system utilization management sum specialist Jobs in Oakland, California

System Utilization Management SUM Specialist
Oakland, CaliforniaAlameda Health System Summary SUMMARY: The System Utilization Management Specialist (UMS) will play a pivotal role in supporting the Utilization Management (UM) team across all three AHS campuses. The UMS will report directly to the UM Manager. This multifaceted position will focus on both...Full Job Details
System Utilization Management SUM Utilization Review RN
Oakland, CaliforniaAlameda Health System Summary SUMMARY: The System Utilization Management SUM Utilization Review RN is responsible for ensuring the appropriate use of healthcare resources while maintaining high- standards of patient care. This role involves evaluating medical necessity, assessing treatment...Full Job Details
System Utilization Management SUM Inpatient Denial RN
Oakland, CaliforniaAlameda Health System Summary SUMMARY: The System Utilization Management SUM Inpatient Denial Registered Nurse (RN) is responsible for managing, analyzing, and addressing inpatient claim denials. This role involves collaborating with multidisciplinary teams, payers, and physician advisors to...Full Job Details
Care Management Specialist
Oakland, CaliforniaAlameda Health System Summary SUMMARY: Assists in Care Management Team of social workers and nurses with functions such as but not limited to provide census reconciliation, administrative support for care coordination and discharge planning activities, working with the payors, accurate and...Full Job Details
Network Communication System Specialist
San Jose, CaliforniaUnited States ArmyAs a Network Communication Systems Specialist, you'll supervise network management functions while overseeing integrated network control centers and multichannel communications systems. Your duties will include installing tactical fiber and cable wiring, troubleshooting, and...Full Job Details
SLH Care Management Specialist
San Leandro, CaliforniaAlameda Health System Summary SUMMARY: Assists in Care Management Team of social workers and nurses with functions such as but not limited to provide census reconciliation, administrative support for care coordination and discharge planning activities, working with the payors, accurate and...Full Job Details
Care Specialist
Byron, CaliforniaUpward Health CARE SPECIALIST - ECM Are you a dedicated individual with a passion for providing quality care and making a positive impact in the lives of others? If you possess a unique blend of skills and attributes, including critical thinking, resilience, and the ability to thrive in...Full Job Details
Business System Specialist
Oakland, CaliforniaPG&E CorporationRequisition ID 164612 Job Category: Information Technology Job Level: Individual Contributor Business Unit: Electric Engineering Work Type: Hybrid Job Location: Oakland; Sacramento Position Summary Headquarters flexible within the bay area and Sacramento regions, with the...Full Job Details
Clinical Documentation Integrity Specialist
Greenbrae, CaliforniaOptumOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to...Full Job Details
Clinical Documentation Integrity Specialist
San Francisco, CaliforniaOptumOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to...Full Job Details
Director Utilization Management
Oakland, CaliforniaAlameda Health System Summary 100% employer health plan for employees and their eligible dependents Unique benefit offerings that are partially or 100% employer-paid Rich and varied retirement plans and the ability to participate in multiple plans. Generous paid time off plans Role Overview:...Full Job Details
Security Systems Application Specialist 1
Fremont, CaliforniaM.C. Dean, Inc.Overview Your Future at M.C. Dean We're seeking people driven to excellence and inspired to have a meaningful impact powering, automating, integrating, and securing the world's most critical infrastructure and facilities. This translates into fulfilling opportunities for...Full Job Details
IT Specialist
Fremont, CaliforniaInfo Way SolutionsHi Professionals, Hope you are doing good This is Jayaraman from Info Way Solutions, LLC We have job opening for IT Specialist and the detailed Job description is given below: Kindly check the JD and share your views IT Specialist Location: Patterson, CA and Stockton, CA Job...Full Job Details
Ophthalmology Uveitis Specialist
Santa Clara, CaliforniaKaiser Permanente - The Permanente Medical Group, Inc. -Northern California The Permanente Medical Group is currently actively seeking an Ophthalmologist specializing in Uveitis (Per Diem) Opportunity at our Santa Clara Homestead Medical Center . Position Requirements: Board Certification or Eligibility Must be eligible to obtain a California...Full Job Details
Contracts Administration & Operations Specialist
San Carlos, CaliforniaVaxcyte, Inc. Join our Mission to Protect Humankind. Vaxcyte is a clinical-stage vaccine innovation company engineering high-fidelity vaccines to protect humankind from the consequences of bacterial diseases, which have serious and costly health consequences when left unchecked. Working...Full Job Details
EH&S Specialist
San Francisco, CaliforniaESM INSITEAbout ESM ESM is a tech-enabled Risk Management firm dedicated to making a difference in the U.S. Workers' Compensation, Safety & Compliance Industry. Our services include Workers' Compensation Claims Management, Safety Management/Compliance, and a suite of proprietary...Full Job Details
Manufacturing Specialist
Redwood City, CaliforniaCodexis, Inc. Department 49 - Internal Manufacturing Employment Type Full Time Location Redwood City, CA Workplace type Onsite Reporting To Description Codexis, a biotechnology company based in Redwood City, CA, is looking to hire a Manufacturing Specialist. Codexis is a leading enzyme...Full Job Details
System Educator Care Coordination/Utilization Review
Oakland, CaliforniaAlameda Health System Summary Role Overview: The System Educator of Care Coordination and Utilization Review is responsible for developing, implementing, and maintaining education and training programs across the organization's care coordination and utilization review teams. This role ensures...Full Job Details
IT Support Specialist
San Francisco, CaliforniaMinted About the Role: As an IT Support Specialist, you'll help Minted employees resolve their IT issues, improve our systems proactively, and provide exceptional, customer-focused support. Because technology is central to everything we do, your role will be key in ensuring our...Full Job Details
Marketing Brand Specialist Global Games Marketing
San Mateo, CaliforniaYohMarketing Brand Specialist Global Games Marketing Category: Marketing & Communications Employment Type: Contract Reference: BH-384271 Marketing Brand Specialist Global Games Marketing with Large Media Company REMOTE BUT REQUIRES TRAVEL TO SAN MATEO, CA 1X PER QUARTER Pay...Full Job Details
End User Computing Specialist
San Francisco, CaliforniaCirrus Group Consulting End User Computing Specialist will be responsible for rolling out IT projects, product and feature end user training, technical support, and interfacing with executive level staff. This position will require a candidate that will be the technical expert on all areas of end...Full Job Details
Conference and Administrative Services Specialist
San Jose, CaliforniaSan Jose State UniversityConference and Administrative Services Specialist Apply now Job no: 547129 Work type: Staff Location: San José Categories: Unit 9 - CSUEU - Technical Support Services, Probationary, Full Time, Student Services, On-site (work in-person at business location) Job Summary The...Full Job Details
Eligibility Benefits Specialist III
Fairfield, CaliforniaSolano County Salary : $72,179.79 - $87,735.00 Annually Location : Fairfield, CA Job Type: Full-Time Job Number: 24-444040-02 Department: Health & Social Services Dept Opening Date: 09/04/2024 Closing Date: Continuous Providing Public Assistance and Employment Services to Solano County...Full Job Details
IT Operations Specialist
Menlo Park, CaliforniaBoys & Girls Clubs of the Peninsula POSITION IT Operations Specialist (2 positions available) OUR MISSION To empower the youth in our community with equitable access to social, academic, and career opportunities to thrive OUR VISION All youth grow up to lead fulfilling lives fueled by their passions, talents,...Full Job Details
Servicenow Implementation Specialist
San Francisco, CaliforniaResource Informatics Group Job Title: ServiceNow Implementation Specialist Locations: San Francisco, CA (Onsite) Duration: Long Term Description: The ServiceNow Implementation Specialist must have: • Experience with ServiceNow client and server-side JavaScript and the ServiceNow scripted APIs using...Full Job Details