Utilization Manager Jobs in Sacramento
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Search Results - Utilization Manager Jobs in Sacramento
Molina HealthcareSacramento
referrals to other clinical programs.
/n • Collaborates with multidisciplinary teams to promote the Molina care model.
/n • Adheres to utilization management (UM) policies and procedures.
/n Required Qualifications
/n • At least 2 years experience...
Humana IncSacramentoappcast.io
tools, and utilization management practices.
Required Qualifications
• MD or DO with 5+ years of post‑residency clinical experience , preferably with inpatient exposure (hospitalist‑level acuity, ED, ICU, or hospital‑based FP/IM).
• Active...
Blue Shield of CALodi (CA), 34 mi from Sacramentomindmatch.ai
and knowledge required to be successful in Utilization Management and Appeals and Grievance (Post Service).
Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally...
Humana IncSacramentoappcast.io
and recognized clinical standards.
• Analyze complex hospital-based cases and deliver clear, well-reasoned utilization management determinations.
• Communicate with external providers via phone to obtain clinical information and discuss review outcomes...
UCHealthLongmont, 880 mi from Sacramento
outcomes.
Provides focused support to various areas such as utilization management, emergency department, acute, ambulatory and specialty care.
Responsibilities:
Demonstrates critical thinking skills when utilizing the nursing process, based on research...
Humana IncSacramentoappcast.io
Knowledge of the managed care industry including Medicare, Medicaid and Commercial products
• Have interpretation skills with prior experience leading teams focusing on quality management, utilization management, discharge planning and home health or rehab...
UCHealthDenver, 898 mi from Sacramento
Provides focused support to various areas such as utilization management, emergency department, acute, ambulatory and specialty care.
Responsibilities:
Demonstrates critical thinking skills when utilizing the nursing process, based on research, evidence...
Voca HealthcareCarmichael (CA), 9 mi from Sacramento
Job Summary: Utilizes clinical expertise, discretion, and independent judgment in assessing/reassessing, facilitating care coordination, utilization management, and patient advocacy. Responsible for assuring medical appropriateness criteria are met...
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