- TrueCare (San Marcos, CA)
- …dedicated team that helps patients navigate and enroll in health coverage programs like Medi - Cal and Covered California . You'll oversee daily operations, ... or related fieldor equivalent experience 2+ years of experience in health coverage enrollment ( Medi - Cal / Covered California or CalFresh) 2+ years of… more
- John Muir Health (Walnut Creek, CA)
- …communication skills. Effectively motivates teams. Strong knowledge of Medicare and Medi - Cal guidelines and benefit resources as applicable to hospitalization ... Preferred or Equivalent Work Experience Certifications/Licensures: RN Registered Nursing - California Board of Nursing Required BLS Basic Life Support - American… more
- LA Care Health Plan (Los Angeles, CA)
- …quality delivery of a variety of complex areas across all lines of business, including Medi - Cal , Covered California , D-SNP, and PASC-SEIU. This position ... an independent public agency created by the state of California to provide health coverage to low-income Los Angeles...Manager monitors the plan partners' oversight activities of their Medi - Cal provider network. Manages all aspects of… more
- UCLA Health (Los Angeles, CA)
- …+ Experience working with low-income, underserved families and children + Experience with Medi - Cal , Covered California , and other public benefits ... programs (eg Cal Fresh/SNAP) to respond to clients and outside agencies regarding Medi - cal , Covered CA, Cal Fresh, Kaiser CHCP and other health… more
- LA Care Health Plan (Panorama City, CA)
- …experience including knowledge of at least one of the following health care programs: Medicaid/ Medi - Cal , Covered California , Medicare, or Medicare Dual ... an independent public agency created by the state of California to provide health coverage to low-income Los Angeles...Knowledge and understanding of the unique needs of the Medi - Cal beneficiary populations within a social service,… more
- LA Care Health Plan (Los Angeles, CA)
- …Health care product experience including one of the following health care programs: Medicaid/ Medi - Cal , Covered California , or Medicare Special Needs ... an independent public agency created by the state of California to provide health coverage to low-income Los Angeles...Knowledge and understanding of the unique needs of the Medi - Cal beneficiary populations within a social service,… more
- LA Care Health Plan (Los Angeles, CA)
- …audit report. This position is responsible for a variety of complex areas of the Medi - Cal , Medicare, Covered California , and PASC-SEIU benefit and ... an independent public agency created by the state of California to provide health coverage to low-income Los Angeles...experience performing claims audits or claims processing related to Medi - Cal , Medicare, and/or other managed care product… more
- LA Care Health Plan (Los Angeles, CA)
- …benefits for all product lines ( Medi - Cal , CMC, PASC, Healthy Kids and Covered California ) as well as serve and act as the department's SME (Subject ... or Quality Assurance. Knowledge of and experience of Medi - Cal , Medicare, and Covered California . Skills Required: Good oral and written communication… more
- University of Southern California (Los Angeles, CA)
- …regardless of financial status or payor class. As the largest provider of care in California for children insured by Medi - Cal who require complex care, CHLA ... The University of Southern California (USC), founded in 1880, is the largest...of medical care in each of the critical environments covered . The position also includes supporting the academic success… more
- University of Southern California (Los Angeles, CA)
- …regardless of financial status or payor class. As the largest provider of care in California for children insured by Medi - Cal who require complex care, CHLA ... School of Medicine (KSOM) of the University of Southern California (USC) Department of Pediatrics and the Department of...of medical care in each of the critical environments covered . The position also includes supporting the academic success… more
- University of Southern California (Alhambra, CA)
- …specific to ICD-10-CM, ICD-10-PCS, CPT/HCPCS, DRGs, APCs, and Modifiers-from Medicare, Medi - Cal , MAC, RAC, and commercial insurance companies -when there ... for both IP & OP healthcare services provided to covered patients. Manages the denial management process for coding-related...extending an offer of employment, the University of Southern California considers factors such as (but not limited to)… more
- The County of Los Angeles (Los Angeles, CA)
- …to orient new staff to Federal laws and regulations pertaining to Medicare and Medi - Cal reimbursement. + Analyzes cases for referral to the physician advisor to ... subordinate staff concerning Federal regulations pertaining to Medicare and Medi - Cal reimbursement, aspects of medical treatment for...to practice as a Registered Nurse issued by the California Board of Registered Nursing. + A current Basic… more
- LA Care Health Plan (Los Angeles, CA)
- …various managed care product lines, including Medi - Cal , PASC, LA Care Covered / Cal Medi -Connect and is proficient in medical terminology. The position ... an independent public agency created by the state of California to provide health coverage to low-income Los Angeles...or outside entities and processes payments for LA Care Covered members. All interactions are documented in system of… more
- Sacramento County (Sacramento, CA)
- …+ Microsoft Word + Microsoft Excel + CalWIN + Child Welfare System (CWS-CMS) + Medi - Cal Eligibility Data System (MEDS) + LEAPS + Case Management, Information and ... and disclosure practices in the Fair Credit Reporting Act and the California Investigative Consumer Reporting Agencies Act. License Requirement: A valid … more
- Sacramento County (Sacramento, CA)
- …+ Electronic Health Record (EHR) + Jail Info Match System (JIMS)0 + LEAPS + Medi - Cal Eligibility Data System (MEDS) + Microsoft Excel + Microsoft Word + Other ... H Street, Room 4667 Sacramento, CA 95814 Phone ###; 7-1-1 California Relay Service Email ###@Saccounty.net Inter-Office Mail Code: 09-4667 www.SacCountyJobs.net +… more
- Ventura County (Ventura, CA)
- …+ Assists patients/clients enrolling in programs that support preventative health and treatment; Medi - Cal , Covered CA, Sliding Fee Program etc; including ... + Possession of and ability to maintain a valid California driver license at the time of hire +...03 Do you possess and can you maintain a California driver license as a condition of employment? +… more
- County of El Dorado (Placerville, CA)
- …Explain a variety of plan options, costs, and individual plan features through Covered California . + Troubleshoot task and/or case issues to determine ... ultimately become self-sufficient by offering the following services: CalFresh, CalWORKs, Medi - Cal , General Assistance, and employment services. THE OPPORTUNITY… more
