- Robert Half Accountemps (Van Nuys, CA)
- Description We are offering a long-term contract employment opportunity for a Managed Care Coordinator in the healthcare industry. Based in Van Nuys, ... California, this role involves coordinating managed care activities within a hospital setting, ensuring adherence to relevant regulations, and maintaining strong… more
- 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
- 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
- ManpowerGroup (Rancho Cucamonga, CA)
- …GED required **Key Qualifications** + Requires knowledge of ICD-9/10 and CPT codes + Managed Care or physician office a must + Skilled in computer applications, ... meeting accuracy standards for appropriate authorizations of referrals at the UM Coordinator level. + Responsible for representing the Inland Empire Health Plan in… 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