- LA Care Health Plan (Los Angeles, CA)
- …Medical Assistant experience. 6 months of experience processing authorizations at a managed care /health plan setting. Skills Required: Knowledge of medical ... Care Management Coordinator II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition… more
- The County of Los Angeles (Los Angeles, CA)
- DEPUTY DIRECTOR, MENTAL HEALTH (UC) - MANAGED CARE OPERATIONS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4843984) DEPUTY DIRECTOR, ... MENTAL HEALTH (UC) - MANAGED CARE OPERATIONS Salary $176,297.52 - $274,178.64...the job application process, please contact the testing accommodation coordinator listed on the job posting. Hearing impaired applicants… more
- Dignity Health (Los Angeles, CA)
- …https://www.dignityhealth.org/socal/locations/californiahospital for more information. **Responsibilities** The RN Care Coordinator is responsible for overseeing ... planning for identified patients requiring these services. The RN Care Coordinator performs this role to meet...Manager (ACM-RN), or UM Certification preferred + Knowledge of managed care and payer environment preferred. This… more
- Dignity Health (Long Beach, CA)
- …happen both inside our hospitals and out in the community. **Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of care ... planning for identified patients requiring these services. The RN Care Coordinator performs this role to meet...Manager (ACM-RN) or UM Certification preferred + Knowledge of managed care and payer environment preferred. **Pay… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …**It's Work That Matters.** **Overview** **Purpose Statement/Position Summary:** The Clinical Care Coordinator (CCC), or Case Manager under general supervision, ... Clinical pathways; or Quality/Utilization Management and/or Review. Ability to utilize managed care , utilization management, and discharge planning concepts.… more
- UCLA Health (Los Angeles, CA)
- …- $47.31 Hourly Qualifications + Minimum of 2 years' experience working in a Managed Care Case Management and care coordination environment preferred + ... background or degree in Psychology + Experience processing Inpatient and ambulatory setting Managed Care referrals and case management + Vodavi phone system… more
- UCLA Health (Los Angeles, CA)
- …High school diploma, GED or equivalent experience required + Minimum of 3 years of managed care environment experience (ie, MSO, IPA, or health plan) required + ... Description The Appeals & Grievance Intake Coordinator serves as the primary point of contact...and tracks all complaints, grievances and appeals in the Care Connect CRM system in an accurate and timely… more
- UCLA Health (Los Angeles, CA)
- …Terminology. + Experience with monitoring and completing preventive health measures, gaps in care . Experience with managed care /HMO products and pay for ... Description The Quality Improvement Coordinator is responsible for coordinating Quality Improvement activities surrounding UCLA Medical Group patients. The key… more
- The County of Los Angeles (Los Angeles, CA)
- …+ Develops and monitors revenue-generation procedures and objectives for programs managed , including achievement of revenue goals. + Develops and implements ... to ensure that services conform to acceptable standards of care and establishes and modifies program monitoring and review...audits and the implementation of audit recommendations for programs managed . + Represents managed programs in meetings… more
- The County of Los Angeles (Los Angeles, CA)
- …Develops and monitors revenue-generation procedures and objectives for programs managed , including achievement of revenue goals. Develops and implements reporting ... service delivery to ensure that services conform to acceptable standards of care and establishes and modifies program monitoring and review methods as necessary.… more
- The County of Los Angeles (Los Angeles, CA)
- …meets with pharmaceutical product specialists to discuss current market conditions, managed care implications, disease state management, and obtain information ... the delivery of pharmacotherapeutics or pharmacokinetics in specialized medical care areas; designs, implements and conducts medication usage evaluations; delivers… more
- The County of Los Angeles (Los Angeles, CA)
- …pricing; coordinates change management documentation and ensures that approvals are managed according to departmental procedures. Check Out Our Outstanding Benefits! ... enterprise electronic health record system that will provide patient care in a safe and efficient manner. + Documents...process, let us know by contacting the Testing Accommodation Coordinator at ###@hr.lacounty.gov . You will be required to… more
- The County of Los Angeles (Los Angeles, CA)
- …for periodic audits by Consolidated Accreditation and Licensure Survey and Office of Managed Care as requested; conducts internal reviews; and completes required ... health system, operating 25 health centers and four acute care hospitals, in addition to providing health care...Department of Health Services report to the Medical Staff Coordinator of a hospital, or a Physician in a… more
- The County of Los Angeles (Los Angeles, CA)
- …meets with pharmaceutical product specialists to discuss current market conditions, managed care implications, disease state management, and obtain information ... - and expanded network of community partner clinics - DHS annually provides direct care for over 600,000 unique patients, employs over 23,000 staff, and has an… more
- The County of Los Angeles (Los Angeles, CA)
- …Services. Essential Job Functions Analyzes and evaluates occupational therapy programs in the units managed to assess the quality of patient care and the need to ... DHS operates as an integrated health system, operating 25 health centers and four acute care hospitals, in addition to providing health care to youth in the… more
- The County of Los Angeles (Los Angeles, CA)
- …the social work activities of a small social work unit in a community ambulatory care or managed care setting. Essential Job Functions Interviews and ... - and expanded network of community partner clinics - DHS annually provides direct care for 600,000 unique patients, employs over 23,000 staff, and has an annual… more
- The County of Los Angeles (Los Angeles, CA)
- …and achieve beneficial system transformation. + Cultivate and grow relationships with Medi-Cal Managed Care Plans to implement core CalAIM components related to ... and across the social service systems to support delivery of effective care that improves lives and outcomes. This includes actively seeking opportunities to… more
- The County of Los Angeles (Los Angeles, CA)
- …staff issues; health facility licensing, healthcare organization certification and accreditation; managed care and the Knox-Keene Act; and/or medical malpractice ... the job application process, please contact the testing accommodation coordinator listed on the job posting. Hearing impaired applicants...experience in the practice of healthcare law pertaining to managed care and the Knox-Keene Act. If… more
- The County of Los Angeles (Los Angeles, CA)
- …units. Essential Job Functions + Analyzes and evaluates physical therapy programs in the units managed to assess the quality of patient care and the need to ... + Performs physical therapy assessment, evaluation and treatment, both to provide patient care and to demonstrate or model proper techniques or methods. + Directs… more
- A Bright Future, Inc. (Los Angeles, CA)
- …of the entire staff assigned to work at specific homes, coordinating personal care , training, and support to meet the goals and objectives of the individuals ... and Supervise Community Living Instructors. + Assure labor is managed in a way that meets budgetary guidelines. +...responsibility for all other duties as assigned by Program Coordinator and Director. + Maintain the participant files. What… more