Utilization Review Jobs in Fresno, CA

Available Hours: Shifts are on the weekend Fri-Sun. Timeframe - Between 1:00pm-9:00pm EST. Bi-Weekly Minimum of 10 weekend hours. Monthly Required Hours: 20 weekend HoursWe are actively recruiting for an After Hours Care Manager to join our rapidly growing Population Health team.&#xa0 More...

OverviewUnder the direction of the Site Manager of the Clinical Documentation Integrity (CDI) program the Clinical Documentation Specialist (CDS) strives to achieve accurate and complete documentation in the inpatient medical record to support precise ICD-10-CM and ICD-10-PCS coding a More...

Formulary Strategy & Utilization Review PharmacistShape the drug benefit landscapeanalyze and optimize medication use.Key Responsibilities:Review prescribing trends and propose cost-saving alternatives.Maintain evidence-based formularies across multiple payers.Conduct retrospectiv More...

Partner with us in making a positive change!Join a team where your work truly matters. Were proud to have been certified as a Great Place to Work for 8 years by our own employees. We invite you to partner with us in our mission to improve mental healthcare.Job Title:Program Coordinato More...

We are actively recruiting for an CAL RNs to join our rapidly growing Population Health team.  The primary role of the Care Manager will be to provide our patients with on-demand telephone-based care management services through a 24/7 Nurse Advice Line (i.e. telephone triage). &# More...

Employment Type:Full timeShift:Day ShiftDescription:This position is responsible for coordinating administrative/clerical support to department staff to ensure smooth and efficient departmental operations.Pay range: 21.00 to 28.09REQUIREMENTS1. High school diploma or equivalent is req More...

Employment Type:Full timeShift:Day ShiftDescription:This position is responsible for assisting the Care Coordinator with utilization review management and discharge planning tasks. This includes accountability for screening and documentation for medical necessity criteria for acute ca More...

Richard Heath & Associates Inc. (RHA) is currently hiring for the following position:Program CoordinatorFull-time Non-exemptThe Coordinator performs complex program support duties that may encompass database and user management data entry record keeping data research and complianc More...

We are actively recruiting for an CAL RNs to join our rapidly growing Population Health team.  The primary role of the Care Manager will be to provide our patients with ondemand telephonebased care management services through a 24/7 Nurse Advice Line (i.e. telephone triage). &#xa More...