• Master Profile - Clinical Manager

    Always Best Care Senior Services (San Diego, CA)
    …Clinical Manager Always Best Care Home Health is seeking a RN Clinical Manager with Medicare experience to guide, lead and build a fast growing, results ... for at least one year in home care. * Knowledge of community resources, Medicare and state regulations, ACHC requirements, and reimbursement criteria for third… more
    Always Best Care Senior Services (07/16/25)
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  • Senior/Therapy Access Manager (Southern…

    United Therapeutics (CA)
    …teams, to develop and implement plans that optimize patient access and reimbursement . You will have a strong understanding of essential things like provider ... where you can showcase your knowledge and expertise. The Senior/Therapy Access Manager (TAM) is a customer-facing role that will be responsible for managing… more
    United Therapeutics (05/10/25)
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  • Market Access Manager

    Aston Carter (Valencia, CA)
    Manager Job Description We are seeking a proven and strategic Market Access Manager to spearhead efforts in securing coverage, reimbursement , and pricing for ... device industry. Responsibilities + Develop and execute strategies to secure coverage, reimbursement , and pricing for medical devices across Medicare , Medicaid,… more
    Aston Carter (08/01/25)
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  • Field Marketing Manager

    Humana (Los Angeles, CA)
    …of our caring community and help us put health first** The Field Marketing Manager is responsible for leading and managing a high-performing team focused on driving ... preferably in the health care or insurance industry, and specifically in Medicare Advantage products + Exceptional leadership and management skills, and the ability… more
    Humana (08/01/25)
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  • Manager , Customer Solution Center Appeals…

    LA Care Health Plan (Los Angeles, CA)
    Manager , Customer Solution Center Appeals and Grievances Job Category: Management/Executive Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 ... net required to achieve that purpose. Job Summary The Manager , Customer Solution Center Appeals and Grievances is responsible...and grievances for all product lines (Medi-Cal, Medi-Cal Direct, Medicare , PASC-SEIU and LA Care Covered) in a manner… more
    LA Care Health Plan (07/08/25)
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  • RN Case Manager , Home Health

    Sutter Health (Alameda, CA)
    …hospice accreditation requirements, QI outcomes/benchmarking, infection control; good understanding of reimbursement patterns for Medicare and other payors; good ... The Primary Care Clinician reports directly to the Clinical Manager as do the other members of the interdisciplinary...meet company productivity standards as indicated by organization and manager . + Must be able to handle sensitive issues,… more
    Sutter Health (07/22/25)
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  • Mental Health Program Manager III…

    The County of Los Angeles (Los Angeles, CA)
    …meet State and Federal mandated standards and are in compliance comply with Medicare and Medi-Cal rules for reimbursement claiming. Oversees revenue generation ... MENTAL HEALTH PROGRAM MANAGER III / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4658551) Apply  MENTAL… more
    The County of Los Angeles (08/03/25)
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  • Mental Health Program Manager II…

    The County of Los Angeles (Los Angeles, CA)
    …procedures concerning program administration, ensuring compliance with Federal and State Medicare and Medicaid regulations for reimbursement claiming and maximum ... MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4659662) Apply  MENTAL… more
    The County of Los Angeles (08/02/25)
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  • Manager of Case Management

    HCA Healthcare (Riverside, CA)
    …HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As a Manager of Case Management with Riverside Community Hospital, you can be a ... manager in an organization that is devoted to giving!...Interqual and M & R. + Understanding of hospital reimbursement as it relates to different payers such as… more
    HCA Healthcare (06/21/25)
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  • Case Manager I - Sharp Memorial Hospital…

    Sharp HealthCare (San Diego, CA)
    …**Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered ... Nurse (RN) - CA Board of Registered Nursing; Accredited Case Manager (ACM) - American Case Management Association (ACMA); Master's Degree; Bachelor's Degree in… more
    Sharp HealthCare (07/13/25)
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