- Dignity Health (Northridge, CA)
- …dignityhealth.org/northridgehospital (https://www.dignityhealth.org/socal/locations/northridgehospital) for more information. RN Care Coordinator Case Manager ... Northridge Hospital Medical Center The RN Care Coordinator is responsible for overseeing the...Able to apply clinical guidelines to ensure progression of care . + Knowledge of managed care… 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
- Prime Healthcare (Ontario, CA)
- …Knowledge of physician credentialing process, and strong follow-up skills.3. Knowledge of Managed Care contracts and the contracting process.4. Working knowledge ... of self-funded medical plans and/or Managed Care plans.5. Computer literate in Microsoft Office Windows & Excel.6. Ability to interact professionally with… more
- TEKsystems (Northridge, CA)
- …School diploma + One year experience in clinical setting preferred. + Familiarity with managed care , commercial and point of service, medical care preferred. ... records and service data, according to HEDIS/ACO Technical Specifications. + The Coordinator has excellent reading comprehension skills in order to analyze and… 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 ... care centers. Visit dignityhealth.org/northridgehospital for more information. **Credential Coordinator - Credentialing Verification** **Northridge Hospital Medical Center** Northridge… more
- Genesis Healthcare (Garden Grove, CA)
- …is responsible to case manage residents covered by either Medicare or Managed Care insurance programs. Benefits*Health, Dental, Vision, Company-paid life ... leading providers of healthcare services from short-term to long-term care and a wide variety of living options and...or exceeding CDC and CMS standards. The Clinical Case Coordinator - LPN coordinates the development, completion and transmission… 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
- AbbVie (Irvine, CA)
- …and learning continuum within Digital Learning Platforms. + Partner with training coordinator /admin to ensure programs are effectively managed . + Partner with ... key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan...needs to ensure the long-term development of the Eye Care team "One Eyecare and One Abbvie". + Draws… more