- Humana (Sacramento, CA)
- …where your clinical expertise and passion for accuracy will make a meaningful impact. As the Nurse Audit Manager , you will spearhead audit and validation ... relevant coding. + Identifies the root cause analysis of audit findings and submits recommendations for appropriate change management....skills to make an impact** **Required Qualifications** + Registered nurse (RN). + 5 or more years of clinical… more
- Molina Healthcare (Sacramento, CA)
- …Oversees interdisciplinary care team (ICT) meetings. * Functions as hands-on manager responsible for supervision and coordination of daily integrated healthcare ... and triage activities. * Ensures completion of staff quality audit reviews; evaluates services provided, outcomes achieved and recommends enhancements/improvements… more
- Elevance Health (Walnut Creek, CA)
- **Telephonic Nurse Case Manager Sr** **Sign on Bonus: $5000.** **Location: Virtual: This role enables associates to work virtually full-time, with the exception ... members in different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager Sr** . is responsible for care management… more
- Sunrise Senior Living (Carmichael, CA)
- …be a part of.** **Job ID** 2025-233828 **JOB OVERVIEW** The LPN Medication Care Manager is responsible for providing the highest degree of quality care and services ... medication updates from Resident Care Director (RCD) or Wellness Nurse . + Administer, assist with, and observe medications and...supervisor. + Count all narcotics with another Medication Care Manager (MCM) or Lead Care Manager (LCM)… more
- Aston Carter (Marysville, CA)
- …general ledger functions. The role involves coordinating with the Accounts Payable Manager to ensure efficient processes and resource allocation. The Accounting ... Manager will schedule and direct work assignments for clerical...Form 990 filing and preparation of the annual organization audit and reports. + Develop and direct the implementation… more
- CVS Health (Sacramento, CA)
- …travel if a plan sponsor requests pharmacist attendance for an onsite visit/assessment/ audit . The Pharmacy Program Manager role includes: -Collaborate with an ... with heart, each and every day. The Pharmacy Program Manager is an individual contributor (non-people manager )...interdisciplinary care management team ( nurse case managers, medical directors, dietitians, social workers) to… more
- Elevance Health (Walnut Creek, CA)
- …coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of ... clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow systems and reference information to generate … more
- ICW Group (Sacramento, CA)
- …goals. **ESSENTIAL DUTIES AND RESPONSIBILITIES** Provides oversight for all vended Nurse Case Management (NCM) products, including Field Case Management (FCM) and ... Nurse Triage programs. + Builds strong relationship with external...containment program support. + Provides support to claims and audit teams as needed for medical management oversight results… more