep understanding of owner, operator, and renter needs, we believe renters deserve better access to the
JOB SUMMARY As a patient-focused organization, UCSF Medical Center exists to enhance the health and well-being of people through patient care, research, and education. Success in this mission requires a culture of collaboration, excellence, leadership, and