• Associate Manager - In-…

    Sutherland Global Services (Torrance, CA)
    …and analytical, accountable, dynamic & people person to join us as an Associate Manager to oversee customer deliverables, process maintenance & improvement, and ... help us succeed, we want to work with you! Associate Managers in this role get to: + Keep...Minimum 3 - 5 years strong experience with California Medicaid (Medi-Cal) In- patient billing and collection guidelines… more
    Sutherland Global Services (03/24/24)
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  • Manager Actuarial Analytics, Medicare…

    Providence (CA)
    …they're invaluable. Join our team and thrive in our culture of patient -focused, whole-person care built on understanding, commitment, and mutual respect. Your voice ... must empower them._** **Providence Health Plan is calling a Manager Actuarial Analytics who will:** + Lead the review...Actuarial Analytics who will:** + Lead the review of Medicaid capitation rate assumptions and methodology + Provide oversight… more
    Providence (05/17/24)
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  • Patient Care Manager

    Gentiva (Burlingame, CA)
    …a lasting difference in people's lives every day. **Overview** We're looking for a **RN Patient Care Manager ** to join our team. **$5,000.00 Sign On Bonus** You ... will report directly to the Executive Director, Administrator, or Senior Patient Care Manager . You will be responsible for the day to day operations of your… more
    Gentiva (05/07/24)
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  • RN Case Manager - REMOTE

    Actalent (Los Angeles, CA)
    Largest national Medicaid Managed Care Organization is looking for a REMOTE RN Case Manager to join their growing team! Opportunity to make an impact with an ... experience with a national leader in managed care and Medicaid + Work in a fast-paced environment, handling 75...and interventions designed to meet member's needs * Provide patient and provider education * Facilitate member access to… more
    Actalent (05/23/24)
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  • Bilingual Community Connector (Spanish) Remote…

    Molina Healthcare (Los Angeles, CA)
    …require extensive member outreach (telephonically). + Guides members to maintain Medicaid eligibility and with other financial resources as appropriate. + \#LI-TR1 ... **REQUIRED EDUCATION:** HS Diploma/GED **PREFERRED EDUCATION:** Associate degree in a health care related field (eg, nutrition, counseling, social work). **REQUIRED… more
    Molina Healthcare (05/06/24)
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  • Coordinator, Care Services

    The ALS Association (Sacramento, CA)
    …+ Knowledge of ALS preferred, but not required. + Knowledge of Medicare, Medicaid , patient assessments skills, planning and case management preferred. + ... SUMMARY: Reporting to the Care Services Director or Care Services Manager , the Care Services Coordinator will provide comprehensive and professional services,… more
    The ALS Association (05/23/24)
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  • Provider Relations Rep

    Dignity Health (Oxnard, CA)
    …types and geographies and will lead the effort in developing Dignity Health's Medicaid population health care management pathways. Dignity Health MSO is dedicated to ... health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving… more
    Dignity Health (05/12/24)
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  • Senior Actuarial Analyst *Remote

    Providence (Irvine, CA)
    **Description** **Senior Actuarial Analyst \*Remote Reporting to the Actuarial Manager VBC, Sr. Actuarial Analyst, leads and/or assists in developing, ... Strategic And Management Services and thrive in our culture of patient -focused, whole-person care built on understanding, commitment, and mutual respect. Your… more
    Providence (04/10/24)
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  • Utilization Management Nurse Specialist LVN II

    LA Care Health Plan (Los Angeles, CA)
    …to develop and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent, post-service and ... in the department's continuous quality improvement activities. Communicates to UM Manager and supervising RN, barriers to completing assignments or daily work… more
    LA Care Health Plan (05/22/24)
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