• Manager I - Grievances & Appeals - Provider…

    Elevance Health (Walnut Creek, CA)
    …Virginia, Indiana, Kentucky or New York. The **Manager I - Grievances & Appeals ** is responsible for the management oversight of receipt, investigation and ... clinical decisions, pharmacy on pre-service and post service appeals and grievances related to non- clinical and...clinical services, quality of service and quality of care issues including executive and regulatory grievances. + May… more
    Elevance Health (09/11/24)
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  • Manager, Care Management

    Alameda Health System (Oakland, CA)
    …Responsible for the recruitment, orientation, evaluation, counseling and disciplinary action of care management clinical and administrative staff. + ... Performs daily clinical rounds and monthly audit of charts on care management activities (utilization review, discharge planning and Interrater Reliability).… more
    Alameda Health System (07/08/24)
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  • Manager, Care Management

    Alameda Health System (Oakland, CA)
    …for the recruitment, orientation, evaluation, counseling and disciplinary action of care management clinical and administrative staff. -Responsible ... daily clinical rounds and monthly audit of charts on care management activities (utilization review, discharge planning and Interrater Reliability).… more
    Alameda Health System (07/08/24)
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  • San Leandro Hosp. Case Mnger RN, Home Health, Util…

    Alameda Health System (San Leandro, CA)
    …CA + San Leandro Hospital + SLH Social Services + Full Time - Day + Care Management + Req #:40181-29621 + FTE:1 + Posted:September 5, 2024 **Summary** **Job ... health deterioration and reduce the need for more costly services such as acute care hospitalization and to develop self- management skills that improve his or… more
    Alameda Health System (09/06/24)
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  • AHD Case Manager RN

    Alameda Health System (Alameda, CA)
    …+ Alameda Hospital + AH Care Coordination + Full Time - Day + Care Management + Req #:39260-28832 + FTE:1 + Posted:March 27, 2024 **Summary** **Role ... health deterioration and reduce the need for more costly services such as acute care hospitalization and to develop self- management skills that improve his or… more
    Alameda Health System (07/05/24)
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