Search Results: 6,233 vacancies

 ...state of California.**** **Position Purpose:** Performs clinical reviews needed to resolve and process appeals by reviewing medical...  ...accordance with policies, guidelines, and National Committee for Quality Assurance (NCQA) standards. + Prepares case reviews for Medical... 
Quality
Hourly pay
Holiday work
Remote job
Work from home
Flexible hours

Centene Corporation

Sacramento, CA
2 days ago
 ...Job Description Job Description Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business. This is a remote position. Must reside in or near Folsom, CA. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Responsible for... 
Suggested
Hourly pay
Minimum wage
Full time
Local area
Remote job
Flexible hours

CorVel Healthcare Corporation

Folsom, CA
3 days ago
 ...new staff. Updates internal documentation tools to reflect State and County Medi-Cal guidelines. Attends all County Utilization Review meetings and implements recommendations. Is responsible for conducting monthly on-site Internal Utilization Reviews. Acts as... 
Quality
Monday to Friday

Turning Point Community Programs

Elk Grove, CA
3 days ago
 ...This is the Autism/ABA team.** **Position Purpose:** Performs reviews of member's care and health status of Applied Behavioral Analysis...  ...guidelines and criteria + Analyzes BH member data to improve quality and appropriate utilization of services + Interacts with BH... 
Quality
Hourly pay
Holiday work
Remote job
Flexible hours

Centene Corporation

Sacramento, CA
1 day ago
Overview : Flatiron is seeking a well-qualified Quality Manager for upcoming work. Given the type of projects in the Northern California...  ...specifications and Company standards. We recommend you review our website to learn about currently building projects as it is... 
Quality
Contract work
Flexible hours

Flatiron Construction Corp

Sacramento, CA
21 hours ago
 ...Job Description and Duties The Children Services Quality Management Branch (CSQMB) is responsible for maintaining the integrity of...  ...CWS System Improvements, Continuous Quality Improvement, Federal Reviews, Training Support, and Critical Incidents. The Case Review... 
Quality
Holiday work
Permanent employment
Full time
Contract work
Temporary work
Remote job
Trial period

Department of Social Services

Sacramento County, CA
3 days ago
 ...LVN Outpatient Utilization Review - River City Medical Group Shift- Monday-Friday day shift Description: The Clinical Case Manager coordinates all systems/services needed for an organized, multidisciplinary, patient centered team approach, and cost-effective... 
Suggested
Contract work
Temporary work
Shift work
Day shift
Monday to Friday

Actalent

Sacramento, CA
21 hours ago
 ...We are looking for Quality Associate III to join our growing team! In this role, you'll support the California High Speed Rail...  ...responsibilities include: Lead internal task 7b team on QMDP reviews and efforts as part of acceptance of completed structures. Lead... 
Quality
Holiday work
Flexible hours

S2S ERM

Sacramento, CA
21 hours ago
 ...Folsom, CA 95630 Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business. This is a remote position. Must reside in or near Folsom, CA. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Responsible for auditing medical... 
Suggested
Hourly pay
Minimum wage
Full time
Local area
Remote job
Flexible hours

CorVel Corporation

Folsom, CA
2 days ago
 ...Job Description Summary As a Quality Control Specialist I working for Taylor Morrison you will support and assist the quality control...  ...team in preparing loan production files for the Pre and Post QC review in accordance with the QC program and accepted agency... 
Quality
Holiday work
Full time
Flexible hours

Taylor Morrison

Sacramento, CA
3 days ago
 ...Head of Quality About the Company Successful biotechnology firm specializing in cell & gene therapies Industry Biotechnology Type Privately Held About the Role The Company is seeking a Head of Quality. The successful candidate will be responsible... 
Quality

Confidential

Sacramento, CA
1 day ago
 ...blood disorders as well. The QA Specialist II supports the quality management system (QMS) through performing raw material release...  ...•Support batch record release activities •Support review of logbooks, procedures and protocols •Act as a system administrator... 
Quality
Local area
Remote job

Orca Bio

Sacramento, CA
2 days ago
 ...clinical treatment sessions are needed Manage behavioral health cases throughout the entire treatment plan Administer benefits and review treatment plans in collaboration with interdisciplinary care team Assist in coordinating Medicaid/Medicare benefits and... 
Quality
Work experience placement
Local area

Allen Spolden

Sacramento, CA
4 days ago
 ...stimulating relationships. Our staff is well-trained and highly skilled qualities that are vital to maintaining excellence in care and service....  ...Health Medical Foundation inpatient admissions and concurrent review for appropriate level of care and medical necessity using... 
Quality
Casual work
Seasonal work
Immediate start

Dignity Health Medical Foundation

Rancho Cordova, CA
24 days ago
 ...environment, keep reading! We are searching for a result-oriented Quality Manager to join our Elevator Controls team at Vantage Elevation...  ...management system (QMS) Facilitates monthly Management Review Meetings and reports/discusses Key Performance Indicators (KPIs... 
Quality
Full time
Local area
Day shift

Gal Manufacturing, a Vantage Elevation Company

Sacramento, CA
3 days ago
**_What Quality Compliance contributes to Cardinal Health_** Quality develops and implements quality policies, procedures, and processes...  ...updates all required CSMP applications to reflect customer review status. + Effectively manages competing priorities and multiple... 
Quality
Hourly pay
Temporary work
Local area
Remote job
Flexible hours

Cardinal Health

Sacramento, CA
2 days ago
 ...Job Description Job Description Summary: The Sawyer & Quality Control Foreman provides sawyer crew supervision and is responsible for managing and executing forestry projects on private, state, and federal lands according to the projects’ prescriptions. In addition... 
Quality
Hourly pay
Remote job
Outdoor
Gangs
Night shift

Markit! Forestry Management LLC

Sacramento, CA
21 days ago
 ...to extend into autoimmune diseases and genetic blood disorders as well. Summary: Orca Bio is seeking a skilled Microbiology Quality Control Scientist to ensure the highest standards of quality and safety in our biotechnological processes. As a key member of our team... 
Quality
Local area
Remote job

Orca Bio

Sacramento, CA
2 days ago
 ...Position Responsibilities and Duties: Ability to manage Quality on multiple projects Supervise Quality staff Train Quality...  ...work Develop Water+Min5 plan with project team Review, comment, and work through Division Quality Manager for approval... 
Quality
Holiday work
Temporary work
For subcontractor
Flexible hours

Essel

Sacramento, CA
15 days ago
**_What Quality Compliance contributes to Cardinal Health_** Quality develops and implements quality policies, procedures, and processes...  ...programs are implemented throughout the designated facility by reviewing facilities, drive performance improvement and conducting onsite... 
Quality
Temporary work
Work experience placement
Local area
Flexible hours

Cardinal Health

Sacramento, CA
4 days ago