- Dignity Health (Bakersfield, CA)
- …information needed to make a determination and/or coordinate with the Medical Director as needed. - Responsible to coordinate with contracting to obtain appropriate ... in a manner consistent with federal regulations, state regulations, health plan requirements and NCQA standards. - Constructs denial...accessibility within the network. - Consults with the medical director on cases that do not meet the established… more
- Cedars-Sinai (Los Angeles, CA)
- …with the Director , the coordination of efforts for Department of Health Services, Center for Medicare and Medicaid Services, and The Joint Commission ... in a healthcare setting **Why work here?** Beyond outstanding employee benefits (including health , vision, dental and life and insurance) we take pride in… more
- WelbeHealth (Stockton, CA)
- WelbeHealth provides life-extending health care to our most vulnerable seniors. Our PACE model of care is unique, in that we are the health plan and the provider ... monthly enrollment metric goals + Identify opportunities to collaborate with community organizations to generate qualified leads, leading to potential enrollments +… more
- Cardinal Health (Sacramento, CA)
- …Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off ... **About Nuclear & Precision Health Solutions:** The Nuclear & Precision Health...of medical affairs professionals who report to the Sr Director of Regulatory & Medical Affairs. **Responsibilities:** + Collaborate… more
- A Bright Future, Inc. (Pleasant Hill, CA)
- …hours for 5-day shift shared with Program Director and other Community Support Facilitators POSITIONS SUPERVISED: Behavior Health Technician and Community ... vendor's established policies, under the general supervision of the director . TITLE: Community Support Facilitator STATUS: Full-Time,...Plan) for people served. + Assure ISP's, behavior and health plans are in place and current for all… more
- WelbeHealth (Stockton, CA)
- …values, team culture, and mission. At the direction of the Medical Director , the Primary Care Provider, Psychiatric-Mental Health (NP/PA) works collaboratively ... and treatment for participants in collaboration with PACE Physicians and Community -Based PACE Physicians + In collaboration with a physician, perform in-person… more
- LA Care Health Plan (Los Angeles, CA)
- …(Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of California ... to provide health coverage to low-income Los Angeles County residents. We...Care's culturally diverse membership. The position supports the UM Manager/ Director . This role also assists UM Educator/Manager/ Director … more
- Dignity Health (Merced, CA)
- …by the Hospital. + Tuition Assistance for career growth and development. + Health / Dental /Vision Insurance. + Free Membership to our Care@Work program supporting ... for Mercy Medical Center Merced, you'll report to our Director of Care Coordination and will be responsible for...and reports needs within the Medical Center and Dignity Health , as well as government and regulatory reporting. +… more
- Dignity Health (Bakersfield, CA)
- **Responsibilities** Our multispecialty group, **Dignity Health Medical Group - Bakersfield** , a service of Dignity Health Medical Foundation, is seeking a ... we want to hear from you! **Practice Highlights:** + Aligned with the third-largest health system in the US and the largest hospital system in California + Practice… more
- LA Care Health Plan (Los Angeles, CA)
- …Management (UM), Managed Long Term Services and Support (MLTSS), Social Services, Behavioral Health , Community Health , Health Education, as well ... (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by...and receives clinical supervision as needed from the Medical Director of Care Management. The position is responsible for… more