- Prime Healthcare (La Palma, CA)
- …Discharge Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non- managed care environments.2. Active ... a difference. Founded in 1972, La Palma Intercommunity Hospital is a 141-bed acute- care community hospital and the only hospital in La Palma. Our highly qualified… more
- Consolidated Electrical Distributors (Santa Fe Springs, CA)
- …This will be a territory-defined role that reports to the AIMM Services Division Manager . There is a requirement to interact with other team members in the ... BDL's, the service center and service technicians. Reports to: Customer Success Manager - AIMM Services Minimum Qualifications: + Bachelor's degree or equivalent… more
- Centene Corporation (Sacramento, CA)
- …and participate in various projects to learn and develop skills related to the Managed Care industry. + Develop clinical knowledge and skills by learning about ... various processes and functions within the Managed Care industry + Observe processes and...+ Follow instructions and procedures provided by preceptor or manager in accordance with company guidelines **Education/Experience:** Current enrollment… more
- Actalent (Sacramento, CA)
- …medical record (EMR) systems + Previous experience with IPA, MSO, or delegated managed care environments preferred. + Working knowledge of EZ-CAP, EZ-Net, ... and Vivant Health standards + Monitor daily inpatient census for Vivant Health- managed members across contracted hospitals + Support discharge planning and identify… more
- Dignity Health (Santa Maria, CA)
- …Health experience **Special Skills:** + Demonstrates ability to work within a case- managed model of patient- care delivery. + Demonstrates proficient intermediate ... Staff LVN is a practitioner who demonstrates in-depth knowledge of nursing patient care and the ability to practice independently within the confines of educational… more
- Dignity Health (Bakersfield, CA)
- …care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, ... needs in supports of the Dignity Health MSO performance in value based care arrangements, including population risk- segmentation, risk- stratification, care gap… more
- Molina Healthcare (Long Beach, CA)
- …to collaborate internally and externally with members, providers, team members, and manager . Basic understanding of managed healthcare systems and Medicare. ... 2 years experience in customer service, consumer advocacy, and/or health care systems. Experience conducting intake, interviews, and/or research of consumer or… more
- UCLA Health (Los Angeles, CA)
- …information to incoming callers regarding the referral intake process. Process managed care authorizations. Typing, faxing and maintain daily/weekly records ... Description Under the direction of the Transplant Financial Manager , performs administrative support to the Transplant Financial Referral Program. Responsibilities… more
- CommonSpirit Health (Rancho Cordova, CA)
- …20 pounds. **Preferred Qualifications:** + Experience in Utilization Management, Case Management or Care Coordination, Managed Care is preferred + ICU RN, ... completing quality assurance reviews of work performed and communicating with department manager and director the outcomes of the review and any identified issues… more
- CommonSpirit Health (Rancho Cordova, CA)
- …to or including supervisory role + Experience in Utilization Management, Case Management or Care Coordination, Managed Care is preferred **Overview** At the ... completing quality assurance reviews of work performed and communicating with department manager and director the outcomes of the review and any identified issues… more