A full-time job with Partnership HealthPlan of California in Roseland, Sonoma County, California. The source did not publish a closing date.
- Working pattern
- On site
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About this job
To oversee the appropriateness and quality of care delivered through Partnership HealthPlan of California and for the cost-effective utilization of services. Performs Treatment Authorization Request (TAR) review and appeals to determine medical necessity, appropriateness of services, interprets benefits and limitations, and reviews claims, which are questionable in dollar amount or volume or scope of services. Assures that care is at all times at an acceptable level of quality. Confers with and…
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Details on this page reflect the source posting as of Sep 10, 2026. Closing dates and salary ranges can change without notice — the official listing is always authoritative. How our coverage works.
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