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Irvine, CA - Nov 20
Medical Director, Outpatient Services
Cascades Tissue Group-TN, Inc.
... physician to join us as our new Medical Director, Outpatient Services. In this highly visiable role, you ... responsible for Clinical Services functions that include Referral Management, Case Management, and Disease Management Programs that include adherance to regulatory agencies policy ... along with Health Plan contractual obligations. The Medical Director, Outpatient Services will communicate with physician partners, health ...
Plano, TX - Nov 4
Utilization Review Nurse
Cascades Tissue Group-TN, Inc.
... policies and guidelines. *Refer cases to the Medical Director/Physician Advisor as appropriate. *Evaluate each case for quality of care; documents quality issues and appropriately refers cases to the quality management coordinator. *Review selected requests for quality and follow-up as necessary with the Medical Director. *Participate in educating providers regarding UR services, policies ...
Folsom, CA - Oct 28
Director Case Management - Sacramento
Cascades Tissue Group-TN, Inc.
... Employer. Drug Free Workplace. You'll be responsible for case management, utilization review, discharge planning, and social services, as ... the payers, physicians, hospital referral sources, and your case management staff. Help facilitate the discharge-planning process, and serve ... Work to ensure financial reimbursement of every individual case. Responsibilities: Develop and implement the philosophies, policies, procedures ...
Long Beach, CA - Oct 27
Claims Director
SCAN Health Plan
... similar program managed by SCAN, called Linkages, provides case management and community services to support independence for disabled adults. The Future SCAN is excited about expanding its mission to improve the lives of seniors ...
Anaheim, CA - Oct 27
Director Case Management
Cascades Tissue Group-TN, Inc.
... Employer. Drug Free Workplace. You'll be responsible for case management, utilization review, discharge planning, and social services, as ... the payers, physicians, hospital referral sources, and your case management staff. Help facilitate the discharge-planning process, and serve ... Work to ensure financial reimbursement of every individual case. Responsibilities: Develop and implement the philosophies, policies, procedures ...
Anaheim, CA - Oct 26
Director Case Management
Kindred Healthcare
See all jobs at this company | Save this job Saved Job (Notes) | Email this job Job Overview ...
Fresno, CA - Oct 14
Salary: $80,000 to $85,000 per year
Salary: $80,000 to $85,000 per year
Workers Compensation Claims Supervisor
Cascades Tissue Group-TN, Inc.
Premier Risk Management Company is seeking a Workers Compensation Claims Supervisor ... . The position reports to the Regional Claims Director. The qualified candidate will: · Develop and lead ... professionals. · Manage vendor relations to develop optimum case outcomes, cost performance and measurement criteria. · Establish ... initiatives. · Establish refine and evolve best-in-class claim management program operating characteristics, measurement criteria and meaningful metrics ...
San Francisco, CA - Oct 14
Program Director / Chief of Staff
Cascades Tissue Group-TN, Inc.
Program Director to Chief Medical Officer Blue Shield of California is looking for a Program Director that will serve as Chief of Staff to the Chief Medical Officer.The Program Director to the Chief Medical Officer (CMO) is a ... health care market and future trends. The Program Director may also act as an advisor to the ...
Folsom, CA - Oct 9
Director Case Management - Sacramento
Cascades Tissue Group-TN, Inc.
... Employer. Drug Free Workplace. You'll be responsible for case management, utilization review, discharge planning, and social services, as ... the payers, physicians, hospital referral sources, and your case management staff. Help facilitate the discharge-planning process, and serve ... Work to ensure financial reimbursement of every individual case. Responsibilities: Develop and implement the philosophies, policies, procedures ...
Fresno, CA - Oct 7
Salary: $80,000 to $85,000 per year
Salary: $80,000 to $85,000 per year
Workers Compensation Claims Supervisor
Cascades Tissue Group-TN, Inc.
Premier Risk Management Company is seeking a Workers Compensation Claims Supervisor ... . The position reports to the Regional Claims Director. The qualified candidate will: · Develop and lead ... professionals. · Manage vendor relations to develop optimum case outcomes, cost performance and measurement criteria. · Establish ... initiatives. · Establish refine and evolve best-in-class claim management program operating characteristics, measurement criteria and meaningful metrics ...
Dresher, PA - Oct 2
Director, Customer Service, Record Keeping Services
The Prudential Insurance Company of America
... This position will work closely with Operations, Account Management, Sales, Brokers and Clients to ensure that customers ... that sets Prudential apart from it's competitors. The Director, Customer Service, Recordkeeping Services position will be responsible ... Services provided by the National Team include: Relationship management, Issue resolution for National Clients, Eligibility file processing ...