Utilization Review Jobs in Granite Bay
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Search Results - Utilization Review Jobs in Granite Bay
Center For Discovery-Granite Bay
process orientated and psychoeducation groups one to two times, daily.
Required to sit at a meal and/or snack a minimum of once per week.
Facilitates multi-family groups, family program, and/or family weekend.
Provides utilization reviews to insurance...
resume-library.com -
Blue Shield of California-El Dorado Hills, 7 mi from Granite Bay
Your Role
The Behavioral Health Utilization Management team performs prospective utilization review for our members and correctly applies the guidelines for nationally recognized levels of care. They collaborate directly with the Member, Member's...
Center For Discovery-Granite Bay
process orientated and psychoeducation groups one to two times, daily.
Required to sit at a meal and/or snack a minimum of once per week.
Facilitates multi-family groups, family program, and/or family weekend.
Provides utilization reviews to insurance...
resume-library.com -
Hanover Insurance Group, Inc.-Roseville, 4 mi from Granite Bay
to treatment adherence by the claimant or insured party
• Collaborates with claim handler for utilization review services as appropriate
• Coordinates and monitors clinical treatment services such as discharge planning, medical specialty referrals, and vendor...
CorVel Corporation-Folsom (CA), 5 mi from Granite Bay
of hire.Strong clinical background in orthopedics, neurology, or rehabilitation preferred.Strong cost containment background, such as utilization review or managed care helpful.Certification as a CIRS or CCM preferred. PAY RANGE:CorVel uses a market based...
HireNow Staffing Inc-Auburn (CA), 17 mi from Granite Bay
Manager (may include utilization review, infection control, disaster preparedness, etc.)
Completes sufficient ongoing continuing education coursework to meet state licensure requirements for the defined reporting period
Maintains a current CPR...
resume-library.com -
Stanford Sierra Youth & Families-Sacramento, 20 mi from Granite Bay
and effectiveness of current practices and program design.
Participates in Utilization Review, Accreditation, County and State Audits as requested.
Coordinates with other services provided under the Medi-Cal model, acting in collaboration with other partners...
HireNow Staffing Inc-Citrus Heights, 6 mi from Granite Bay
utilization review, infection control, disaster preparedness, etc.)
Completes sufficient ongoing continuing education coursework to meet state licensure requirements for the defined reporting period
Maintains a current CPR certification that meets state...
resume-library.com -
Rancho Cordova, 12 mi from Granite Bay
on-call.
***This position is hybrid in-office/hospital and work from home.
Position Summary:
This position is responsible for monitoring Dignity Health Medical Foundation inpatient admissions and concurrent review for appropriate level of care...
icims.com -
Woodland (CA), 32 mi from Granite Bay
of patient satisfaction. The RN Care Coordinator consistently conducts the utilization review process and the discharge planning process as required by hospital policies standards of practice and
Federal and State regulations.
Qualifications:
Minimum...
icims.com -
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