Current Emanate Health Employees - Please log into your Workday account to applyEveryone at Emanate Health plays a vital role in the care we deliver. No matter what department you belong to, the work you do at Emanate Health affects lives. When you join Emanate Health, you become part of a team that works together to strengthen our communities and grow as individuals.On Glassdoor's list of "Best Places to Work" in 2021, Emanate Health was named the #1 ranked health care system in the United States, and the #19 ranked company in the country.Job SummaryThe Utilization Review Nurse will evaluate medical records to determine medical necessity by applying clinical acumen and the appropriate application of policies and guidelines to urgent and standard reviews. You will document decisions using indicated protocol sets, or clinical guidelines and provide support and review of medical claims and utilization practices. Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case findings.Job RequirementsMinimum Education Requirement:Minimum Experience Requirement:Minimum of three years of utilization management experience. Experience in quality- related job preferred. Computer proficiency is required. Excellent customer service skills required.Minimum License Requirement:Current California LVN license. Delivering world-class health care one patient at a time.Pay Range:$31.03 - $46.54SummaryLocation: Emanate Health Corporate Badillo St. - CovinaType: Full time
...COMPANY OVERVIEW: Bayer Built Woodworks is a premier manufacturer and distributor of high-quality interior and exterior doors, millwork, and stair systems. As a family-owned company based in Minnesota, we proudly serve the Midwest with industry-leading service, exceptional...
...Full-time Description Our client is seeking a Senior Accountant to support monthly, quarterly, and annual close processes while ensuring accurate and timely financial reporting. This role focuses on complex accounting activities, consolidations, reconciliations...
Job Description:POLITICO is seeking an aggressive, enterprising journalist to cover the intersection of the technology industry with the Trump administration, Congress and Washington writ large.This reporter will cover the political and policy debates shaping the technology...
...resolution. Conduct follow-up on outstanding patient AR, including statement review, payment arrangements, and escalation as needed.... ...receptionists, data entry specialists, administrative assistants, file clerks, and front desk agents. Healthcare experience preferred but not...
..., US Operations, the Ticketing Specialist is responsible for applying consistently high levels of customer service to The Allstars Travel Group Corporate Clients; accurately managing all queues and email requests by following established processes and procedures. Main...