- 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
- 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 (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
- Providence (Anaheim, CA)
- …Associate's Degree in a related field. + Medical Assistant Certification (CMA) upon hire. + Managed care or case management. + Experience with Mcg Care ... this position is responsible for providing support to the Care Management team who coordinates care for...to the Care Management team who coordinates care for identified members/patients throughout the healthcare continuum. This… more
- TEKsystems (Northridge, CA)
- …* High School diploma. One year experience in clinical setting preferred. Familiarity with managed care , commercial and point of service, medical care ... medical records and service data, according to HEDIS/ACO Technical Specifications. The Coordinator has excellent reading comprehension skills in order to analyze and… more
- UCLA Health (Los Angeles, CA)
- …with: + High school diploma, GED, or equivalent + Experience working in a Managed Care environment, highly desired + Experience processing ambulatory managed ... health organization. Help ensure smooth and efficient case management processes to support quality care . Take your expertise to the next level. You can do all this… more
- Emanate Health (West Covina, CA)
- …**Job Summary** Reviews and addresses any billing discrepancies with Medicare, Managed Care and other payors. Maintains Medicare re-certifications, audits ... at Emanate Health plays a vital role in the care we deliver. No matter what department you belong...2021, Emanate Health was named the #1 ranked health care system in the United States, and the #19… more
- UCLA Health (Los Angeles, CA)
- …GED or equivalent + 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 skills… 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)
- …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)
- …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)
- …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
- ePac Flexible Packaging (Los Angeles, CA)
- …standards, customer specifications and production goals). The position supervises Quality Control Coordinator (s) and has a direct line of reporting to the Director ... Life + Short-term Disability, Long-term Disability + Voluntary Accident, Critical Care , Medical Bridge + Flexible Spending Accounts + Health Savings Account… more
- Amergis (Los Angeles, CA)
- …Rate: $48-$50 per hour Amergis Healthcare Staffing is seeking a Disease Management Care Coordinator (DMCC) to assess member's current health status and ... nursing license required + Three (3) years of clinical experience within managed care environment preferred + Ability to quickly identify and prioritize member… more