• Claims Case Manager II

    Guardian Life (Sacramento, CA)
    The **Group Life/Supplemental Health Claims Case Manager II ** is responsible for making timely and accurate decisions on assigned claims through ... decisions while providing superior customer service to all internal and external customers. The Claims Case Manager II administers claims within a… more
    Guardian Life (05/10/25)
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  • Case Manager II , Registered…

    Sutter Health (Burlingame, CA)
    …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and… more
    Sutter Health (05/07/25)
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  • Care Manager II , Acute Registered…

    Sutter Health (Modesto, CA)
    …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and… more
    Sutter Health (04/29/25)
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  • Utilization Management Nurse Specialist RN…

    LA Care Health Plan (Los Angeles, CA)
    …Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements Light ... to develop and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent, post-service… more
    LA Care Health Plan (03/27/25)
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  • Manager , Autopsy Operations And Support…

    The County of Los Angeles (Los Angeles, CA)
    MANAGER , AUTOPSY OPERATIONS AND SUPPORT SERVICES Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4670156) Apply  MANAGER , AUTOPSY ... Forensic Technician (https://www.governmentjobs.com/careers/lacounty/classspecs/1065384?keywords=Supervising%20Forensic%20Technician%20&pagetype=classSpecifications) for Los Angeles County. Option II : Four years of experience assisting pathologists in… more
    The County of Los Angeles (03/06/25)
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  • Information Technology Project Manager I

    The County of Los Angeles (Los Angeles, CA)
    INFORMATION TECHNOLOGY PROJECT MANAGER I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4911675) Apply  INFORMATION TECHNOLOGY PROJECT ... MANAGER I Salary $108,999.36 - $146,879.04 Annually Location Los...include defining scope and performance measures, developing a business case , determining a project approach, and developing and establishing… more
    The County of Los Angeles (05/06/25)
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  • Program Analyst, Leave and Workers' Compensation

    San Jose State University (San Jose, CA)
    …Under general direction and reporting to the Leave and Workers' Compensation Program Manager , this position serves as the primary point of contact for staff, ... faculty, management and third-party claims administrators for all matters related to leave of absence programs, workers' compensation, return-to-work coordination,… more
    San Jose State University (04/29/25)
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  • Coding Auditor Educator

    Highmark Health (Sacramento, CA)
    …coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure ... + Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and...works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs… more
    Highmark Health (05/09/25)
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