- Sutter Health (Alameda, CA)
- …process appropriately.Must have knowledge of current accreditation standards, Medicare, Medi - Cal , State and Federal regulations, demonstrated functional ... Sutter Health is seeking a Patient Care Tech Director for a job in Alameda, California.Job Description...the clinical knowledge and critical thinking ability to effectively plan , organize and provide coordination of patient care and… more
- LA Care Health Plan (Los Angeles, CA)
- …and support Teams including Insides Sales and Retention focused on Covered CA\ Medi - Cal Direct Enrollment, Medicare\ Medi - Cal \Covered CA Eligibility ... Director , Sales Strategy and Services Job Category: Sales...Covered CA lines of business, grass roots expansion of Medi - Cal membership and other priority, high return,… more
- City and County of San Francisco (San Francisco, CA)
- …Knowledgeable in state regulatory requirements and contractual requirements under the Mental Health Plan and the Drug Medi - Cal Organized Delivery System ... State and Local regulations and initiatives including Mental Health Services Act (MHSA), Medi - Cal , Drug Medi - Cal Organized Delivery System (DMC-ODS),… more
- Ventura County (Ventura, CA)
- …non-profit or community based organization that delivers behavioral health services - specifically Medi - Cal and/or drug Medi - Cal services. This should ... Director of Behavioral Health Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4335120) Apply ...Eligible to participate in the County's 401(k) Shared Savings Plan and/or the Section 457 Plan . If… more
- LA Care Health Plan (Los Angeles, CA)
- …evolve and innovate CRC strategies, programming and operations to best serve health plan members. The Director will also support building and maintaining ... Director , Community Resource Centers Job Category: Customer Service...Demonstrated success in advancing strategic organizational objectives. Understanding of Medi - Cal and related public health programs and… more
- LA Care Health Plan (Los Angeles, CA)
- …environments. At least 3-5 years of management/supervisory experience and relevant health plan experience. Experience with Medi - Cal and Medicare populations ... substitute for the supervisory/management experience requirement. Preferred: Experience with Medi - Cal , under-served and culturally diverse populations. Experience… more
- Volunteers of America Southwest (San Diego, CA)
- …education to members regarding health lifestyle choices + Regularly review and update care plan . + Work with Medi - Cal and community providers to coordinate ... Care Management (ECM) program provides a whole person approach to care for Medi - Cal beneficiaries. VOASW believes in individualizing services based on need and… more
- Volunteers of America Southwest (San Diego, CA)
- …Care Management (ECM) program provides a whole person approach to care for Medi - Cal beneficiaries. VOASW believes in individualizing services based on need and ... issues common among the population served. Peer advocates understand Medi - Cal benefits and services and have relationships...with members + Assist care team in developing care plan and care coordination to help member access care… more
- Elevance Health (Woodland Hills, CA)
- …Network compliance experience preferred. + Experience with delegated groups preferred. + Medi - Cal experience strongly preferred. For candidates working in person ... payment as part of consideration for employment. **Business Change Director ** + Job Family: BSP > Business Support +...management activities. + Supports the execution of the operating plan . **Minimum Requirements:** Requires a BA/BS in a related… more
- Global Communities (San Diego, CA)
- …prosperous and equitable global community. The Housing Navigator will provide assistance to Medi - cal recipients who are homeless or at risk of becoming ... placement.TheHousing Navigatorwill work under direction of the CHW Program Director . This project is embedded in a suite of...a Community Health Worker + Familiarity with publicbenefits including Medi - Cal , WIC, and Cal -Fresh. +… more
- Sutter Health (Alameda, CA)
- …appropriately. Must have knowledge of current accreditation standards, Medicare, Medi - Cal , State and Federal regulations, demonstrated functional knowledge ... Must have the clinical knowledge and critical thinking ability to effectively plan , organize and provide coordination of patient care and daily operations consistent… more
- Sutter Health (San Mateo, CA)
- …appropriately. + Must have knowledge of current accreditation standards, Medicare, Medi - Cal , State and Federal regulations, demonstrated functional knowledge of ... Must have the clinical knowledge and critical thinking ability to effectively plan , organize and provide coordination of patient care and daily operations consistent… more
- Nevada County (Grass Valley, CA)
- …Your experience in understanding the complicated web of Mental Health Services Act, Medicare, Medi - Cal , Drug Medi - Cal Organized Delivery Systems, and ... and certify all network and organizational providers for compliance with state/federal Medi - Cal and DMC-ODS requirements and process all required filings for… more
- LA Care Health Plan (Los Angeles, CA)
- …in all Lines of Business. This includes, but it is not limited to, Medi - Cal , Cal - Medi -Connect (CMC), Personal Assistance Services Council (PASC), ... - $123,625.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the...leads special projects as assigned by the Manager and Director . Assists the Member Relations Manager with regulatory audits… more
- Global Communities (San Diego, CA)
- …or as a Community Health Worker + Familiarity with publicbenefits eligibility including Medi - Cal , WIC, and Cal -Fresh. + Comfort using video conferencing ... County.TheBirth Equity Navigatorwill work under direction of the CHW Program Director . This project is focused on eliminating disparities forBlack, Black immigrant… more
- LA Care Health Plan (Los Angeles, CA)
- … plan or managed care experience. Audit/oversight experience. Experience with Medi - Cal and Medicare populations and regulatory requirements. Advanced working ... - $188,015.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the...as regulatory agencies. The position works closely with the Director , Delegation Oversight Audit on clinical issues/clinical review and… more
- LA Care Health Plan (Los Angeles, CA)
- …setting in Utilization Management/Case Management. Skills Required: Knowledge of issues pertaining to Medi - Cal and other HMO & IPA contracts, & payers. Ability ... (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of California to… more
- LA Care Health Plan (Los Angeles, CA)
- … Director II). The role extends to all lines of business including Medi - Cal , Medicare, and Commercial. This position holds profit and loss responsibility for ... - $350,729.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the...residents. We are the nation's largest publicly operated health plan . Serving more than 2 million members in five… more
- LA Care Health Plan (Los Angeles, CA)
- …CM at a medical group or management services organization. Experience with Managed Medi - Cal , Medicare, and commercial lines of business. Skills Required: Must be ... (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of California to… more
- LA Care Health Plan (Los Angeles, CA)
- …a process, program or staff or supervisory/management experience. Experience in Medi - Cal /Medicaid, Medicare, or other government medical programs for underserved ... - $188,015.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the...to achieve that purpose. Job Summary Reporting to the Director of Enhanced Care Management (ECM), the ECM Manager… more
