Managed Care Biller jobs in California
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BH CARE MANAGER II
Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelin...
| Company | Elevance Health |
|---|---|
| Address | WOODLAND HILLS, CA |
| Category | Information Technology |
| Date Posted | 22 hours ago See detail |
BH Care Manager II New
Elevance Health
WOODLAND HILLS, CA
Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelin...
22 hours ago seen See more...
- View all - jobs in WOODLAND HILLS, CA
Patient Aligned Care Team (PACT) RN Care Manager
Department Of Veterans Affairs
Ukiah, CA
Competitive
Providing all aspects of professional nursing services consistent with licensure, certification, nursing professional standards of practice, and functional statement. Enhancing patient safety and quality of care by collaborating w...
2 days ago seen See more...
- View all - jobs in Ukiah, CA
Case Manager Extended Care Coord RN-Per Diem
Kaiser Permanente
Woodland Hills, CA
In conjunction with physicians and healthcare team, develops an individual care plan based on patient assessment/evaluation and diagnostic tests. Monitors/evaluates patient progress and modifies treatment plan as appropriate in co...
4 days ago seen See more...
- View all - jobs in Woodland Hills, CA
Associate Territory Manager - Pharmaceutical Sales, Primary Care
Biospace
San Bernardino, CA
Develops a strong understanding of territory and reimbursement landscape and utilizes appropriate business insights tools to analyze and adapt to business needs.. Systematically navigates the everchanging healthcare environment t...
5 days ago seen See more...
- View all - jobs in San Bernardino, CA
Manager Ambulatory Care RN, Hematology, Oncology, Rheumatology, Chemotherapy, Infusion (Bakersfield)
Kaiser Permanente
Bakersfield, CA
Manages the delivery of nursing services and out-patient care which are integrated with business plans and meet or exceed cost, quality, clinical and utilization standards and performance measures. Ensures that services meet membe...
6 days ago seen See more...
- View all - jobs in Bakersfield, CA
Assistant Manager Ambulatory Care RN, Gastroenterology - PER DIEM (Baldwin Park)
Kaiser Permanente
Baldwin Park, CA
Supervises daily operations and service delivery. Ensures staff provides the highest quality of care and are in compliance with the Nurse Practice Act, NCQA, TJC, federal, state and local requirements. Implements and maintains pat...
6 days ago seen See more...
- View all - jobs in Baldwin Park, CA
Program Manager lll-Care Team Performance Consultant
Adecco
San Francisco, CA
$ 58 - $ 64 / Hour
Overhaul and establish the coach audit and quality oversight program for Verily Diabetes programs for both: Onduo and Lightpath coaching platforms;. Manage and coordinate auditing oversight and performance review process for membe...
7 days ago seen See more...
- View all - jobs in San Francisco, CA
Patient Care Coordination Case Manager Short Hour
Kaiser Permanente
Fremont, CA
Utilization Management: Performs daily pre-admission, admission, and concurrent utilization reviews using guidelines, institutional policies/procedures, and other information to determine appropriate levels of care and readiness f...
a week ago seen See more...
- View all - jobs in Fremont, CA
Assistant Manager Ambulatory Care RN, OBGYN (Moreno Valley)
Kaiser Permanente
Moreno Valley, CA
Supervises daily operations and service delivery. Ensures staff provides the highest quality of care and are in compliance with the Nurse Practice Act, NCQA, TJC, federal, state and local requirements. Implements and maintains pat...
a week ago seen See more...
- View all - jobs in Moreno Valley, CA
Manager Ambulatory Care RN, Primary Care Plus - PT 20 (Harbor City)
Kaiser Permanente
Harbor City, CA
Manages the delivery of nursing services and out-patient care which are integrated with business plans and meet or exceed cost, quality, clinical and utilization standards and performance measures. Ensures that services meet membe...
a week ago seen See more...
- View all - jobs in Harbor City, CA
Nurse Manager Orthopedic/Neuroscience/Wound Care
Memorialcare Long Beach Medical Center
Long Beach, CA
Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability. The incumbent shall plan, orga...
2 weeks ago seen See more...
- View all - jobs in Long Beach, CA
Nurse Manager Orthopedic/Neuroscience/Wound Care
Long Beach Memorial Medical Group
Carson, CA
Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability. The incumbent shall plan, orga...
2 weeks ago seen See more...
- View all - jobs in Carson, CA
Home Care Branch Manager - Loma Linda, CA
Cross Country Healthcare
Loma Linda, CA
BASIC PURPOSEThe Branch Manager plans, directs, and coordinates the day-to-day operations for the assigned Home Care branch in the Loma Linda area.ESSENTIAL FUNCTIONS Direct all branch activity Manage, maintain and increase produc...
2 weeks ago seen See more...
Asst Hospital Manager-Nights - 0.6 - Nights - Patient Care Resources @ MV
El Camino Health
Mountain View, CA
Applicants MUST apply for position(s) by submitting a separate application for each individual job posting number they are interested in being considered for.FTE0.6Scheduled Bi-Weekly Hours48Work ShiftNight: 8 hoursThe Assistant H...
2 weeks ago seen See more...
- View all El Camino Health jobs - jobs in Mountain View, CA
Care Manager (BCBA)
Impresiv Health
Orange, CA
Participates in a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. ssists the team in carrying out department responsibilities and collaborates w...
2 weeks ago seen See more...
- View all Impresiv Health jobs - jobs in Orange, CA
Care Manager (LCSW)
Altais
Oakland, CA
Providing primarily telephonic post discharge care coordination and management services for members with an emphasis on Altais full risk Medicare population. Activities include clinical assessment, member/family/caregiver educati...
2 weeks ago seen See more...
- View all Altais jobs - jobs in Oakland, CA
Manager Rehabilitation Services - Home Health Care Services
Providence
Santa Rosa, CA
Bachelors Degree in related field based on graduating year Coursework/Training: Complete necessary education to attain Physical Therapy, Occupational Therapy or Speech Therapy Licensure in state of California. California Occupati...
2 weeks ago seen See more...
- View all Providence jobs - jobs in Santa Rosa, CA
Nurse Manager, Palliative Care
Alameda Health System
Brisbane, CA
100% employer health plan for employees and their eligible dependents. Unique benefit offerings that are partially or 100% employer paid. Rich and varied retirement plans and the ability to participate in multiple plans.. Generous...
3 weeks ago seen See more...
- View all Alameda Health System jobs - jobs in Brisbane, CA
Assistant Nurse Manager -Spinal Cord Injury (Long-term Care)
Department Of Veterans Affairs
San Diego, CA
Competitive
Assists the SCI Nurse manager in managing the roles and responsibilities of SCI nursing staff and the day-to-day operations. Represents the SCI unit in meetings in the absence of Nurse Manager.. Requires flexibility in schedule an...
3 weeks ago seen See more...
Care Management RN (Bilingual) - Diabetes/Hypertension/Cardio
Kaiser Permanente
Orange, CA
Evaluates and identifies members needs. Interfaces with Primary Care Physicians, Specialists and various disciplines on the development of case management plans/programs. Monitors and evaluates the effectiveness of the case manage...
3 weeks ago seen See more...
- View all Kaiser Permanente jobs - jobs in Orange, CA
Resident Care Manager – RN
Mirabella Seattle
Davis, CA
$45.00 - $55.00 / DOE
Registered Nurse (RN) license.. Strong assessment and care planning skills Understand state, federal and local regulations in relation to long term care and skilled nursing requirements 100% paid Medical, Dental and vision for ful...
3 weeks ago seen See more...
- View all Mirabella Seattle jobs - jobs in Davis, CA
Child Care Program Manager
Crystal Stairs
Los Angeles, CA
Provide program oversight, including review of all proposed contract changes, provide input to funders regarding the impact of proposed changes on customer service and workload; ensure contract is implemented as required by the Al...
3 weeks ago seen See more...
- View all Crystal Stairs jobs - jobs in Los Angeles, CA
Clinical Pharmacist-Care Management (SCAN Temp)
Scan Group
Long Beach, CA
Base salary range: $60to $65per hour. This is a temporary role with SCAN. Excellent 401(k) Retirement Saving Plan with employer match and contribution. Robust employee recognition program. Tuition reimbursement. An opportunity t...
3 weeks ago seen See more...
- View all Scan Group jobs - jobs in Long Beach, CA
Manager Ambulatory Care RN, Primary Care Plus 20-Hours (Harbor City)
Kaiser Permanente
Harbor City, CA
Manages the delivery of nursing services and out-patient care which are integrated with business plans and meet or exceed cost, quality, clinical and utilization standards and performance measures. Ensures that services meet membe...
3 weeks ago seen See more...
- View all Kaiser Permanente jobs - jobs in Harbor City, CA
Medical Director Opportunity - Palm Springs, CA - Cutting Edge Managed Care Organization
Curative
Palm Springs, CA
MD/DO degree required. Licensed in California. No direct clinical responsibilities, allowing for a focus on prior authorization, concurrent review, and utilization management. A part of one of the flagship ACOs, now a 2nd generati...
a month ago seen See more...
- View all Curative jobs - jobs in Palm Springs, CA
RN-Case Manager/Care Coordinator
Veterans Health Administration
Fresno, CA
Federal employees - Excepted serviceCurrent excepted service federal employees. The publicU.S. Citizens, Nationals or those who owe allegiance to the U.S. Veterans. Provides direct patient care and guides the care provided by sign...
a month ago seen See more...
Nurse Manager Care Coordination
Mercy San Juan Medical Center
Carmichael, CA
Manages areas including organizing and executing all activities, staffing, performance improvement in the delivery of clinical services (such as LOS reduction), and reports needs within the Medical Center and Dignity Health, as we...
2 months ago seen See more...
Nurse Manager Care Coordination
French Hospital Medical Center
San Luis Obispo, CA
Annual Incentive (Bonus) Program. Matching Retirement Program. Pension fully funded by the Hospital. Tuition Assistance for career growth and development. Health/Dental/Vision Insurance. Free Membership to our Care@Work program su...
2 months ago seen See more...
Assistant Manager Ambulatory Care RN, Anesthesiology IN-PATIENT (Fontana)
Kaiser Permanente
Fontana, CA
Supervises daily operations and service delivery. Ensures staff provides the highest quality of care and are in compliance with the Nurse Practice Act, NCQA, TJC, federal, state and local requirements. Implements and maintains pat...
4 weeks ago seen See more...
- View all Kaiser Permanente jobs - jobs in Fontana, CA
Nurse Manager Ambulatory Care, Family Medicine (West LA)
Kaiser Permanente
Los Angeles, CA
Manages the delivery of nursing services and out-patient care which are integrated with business plans and meet or exceed cost, quality, clinical and utilization standards and performance measures. Ensures that services meet membe...
4 weeks ago seen See more...
- View all Kaiser Permanente jobs - jobs in Los Angeles, CA
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