- Cedars-Sinai (CA)
- …people throughout Los Angeles and beyond. **Req ID** : 5668 **Working Title** : Program Manager - Managed Care (Hybrid) **Department** : MNS Managed ... **Job Description** The Program Manager is responsible for supporting...membership. + Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star… more
- Sutter Health (Goleta, CA)
- …knowledge base of health care delivery and case management within a managed care environment. Comprehensive knowledge of Utilization Review, levels of ... Coordinates the utilization management, resource management, discharge planning, post-acute care referrals and care facilitation. Oversees the management… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …department, this position requires proficiency in English and Spanish. JOB SUMMARY: The Lead Care Manager (LCM) operates a as a member of the patient's Enhanced ... Care Management (ECM) team and is responsible for coordinating...Quality Successful completion of a Community Health Worker training program One year exp working in a psych … more
- Trinity Health (Fresno, CA)
- …Reporting to the Director CVHP Operations, CVHP Operations, this position coordinates care and service for defined patient populations across the acute care ... continuum for CVHP members. This includes discharge planning, utilization management, care coordination, and support for resource utilization. This position works… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Shared Services Program Manager II (ALD) Job Category: Administrative, HR, Business Professionals Department: Claims Data and Support Services ... achieve that purpose. Job Summary The Enterprise Shared Services Program Manager II is responsible for leading...Required: At least 6 years of relevant Project Management, Program Management, Health Care Administration, Research or… more
- Stanford Health Care (Menlo Park, CA)
- …discovered. Day - 08 Hour (United States of America) **This is a Stanford Health Care job.** Position Title: Program Manager , Design Records and Archive ... projects and facility management within the healthcare network. This Program Manager role requires a strong background...to ensure project goals are met.** **Locations** **Stanford Health Care ** **What you will do** + Provides program… more
- Stanford Health Care (Palo Alto, CA)
- …social work, care coordination and discharge planning. + Knowledge of managed care and commercial insurance, Medi-Cal, Medicare, and other third-party ... work-life balance while honoring its commitment to delivering evidence-based and patient-centered care . We are seeking a results-driven manager to further… more
- LA Care Health Plan (Los Angeles, CA)
- … Manager III is responsible for the initial on-board training of new managed care contract provider partners, and for ensuring their provider accounts ... Provider Network Account Manager III Job Category: Provider Relations Department: Provider...providing in-service orientation meetings with providers. Responsible for monitoring managed care contracts for renewals and expirations.… more
- LA Care Health Plan (Los Angeles, CA)
- …experience in designing, redesigning, and implementing compliance programs, policies, and managed care operations, including Medicare, Medicaid, and commercial ... Senior Manager , Compliance Delegation Oversight Job Category: Administrative, HR,...Light Additional Information Additional Required Skills: Strong background in managed health plan/ managed care business… more
- LA Care Health Plan (Los Angeles, CA)
- … Manager II is responsible for the initial on-board training of new managed care contract provider partners, and for ensuring their provider accounts maintain ... Provider Network Account Manager II Job Category: Provider Relations Department: Provider...provide in-service orientation meetings with providers. Responsible for monitoring managed care contracts for renewals and expirations.… more
- LA Care Health Plan (Los Angeles, CA)
- …Experience Required: At least 5-7 years of experience in Project Management within a Managed Care Organization or Top 10 management consulting role in Healthcare ... PMO Project Manager III Job Category: Administrative, HR, Business Professionals...managing, motivating, mentoring staff and conflict resolution. Knowledge of managed care health insurance industry with preference… more
- LA Care Health Plan (Los Angeles, CA)
- …Compliance Monitoring Department, and to support the mission and business operations of LA Care Health Plan. The Manager manages all aspects of running an ... Medicare, Medicaid or commercial regulations. Equivalency: Completion of the LA Care Management Certificate Training Program may substitute for the… more
- The County of Los Angeles (Los Angeles, CA)
- MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4659662) Apply ... MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS...to ensure that services conform to acceptable standards of care and establishes and modifies program monitoring… more
- LifeSteps (Alameda, CA)
- Lead Care Manager Job Details Job Location...Compile records and prepare reports. + Submit claims to Managed Care Plans (MCP's) for all member ... care . Core Duties (but not limited to) Lead Care Manager : + Promote and live out...clinics, shelters, local businesses, and community centers for various Managed Care Plan (MCP) members. Job Specifics:… more
- LA Care Health Plan (Los Angeles, CA)
- …Administration or Related Field Experience Required: At least 4 years of experience in Program /Project Management in a managed care setting or Top 10 ... Regulatory Operations Project Manager II Job Category: Administrative, HR, Business Professionals...and optimal procedures. Working knowledge of Department of Health Care Services (DHCS), Department of Managed Health… more
- LA Care Health Plan (Los Angeles, CA)
- …(LOB) which includes Medicare Stars, Exchange Quality Rating Systems and MediCal's Managed Care Accountability Sets, and other data-sharing and/or quality ... datasets and data marts. Equivalency: Completion of the LA Care Management Certificate Training Program may substitute...related engagement strategies. Knowledge of SQL coding. Knowledge of managed care concepts and principles and basic… more
- LA Care Health Plan (Los Angeles, CA)
- … may substitute for the supervisory/management experience requirement. Preferred: Healthcare/ Managed Care experience. Audit experience. Skills Required: ... Manager , Accounting Job Category: Accounting/Finance Department: Accounting Services...Services (DHCS), Department of Health Services (DHS), Department of Managed Health Care (DMHC), and Centers for… more
- Option Care Health (Sacramento, CA)
- …Option Care . Description of available services is accurate. Meets with managed care organizations and other accounts to facilitate education regarding ... no limit to the growth of your career.** Option Care Health, Inc. is the largest independent home and...retaining a diverse workforce. **Job Description Summary:** The Pharmacy Manager is a licensed professional who is responsible for… more
- City and County of San Francisco (San Francisco, CA)
- …transition from Avatar to Epic, CalAIM (eg, clinical documentation, LOE, PURQC), managed care plans, utilization management, BHS regulatory compliance, and ... Epic. The Assistant Director, Transitional Age Youth System of Care (0922 Manager I) performs the following...and conducting annual performance evaluations + Facilitates TAY System Care Coordination (TSCC) meetings with clinical program … more
- Sutter Health (Tracy, CA)
- …knowledge base of health care delivery and case management within a managed care environment. + Comprehensive knowledge of Utilization Review, levels of ... Health! **Organization:** STCH-Sutter Tracy Community Hosp **Position Overview:** Responsible for Care Coordination and Care Transitions Planning throughout the… more