- 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
- LA Care Health Plan (Los Angeles, CA)
- …Education Preferred Experience Required: At least 6 months of experience in Medi-Cal managed care authorization processes and/or as a Medical Assistant. Skills ... Customer Solution Center Appeals and Grievances Coordinator I(Temp) Job Category: Customer Service Department: CSC...$57,062.00 (Mid.) - $68,474.00 (Max.) Established in 1997, LA Care Health Plan is an independent public… more
- 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 (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
- 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
- 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
- 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
- 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
- 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
- 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