- Sutter Health (Oakland, CA)
- …Surgical Technologist III works on a flexible schedule as assigned by the Patient Care Manager . Weekend shifts are assigned on a rotating basis. **Job ... to participate in the planning and provision of perioperative care for patients in adolescence, early, middle and late...Nurse. * Reports unsafe conditions to Charge Nurse or Manager . * Keep corridors cleared. * Put away unused… more
- Ventura County (Ventura, CA)
- …on clients served and treatment outcomes; + Collaborates with the Behavioral Health Manager and Ambulatory Care Quality Department to develop and monitor ... Ambulatory Care Clinic Administrator Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4991752) Apply Ambulatory...to resolve them. May carry a clinical caseload and provide clinical coverage based on programmatic needs; and +… more
- Sharp HealthCare (San Diego, CA)
- …of provider issues.Escalates recurring or critical issues, such as quality-of- care issues, claims payment issues, or access issues to the appropriate department ... the Plan, by establishing and maintaining positive working relationships through provider engagement and management. Develops and presents provider … more
- Molina Healthcare (San Diego, CA)
- …issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape ... as a thought partner to health plan leadership and provide well-reasoned recommendations that support short- and long-term business...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO)… more
- Cardinal Health (Sacramento, CA)
- … Care oversees the interactions that take place between payer and provider (s) to ensure optimal reimbursement including managed care contracting, enrollment, ... Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing legal review, policy compliance,… more
- Elevance Health (Costa Mesa, CA)
- …states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope ... **Telephonic Nurse Case Manager II** **Location: Virtual: This role enables associates...of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and… more
- Medtronic (Northridge, CA)
- …increased investments to drive meaningful innovation and enhance our impact on patient care . As the Technical Sourcing Program Manager , you will be the ... + Oversee and support inventory and ERP production release activities. + Provide hyper- care support after commercial launch. **Must-Have:** + Bachelor's degree… more
- Humana (Sacramento, CA)
- …and resolving provider reimbursement inquiries + Experience with Optum Rate Manager + Experience with Optum WebStrat or PSI applications + Experience interacting ... and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior...serve to achieve their best health - delivering the care and service they need, when they need it.… more
- J&J Family of Companies (Sacramento, CA)
- …assist hospitals with the identification of the high-risk patient population and care pathway opportunities. The Therapy Awareness Manager will be responsible ... **Job Description:** Johnson & Johnson Family of Companies, is seeking a Therapy Awareness Manager to be based in Northern California and will cover a geography that… more
- East Bay Innovations (Oakland, CA)
- East Bay Innovations Transitional Care and Case Management (TCCM) Case Manager I (Full-Time) About our Organization: Established in 1994, East Bay Innovations ... Top Workplaces Award for 2023, 2024, and 2025! Case Manager I (TCCM) Our Transitional Care and...and Case Management (TCCM) department is seeking a Case Manager I to provide coordination and support… more