Utilization Management Review Assistant - Sacramento

Only for registered members Sacramento, United States

1 month ago

Default job background

Job summary

The role is pivotal in streamlining the clinical review process by meticulously preparing prior authorization cases.

This individual will uphold a comprehensive understanding of internal policies, procedures, and services, ensuring adherence to organizational standards.

Act as a liaison with internal and external customers, fostering positive and professional relationships to facilitate an effective review process.


Lorem ipsum dolor sit amet
, consectetur adipiscing elit. Nullam tempor vestibulum ex, eget consequat quam pellentesque vel. Etiam congue sed elit nec elementum. Morbi diam metus, rutrum id eleifend ac, porta in lectus. Sed scelerisque a augue et ornare.

Donec lacinia nisi nec odio ultricies imperdiet.
Morbi a dolor dignissim, tristique enim et, semper lacus. Morbi laoreet sollicitudin justo eget eleifend. Donec felis augue, accumsan in dapibus a, mattis sed ligula.

Vestibulum at aliquet erat. Curabitur rhoncus urna vitae quam suscipit
, at pulvinar turpis lacinia. Mauris magna sem, dignissim finibus fermentum ac, placerat at ex. Pellentesque aliquet, lorem pulvinar mollis ornare, orci turpis fermentum urna, non ullamcorper ligula enim a ante. Duis dolor est, consectetur ut sapien lacinia, tempor condimentum purus.
Get full access

Access all high-level positions and get the job of your dreams.



Similar jobs

  • Work in company Remote job

    Utilization Management Review Assistant

    Only for registered members

    The role is pivotal in streamlining the clinical review process by meticulously preparing prior authorization cases. · Provide primary non-clinical program support. · Offer non-clinical support to other programs as needed. · ...

    Sacramento, CA

    1 month ago

  • Work in company Remote job

    Student Assistant – Help Center Initial Review Unit

    Only for registered members

    The Department of Managed Health Care (DMHC) is seeking to hire one student assistant. The Student Assistant will perform a variety of supportive functions within the Help Center's Initial Review Section – Initial Review Unit (IRS – IRU). The Help Center assists consumers with he ...

    Sacramento, CA

    2 weeks ago

  • Work in company Remote job

    Assistant Manager, DRG Review

    Only for registered members

    the assistant manager assists the manager to support the cvs's. The team of assistant managers work collaboratively together to accomplish the goal of producing excellent high quality drg validation outcomes. · ...

    Roseville, CA

    1 month ago

  • Work in company

    Practice Manager

    Only for registered members

    The Practice Manager is responsible for strategic planning and office management. · ...

    Sacramento $61,000 - $75,000 (USD)

    2 weeks ago

  • Work in company

    PBM Clinical Pharmacist

    Only for registered members

    Performs prospective and/or retrospective drug utilization review and appeals per State and Federal regulations. · ...

    Sacramento TEMPORARY

    1 month ago

  • Work in company

    QA Utilization Coordinator, Trauma Performance Improvement, RN

    Only for registered members

    Coordinates quality, utilization and risk management activities for the medical center; provides technical, educational, consultative, and coordinating support to assigned areas. · ...

    Sacramento

    1 week ago

  • Work in company

    Physician Assistant- Orthopedics

    Only for registered members

    The Physician Assistant provides high quality, efficient, team based patient focused care under the direction of a supervising physician. · Examines patient, performs comprehensive physical examination,Administers or orders diagnostic tests, · Performs therapeutic procedures such ...

    Sacramento

    2 weeks ago

  • Work in company

    Active Directory Engineer

    Only for registered members

    The Active Directory Engineer will provide expert security consultation on highly complex tasks; assists and/or provides direction to lower level technical personnel. · ...

    Sacramento

    2 weeks ago

  • Work in company

    Accountant

    Only for registered members

    The job is responsible for reviewing reimbursement draw requests and ensuring compliance with U.S. Treasury rules and guidelines. · Review costs being claimed to contracts executed. · Reconcile costs to COMPASS (SAP) to ensure cost has been incurred and payment received. · ...

    Sacramento

    1 week ago

  • Work in company

    Active Directory Engineer

    Only for registered members

    Active Directory Engineer position at Sacramento location. · Network packet analysis. · Authentication and authorization technologies such as Active Directory, Kerberos, NTLM. · ...

    Sacramento

    2 weeks ago

  • Work in company

    Senior Physician Assistant- Neuro-Surgery

    Only for registered members

    Under the direction of a supervising physician, · the Senior Physician Assistant provides high quality, · efficient team based patient focused care. · The Senior Physician Assistant responsibilities · may include managing patients in the office hospital ED and/or perioperative s ...

    Sacramento

    1 month ago

  • Work in company

    Assistant Project Manager

    Only for registered members

    CORE is looking for an Assistant Project Manager to support the management of mid to large-scale commercial construction projects throughout the Sacramento area. · ...

    Sacramento

    1 month ago

  • Work in company

    Senior Accountant

    Only for registered members

    The primary staff responsible for reviewing reimbursement draw requests submitted by County departments for the American Recovery Plan Act (ARPA). Staff will review on sample basis costs being claimed to contracts executed. ...

    Sacramento

    1 week ago

  • Work in company

    Physician Assistant- Orthopedics

    Only for registered members

    The Physician Assistant provides high-quality patient-focused care under the direction of a supervising physician. The responsibilities include managing patients in various settings and performing department-specific procedures. · ...

    Sacramento

    2 weeks ago

  • Work in company

    Senior Accountant

    Only for registered members

    The Senior Accountant will serve as the primary staff responsible for reviewing reimbursement draw requests submitted by County departments for the American Recovery Plan Act (ARPA). This role involves reviewing costs claimed against executed contracts on a sample basis and ensur ...

    Sacramento

    2 weeks ago

  • Work in company

    Nurse Practitioner or Physician Assistant

    Only for registered members

    We are seeking a dedicated Nurse Practitioner (NP) or Physician Assistant (PA) to join our team in performing medical assessments for U.S. · Key Responsibilities: · Conduct in-person disability assessments for U.S. Veterans. · ...

    Sacramento $115,000 - $125,000 (USD)

    3 days ago

  • Work in company

    Senior Accountant 49/hr

    Only for registered members

    Our client is seeking a Senior Accountant to join its accounting team. · Serve as the primary staff member responsible for reviewing ARPA reimbursement draw requests submitted by County departments · ...

    Sacramento

    1 week ago

  • Work in company

    Senior Accountant

    Only for registered members

    The Senior Accountant will review costs claimed to contracts executed on a sample basis. They will also compare contract nature with actual project approval for consistency. · Review costs claimed on contracts on a sample basis. · Compare contract nature with actual project appro ...

    Sacramento

    2 weeks ago

  • Work in company

    Senior Accountant

    Only for registered members

    Primary staff responsible for reviewing reimbursement draw requests submitted by departments for the American Recovery Plan Act (ARPA). Staff will review on sample basis costs being claimed to contracts executed. · ...

    Sacramento

    2 weeks ago

  • Work in company

    Senior Physician Assistant- General Surgery

    Only for registered members

    Under the direction of a supervising physician, the Senior Physician Assistant provides high quality, efficient, team based patient focused care. · ...

    Sacramento

    4 days ago