- 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
- City and County of San Francisco (San Francisco, CA)
- …and implements billing regulations and provider updates related to Medicare and Medi - Cal . The 1664 Patients Accounts Manager also performs other related ... processing, and/or collecting healthcare service reimbursements or medical claims from Medi - Cal (Medicaid), Medicare, insurance, third party payors, and… 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
- Sharp HealthCare (La Mesa, CA)
- …department Billing Compliance Plan .MEASUREMENT: Claims are compliant with Medicare and Medi - Cal rules and regulations. Staff attend a minimum of 3 workshops ... all claims submitted comply with rules and regulations governing Medicare and Medi - Cal billing. The Manager determines appropriate staffing ratios, evaluates… 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
- 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
- LA Care Health Plan (Los Angeles, CA)
- …Bachelor's Degree Experience Required: At least 0-2 years in Medi - Cal managed supervisory experience in a health plan /health insurance authorization ... - $91,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the...population, seniors, or people with chronic conditions or disabilities. Medi - Cal , Healthy Families, Healthy Kids and Medicare… more
- Sharp HealthCare (Chula Vista, CA)
- …Program or equivalent + 2 Years hospital experience. + 2 Years Medi - Cal experience. **Essential Functions** + Collaboration of Clinical ResourcesPrepares the ... modification as warranted to reflect accurate and current information.Verifies current insurance plan eligibility. Reports statistics to the Director of Case… 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)
- …meetings, ensuring all communications are clear, concise and accurate. Applies Medi - Cal and/or Medicare policies and procedures within healthcare operations. ... - $156,000.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the...of these changes to provider escalated issues. Supports the Director and other Management with development of department policies… 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)
- …at a medical group or management services organization. Experience with Managed Medi - Cal , Medicare, and commercial lines of business. Skills Required: Technical ... (Min.) - $87,342.00 (Mid.) - $107,498.00 (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)
- …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