- Marriott (Costa Mesa, CA)
- …Full-Time **Located Remotely?** N **Relocation?** N **Position Type** Management **JOB SUMMARY** A Claims Adjuster II is responsible for the timely, good faith ... and complexity of Worker's Compensation and General Liability cases as determined by Claims Unit Manager .) **Expected Contributions** + Investigate claims … more
- Marriott (Costa Mesa, CA)
- …team, and **become** the best version of you. **Job Description** **JOB SUMMARY** A Claims Adjuster II is responsible for the timely, good faith adjustment and ... the jurisdiction(s), mix and complexity of General Liability cases as determined by Claims Unit Manager . **Expected Contributions** + Investigate claims … more
- Elevance Health (Costa Mesa, CA)
- **"Telephonic" Nurse Case Manager II ** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point ... of receipt and meet the criteria._** The **"Telephonic" Nurse Case Manager II ** is responsible...as applicable. + Assists in problem solving with providers, claims or service issues. **Minimum Requirements:** + Requires a… more
- Sutter Health (San Francisco, 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 (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
- Santa Clara Valley Water District (CA)
- …be administered by this Senior Management Analyst, with support from a Management Analyst II , and oversight by the Grants Unit Manager . Senior Management Analyst ... Grants Senior Management Analyst/ Analyst II (Two Positions) Print (https://www.governmentjobs.com/careers/scvwd/jobs/newprint/4646038) Apply Grants Senior… more
- 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
- LA Care Health Plan (Los Angeles, CA)
- …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 ... Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full… more
- 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
- Ventura County (Ventura, CA)
- …+ Previous experience working directly with people providing customer service in a case management setting; + Knowledge of Medi-Cal claims ; + Experience ... levels by exam are $.69 per hour (Level I), $1.00 per hour (Level II ), or $1.32 per hour (Level III). + Health Plans: Biweekly County contribution towards… more
- The County of Los Angeles (Los Angeles, CA)
- …STANDARDS: Positions allocable to this class report to a higher-level supervisor or manager and may be assigned to community mental health facilities, public health ... Assigns service referrals received from social workers, eligibility workers, medical case workers, and other professional staff to assist clients/patients in… more