- Aveanna Healthcare (Temecula, CA)
- …Details Position Overview As an Operations Specialist, you will be an integral part of the team, contributing to the seamless functioning of various office ... management Track and obtain signed plans of care (POCs) from ordering medical personnel (eg, Physician, Nurse Practitioner) Manage physician order tracking in… more
- CenterWell (San Diego, CA)
- **Become a part of our caring community and help us put health first** The Clinical Manager coordinates and oversees all direct care patient services provided by ... final audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers… more
- University of Southern California (Arcadia, CA)
- …and Coding Clinic for coding denials and/or adjustments. + Extensive knowledge of Medicare Part A and how the regulatory requirements impact DRG assignments. ... coding conventions and guidelines and applies to ongoing evaluation of medical record documentation. + Designs and implements in collaboration with physician… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …denial and track in log daily. + Knowledge: Demonstrate a working knowledge of Medical Necessity and regulatory standards ( Medicare , Medicaid and Manage Care) + ... opened in 2016 and is regarded as an integral part of the greater Santa Rosa and Northern California...$31.50-37.50 Per Hour RN/LCSW/LMFT/LPCC $54.00-64.00 Per Hour REPORTS TO: Director of Utilization Review DESCRIPTION OF POSITION: Work as… more
- Emanate Health (Covina, CA)
- …you do at Emanate Health affects lives. When you join Emanate Health, you become part of a team that works together to strengthen our communities and grow as ... functions. The coding specialist will work with the IPA Director , Health Plan, and MSO personnel on HCC and...ensure the appropriate ICD10 and CPT codes submitted for Medicare and Covered CA lines of business. Coding specialist… more
- Danaher Corporation (Los Angeles, CA)
- …customer engagement and responding to customer inquiries. This position reports to the Senior Director Market Access Americas and is part of the Value and Access ... be a remote position ideally located in the western part of the US and covering the western states...Communicate regional and local coverage and reimbursement issues for Medicare , Medicaid and Commercial payers through internal meetings, payer… more
- Alameda Health System (San Leandro, CA)
- …rights of individuals (patients, staff members, and community members) are respected. The medical director helps the facility ensure that the ethical and legal ... + Posted:July 23, 2025 **Summary** John George Psychiatric Pavilion, part of Alameda Health System, is the county psychiatric...director of nursing, provides leadership needed to achieve medical care goals. 9. Guides and advises the facility's… more
- Stanford Health Care (Palo Alto, CA)
- If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting ... EMTALA, the Stark Law, Conflicts of Interest, Gifts and Entertainment, and Medicare and Medicaid program requirements. + Develop written policies, procedures, and… more
- WelbeHealth (Fresno, CA)
- …managing and understanding their KPIs . Oversee clinical pods in conjunction with the Medical Director /Associate Medical Director to make clinical ... symptoms - it should be about transforming lives. As part of our mission-driven interdisciplinary team (IDT), our Primary...savings + match, as well as equity grants . Medical insurance coverage ( Medical , Dental, Vision) .… more
- Hospice Of San Joaquin (Stockton, CA)
- …actions, and goals are accurately and clearly stated and kept in accordance with Medicare , medical , State home health agency, and JCAHO standards. 6. On an ... team plan of care, under the supervision of the Director of Palliative Care and the direction of the...are measurable 4. Utilizes Hospice of San Joaquin electronic medical records systems for patient documentation, and maintains up-to-date… more