- Sharp HealthCare (San Diego, CA)
- …Nursing, and/or Home Health. + 3 Years in medical management experience, preferably in managed care . + California Registered Nurse (RN) - CA Board of Registered ... **Preferred Qualifications** + 2 Years leadership experience, preferably in a managed care setting. **Other Qualification Requirements** + Utilization, Case… more
- The County of Los Angeles (Los Angeles, CA)
- …Essential Job Functions + Analyzes and evaluates occupational therapy programs in the units managed to assess the quality of patient care and the need to ... OCCUPATIONAL THERAPY SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4142360) Apply OCCUPATIONAL THERAPY SUPERVISOR II… more
- The County of Los Angeles (Los Angeles, CA)
- …units. Essential Job Functions + Analyzes and evaluates physical therapy programs in the units managed to assess the quality of patient care and the need to ... PHYSICAL THERAPY SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1153181) Apply PHYSICAL THERAPY SUPERVISOR II Salary… more
- Southern California Edison (Irwindale, CA)
- …this job, you'll be leading a team of individuals focused on completing program enrollments for SCE's managed income qualified programs, energy savings programs ... the Clean Energy Revolution Become a Customer Operations, Senior Supervisor at Southern California Edison (SCE) and build a...+ An understanding of SCE's income qualified programs including CARE , FERA, and Energy Savings Assistance (ESA). + An… more
- LA Care Health Plan (Los Angeles, CA)
- …Required: At least 8 years of clinical appeals and grievances experience in a managed care , utilization management and/or case management setting, At least 2 ... achieve regulatory standards. Acts as a back-up to the Supervisor in leading meetings and handling escalations as required....years in Medicare/ Medicaid in a managed care / health plan environment. At least… more
- The County of Los Angeles (Los Angeles, CA)
- …Monitors service delivery to ensure that services conform to acceptable standards of care and establishes and modifies program monitoring and review methods as ... MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS Print...Develops and monitors revenue-generation procedures and objectives for programs managed , including achievement of revenue goals. Develops and implements… more
- Sevita (San Diego, CA)
- …and fosters communication and relationships with individuals, families, case managers, managed care contractors and other stakeholders; monitors customer ... relationships with applicable government authorities, such as counties, regional centers and managed care contractors, and all referral agencies. 4. Political… more
- HCA Healthcare (Campbell, CA)
- …of health plan economics analyses, metrics and health plan reporting in a Managed Care environment relating to the financial, quality and operational performance ... student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ...for Health plan Metrics, Analytics and Reporting for a Managed Care organization + Develop and maintain… more
- University of Southern California (Los Angeles, CA)
- …MCG reviews are completed within 24 hours of admission; Observation patients are effectively care managed on a daily basis; and Facilitate throughput and timely ... best practices industry standards 4. Educates physicians and health care team on program referral criteria. +...Hospital admissions, or Re-admissions. 4. Maintains awareness of current managed care contract requirements. 5. Coordinate the… more
- TEKsystems (Martinez, CA)
- …lines of business. We are looking for someone who is: * Experienced in Managed Care Leadership: Brings extensive experience leading health plan claims operations ... group includes 20 direct reports including 2 managers, Claims supervisor , Claims Adjusters and Examiners. Much of the work...within a managed care environment, including responsibility for complex,… more
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