- HCA Healthcare (Campbell, CA)
- …with purpose and integrity. We care like family! Jump-start your career as a Managed Care Quality Improvement Specialist today with HCA Healthcare. ... **_Note: Eligibility for benefits may vary by location._** Come join our team as a Managed Care Quality Improvement Specialist. We care for our… more
- LA Care Health Plan (Los Angeles, CA)
- …regulatory standards and contractual agreements. Participate in provider audits and quality improvement initiatives. Partners with Provider Network Management ... Managed Long Term Services and Supports Nurse Specialist RN...the right place at the right time. Mission: LA Care 's mission is to provide access to quality … more
- Ventura County (Ventura, CA)
- …with utilization management, case management, quality management and the Department of Managed Health Care (DMHC) in a Health Plan. Employer(s) where you ... management, and quality management teams to demonstrate quality improvement and containment of associated program...SPECIAL REQUIREMENTS: + Two (2) years of experience in managed care + Must possess and maintain… more
- Stanford Health Care (Palo Alto, CA)
- …individuals residing in San Mateo, Santa Clara, or Alameda counties. Supporting a value-based care model for Medicare Managed Care programs, serving all ... with legal, regulatory and clinical policies and procedures. + Participates in quality improvement initiatives. + Provides and coordinates patient teaching and… more
- Sharp HealthCare (San Diego, CA)
- …Nursing, and/or Home Health + 3 Years Medical Management experience, preferably in managed care , with supervisory experience + 2 Years Medical Management ... experience, preferably in a managed care setting + California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED **Preferred Qualifications** +… more
- LA Care Health Plan (Los Angeles, CA)
- …experience with health care grievance and/or appeals issues, preferably in a managed care or Medicaid Health Plan environment and/or public services or ... Program may substitute for the supervisory/management experience requirement. Preferred: Managed care experience. Skills Required: Excellent analytical, problem… more
- LA Care Health Plan (Los Angeles, CA)
- …departments and vendors by fostering and maintaining a team-oriented, continuous quality improvement culture. The Translation Services Specialist III manages ... the right place at the right time. Mission: LA Care 's mission is to provide access to quality...in a language service provider setting or its equivalent. Managed care /health care experience including… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred Bachelor's Degree Experience Required: At least 2 years of experience in Managed Care with specific experience in resolving member and provider ... the right place at the right time. Mission: LA Care 's mission is to provide access to quality...apply regulations. At least 5 years of experience in Managed Care working with Medicare, Medi-Cal and… more
- Banner Health (CA)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... care team for the health record(s) and for quality assurance in the alignment of clinical documentation and...clinical documentation and billing codes. Works with clinical documentation improvement and quality management staff to: align… more
- Molina Healthcare (San Diego, CA)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the ... Health or related field. **Preferred Experience** + 5 years clinical practice with managed care , hospital nursing or utilization management experience. + 3+… more