• Customer Solution Center Compliance Audit…

    LA Care Health Plan (Los Angeles, CA)
    …with Customer Solution Center Business Analyst to track, trend, and analyze results of Quality Assurance ( QA ) scorecards for training and quality ... Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US,...Medicaid Services(CMS), LACC - CalHers, and National Committee for Quality Assurance (NCQA) along with review and… more
    LA Care Health Plan (08/06/24)
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  • Part-Time Peer Specialist , CDIS

    DESC (Seattle, WA)
    …procedures; maintain current and complete clinical and administrative records; participate in quality assurance reviews when assigned. + Comply with applicable ... Part-Time Peer Specialist , CDIS Seattle, WA (http://maps.google.com/maps?q=1600+South+Lane+Street+Seattle+WA+USA+98144) *CDIS Apply Job Type Part-time Description… more
    DESC (09/06/24)
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  • Customer Solution Center Appeals and Grievances…

    LA Care Health Plan (Los Angeles, CA)
    …Managed Risk Medical Insurance Board (MBMIB) and National Committee for Quality Assurance (NCQA) regulatory requirements. This position reviews pre-service ... Customer Solution Center Appeals and Grievances Specialist II Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & Grievances… more
    LA Care Health Plan (09/24/24)
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  • Clinical Project Manager - CDIS

    DESC (Seattle, WA)
    …This position includes administrative duties associated with planning, hiring, and quality assurance /improvement. **MAJOR DUTIES AND RESPONSIBILITIES:** + Under ... and procedure requirements associated with the operations within the CSC ; teach and promote core DESC values; and participate...policies and procedures and contract requirements. + Participate in quality assurance reviews when assigned. + In… more
    DESC (09/06/24)
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  • Behavioral Health Case Manager - Swing Shift, CDF

    DESC (Seattle, WA)
    …procedures; maintain current and complete clinical and administrative records; participate in quality assurance reviews when assigned. + Comply with applicable ... issues. + Provide phone screenings for referents to the CSC . + Engage clients admitted to the CSC...as an Ethnic Minority, DD, or Geriatric Mental Health Specialist (per WAC 246-341 definition). + Knowledge of de-escalation… more
    DESC (09/13/24)
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