- Stanford Health Care (Palo Alto, CA)
- …charge-generating departments, School of Medicine leadership, Clinical Operations leadership, Managed Care Contracting, Quality, Controller's Office, Technology ... (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** The Vice President of...assure that all aspect of revenue capture is well managed in order to achieve the optimization of revenue.… more
- LA Care Health Plan (Los Angeles, CA)
- …Solution Center (CSC) Representative II has advanced knowledge of healthcare and various managed care product lines, including Medi-Cal, PASC, LA Care ... experience with ability to type a minimum of 40 wpm. Preferred: Managed care or health plan experience. Previous Automatic Call Distribution (ACD) experience… more
- LA Care Health Plan (Los Angeles, CA)
- …II is responsible for supporting Community Health projects designed to improve both the managed care performance of the LA County safety net and the health ... level audiences, in order to inform and update them on relevant managed care program, product, and policy developments. Perform other duties as assigned. Duties… more
- LA Care Health Plan (Los Angeles, CA)
- …practices. Preferred: At least 5 years of experience working with a California Medi-Cal managed care plan or Commercial health plan, medical group, or management ... services organization. Skills Required: Advanced understanding of managed care operations (including but not limited to, claims processing, population health,… more
- City and County of San Francisco (San Francisco, CA)
- …Contract Development and Technical Assistance, Fiscal, Budget, Operations/Facilities), IT, HR, BHS Managed Care (eg, Office of Coordinated Care , Quality ... The San Francisco Health Network is the City's only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General… more
- Dignity Health (Glendale, CA)
- …(CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred + Knowledge of managed care and payer environment preferred. **Overview** Founded in 1926, ... **Responsibilities** The RN Care Coordinator is responsible for overseeing the progression... Coordinator is responsible for overseeing the progression of care and discharge planning for identified patients requiring these… more
- Centene Corporation (Woodland Hills, CA)
- …with and to provide education and training to DCFS staff and stakeholders regarding managed care , and to engage in immediate problem resolution with Contractor's ... perspective on workplace flexibility. **Position Purpose:** Develops, assesses, and coordinates care management activities based on member needs to provide quality,… more
- Providence (Fortuna, CA)
- …utilization management experience in the acute, sub-acute, home health setting or managed care environment. **Why Join Providence?** Our best-in-class benefits ... **Description** Care Manager RN - Case Management at Providence...healthcare institution known for its clinical excellence and compassionate care . The RN Care Manager is responsible… more
- Providence (Mission Viejo, CA)
- …+ 3 years of experience in utilization management or case management + Managed care experience **Why Join Providence?** Our best-in-class benefits are uniquely ... **Description** ** Care Manager MSW Providence Mission Hospital in Mission...are Per Diem and will work 8-hour Day shifts.** Care Management is a collaborative practice model including the… more
- Humana (Sacramento, CA)
- …+ Minimum of 3 years' experience working in clinics, hospital case management, managed care settings, Autism services and/or other healthcare settings. + Above ... caring community and help us put health first** The Care Management Support Assistant 3 assists in ensuring TRICARE...in ensuring TRICARE beneficiaries receive the highest quality health care for Autism Spectrum Disorder (ASD) related services in… more
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