- UCLA Health (Los Angeles, CA)
- …Case Manager (CCM), preferred + At least one year of experience in a managed care or health plan setting, preferred + Minimum of one year of experience ... role at New Century Health Plan and coordinate the care for our Medicare Advantage members. As a Clinical...needs to help improve health outcomes and streamline their care journey. In this position, you will work closely… more
- University of Southern California (Alhambra, CA)
- …and approval. Applies proficiency in understanding and applying contractual terms of our Managed Care contracts (ie, PPO, HMO, EPO, POS, Medi-Cal, Medicare, ... identified billing issues and trends to Supervisor and Billing Manager in a timely manner. Communicates issues with claim...issues with claim scrubber edits to Supervisor and Billing Manager in a timely manner. Communicates issues that impact… more
- CommonSpirit Health (Rancho Cordova, CA)
- …or including supervisory role + Experience in Utilization Management, Case Management or Care Coordination, Managed Care is preferred **Where You'll Work** ... completing quality assurance reviews of work performed and communicating with department manager and director the outcomes of the review and any identified issues… more
- The County of Los Angeles (Los Angeles, CA)
- …effectiveness, ensuring regulatory compliance, and promoting health equity within the managed care framework. DEFINITION: Under immediate supervision, assists in ... under the immediate supervision of a Data Scientist Supervisor, or supervisor or manager responsible for the data analytics, research, or statistical function of a… more
- Cedars-Sinai (CA)
- …resources and social supports required. One (1) year of utilization management or managed care experience preferred. **Req ID** : 13036 **Working Title** : ... The Discharge Planner provides a broad range of support services to the Care Coordinators and to the licensed Clinical Social Workers with their transition planning… more
- The County of Los Angeles (Los Angeles, CA)
- …for periodic audits by Consolidated Accreditation and Licensure Survey and Office of Managed Care as requested; conducts internal reviews; and completes required ... DHS operates as an integrated health system, operating 25 health centers and four acute care hospitals, in addition to providing health care to youth in the… more
- Taco Bell (Irvine, CA)
- …fun? Learn more about the career below. About the Job: The Senior Associate Manager , MarTech Integration is a hybrid operator who sits at the intersection of media, ... learnings back into planning. You'll partner closely with the Senior Associate Manager of Precision Media to bring audience strategy to life, and work… more
- UCLA Health (Los Angeles, CA)
- …guidance to patients and callers regarding the referral intake process + Processing managed care authorizations + Maintaining daily and weekly records of ... Description Under the direction of the Transplant Financial Manager , the Transplant Financial Referral Coordinator provides essential administrative support to the… more
- University of Southern California (Los Angeles, CA)
- …anticipating requirements and changes based on activity levels to create a well- managed operational flow and positive patient experience. * Coordinates and schedules ... and guidance to patients and caregivers regarding all areas of patient care . This includes but not limited to scheduling, paperwork, and follow-up appointments.… more
- AbbVie (Fresno, CA)
- …Commercial pharmaceutical industry experiences such as physician/account based selling, training, managed health care or marketing preferred. English language ... lives across several key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan Aesthetics portfolio. For… more