• Managed Care Coordinator

    Cedars-Sinai (Los Angeles, CA)
    …In collaboration with the department Senior Vice President and department directors, the Managed Care Coordinator supports the strategic, operational, and ... department goals align with broader Health System objectives. The Managed Care Coordinator collaborates with... Plan / Business Dev **Job Specialty** : Managed Care **Overtime Status** : EXEMPT **Primary… more
    Cedars-Sinai (08/21/25)
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  • Case Management Coordinator (Hybrid) - MNS…

    Cedars-Sinai (Beverly Hills, CA)
    …and social supports required. + 1 year of previous utilization management or managed care experience; word processing spreadsheet skills also preferred. **Req ... of Utilization Management, Patient and Provider Services, Claims Department and other Care Coordination Department staff. In addition, the coordinator assists in… more
    Cedars-Sinai (07/18/25)
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  • Patient Care Coordinator - Oncology…

    Cedars-Sinai (Pasadena, CA)
    **Job Description** The Patient Care Coordinator (PPC) supports designated Primary Care Teams, with an emphasis on chronic disease management and high-risk ... care goals and adhering to their pertinent care plan . + Conducts telephonic or electronic...experience in healthcare required. Three (3) years of previous care coordination and/or managed care more
    Cedars-Sinai (07/26/25)
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  • Pharmacy Technician - Care Management…

    Tiburcio Vasquez Health Center (San Leandro, CA)
    …required by supervisor. + Familiarity with healthcare delivery systems, preferably FQHC or managed care settings. + Proficiency with EHR (Epic OCHIN preferred) ... The Pharmacy Technician - Care Management Coordinator plays a vital...initiatives. + Monitor completion of labs, appointments, and other plan -of- care activities. + Document outreach, outcomes, and… more
    Tiburcio Vasquez Health Center (07/03/25)
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  • Case Management Coordinator - Inpatient…

    Cedars-Sinai (Beverly Hills, CA)
    …resources and social supports required. One (1) year of utilization management or managed care experience preferred. **About Us** Cedars-Sinai is a leader in ... of Utilization Management, Patient and Provider Services, Claims Department and other Care Coordination Department staff. In addition, the coordinator assists in… more
    Cedars-Sinai (08/08/25)
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  • Utilization Management Administration…

    Humana (Sacramento, CA)
    …+ Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization + Proficient utilizing electronic medical record ... caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management. The UM Administration … more
    Humana (08/23/25)
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  • Hearings and Holds Coordinator (Santa Rosa)

    Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
    …of California Mental Health Laws. + Two or more years' experience working in managed care environment + Ability to apply and interpret admission and continued ... part of the greater Santa Rosa and Northern California mental health system of care . Conveniently located in the North Bay, this hospital consists of 144 acute… more
    Sacramento Behavioral Healthcare Hospital (08/14/25)
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  • Care Integration Coordinator

    Providence (Apple Valley, CA)
    …Associate's degree in a related field. + Medical Assistant Certification (CMA) upon hire. + Managed care or case management. + Experience with Mcg Care ... Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental,… more
    Providence (08/30/25)
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  • Senior Coordinator , Individualized…

    Cardinal Health (Sacramento, CA)
    …long- and short-range changes in the reimbursement environment including Medicare, Medicaid, Managed Care , and Commercial plans while planning for various ... Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain...Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings… more
    Cardinal Health (08/20/25)
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  • Appeals/Grievance Coordinator I - SHP…

    Sharp HealthCare (San Diego, CA)
    …experience in claims, utilization review, appeals or member services in a managed care environment **Preferred Qualifications** + Bachelor's Degree Business ... **Facility:** Health Plan **City** San Diego **Department** **Job Status** Regular...follow-up. **Knowledge, Skills, and Abilities** + Thorough understanding of managed care principles and models. + Thorough… more
    Sharp HealthCare (08/20/25)
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