- Dignity Health (Northridge, CA)
- …(https://www.dignityhealth.org/socal/locations/northridgehospital) for more information. RN Case Manager ( Care Coordinator ) Case Manager Northridge Hospital ... Medical Center The RN Care Coordinator is responsible for overseeing the...Manager (ACM-RN), or UM Certification preferred. + Knowledge of managed care and payer environment preferred. +… 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
- 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
- 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
- Select Medical (Los Angeles, CA)
- …Venture with Cedars, UCLA and Select Medical Century City - Los Angeles, CA Staffing Coordinator - Inpatient Rehab Hospital - Full Time Mon - Fri 8 hour shifts ... for their recovery. We are currently seeking a Staffing Coordinator to join our team. **Benefits of being a...staffing are avoided and the hospital can provide safe care for all admissions. + Maintains all agency files… more
- UCLA Health (Los Angeles, CA)
- …principles of accounting and financial management. Knowledge of billing programs including managed care contracts and related insurers. Knowledge of current ... and maintaining appointment calendar. Knowledge of principles of ambulatory care administration. Knowledge of disease processes occurring in-patients with Ophthalmic… more
- UCLA Health (Los Angeles, CA)
- …equivalent experience + One or more years of experience working in a managed care environment preferred + Experience processing ambulatory commercial, Medicare ... Fee for Service, Medicare Advantage prior authorizations a plus + Knowledge of the HMO referral process, eligibility verification, and health plan benefit interpretation desired + Strong communication, organizational, critical thinking, and problem-solving… 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)
- …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)
- …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)
- …staff issues; health facility licensing, healthcare organization certification and accreditation; managed care and the Knox-Keene Act; and/or medical malpractice ... in the examination process, please contact the testing accommodation coordinator listed on the job posting. The provision of...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)
- …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)
- …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
- Dignity Health (Northridge, CA)
- …Medical Staff experience. Including credentialing functions in either a hospital or managed care environment. + Strong computer and information management skills ... 1955 Dignity Health - Northridge Hospital Medical Center is a 394-bed acute care nonprofit community hospital located in Northridge California. The hospital offers a… 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
- UCLA Health (Los Angeles, CA)
- …experience managing staff in a healthcare environment + Two or more years of managed care or health plan experience preferred + Experience processing ambulatory ... team objectives and key performance indicators. You will hire and train non-clinical coordinator staff as well as manage and monitor their production and quality… more