- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE ... administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one of the largest… more
- LA Care Health Plan (Los Angeles, CA)
- …Specialist II Job Category: Administrative, HR, Business Professionals Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... the right time. Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents… more
- LA Care Health Plan (Los Angeles, CA)
- Financial Analyst II Job Category: Accounting/Finance Department: Medical Payment System & Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and...to achieve that purpose. Job Summary The Financial Analyst II is responsible for the management and preparation of… more
- LA Care Health Plan (Los Angeles, CA)
- …member and provider complaint and appeals issues, including eligibility, access to care, claims , benefit, and quality of care concerns. Experience working with ... Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals...Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Shared Services Program Manager II (Limited Duration- 12 months)) Job Category: Administrative, HR, Business Professionals Department: Claims Data and ... Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and...purpose. Job Summary The Enterprise Shared Services Program Manager II is responsible for leading and managing a portfolio… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Member Navigator II Job Category: Customer Service Department: Even MORE Outreach & Service Location: Los Angeles, CA, US, 90017 Position ... Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and...purpose. Job Summary The Customer Solution Center Member Navigator II is responsible for resolving member inquiries. Coordination of… more
- The County of Los Angeles (Los Angeles, CA)
- AGRICULTURAL/WEIGHTS & MEASURES INSPECTOR II (CANINE UNIT) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4373953) Apply AGRICULTURAL/WEIGHTS ... & MEASURES INSPECTOR II (CANINE UNIT) Salary $64,152.00 - $86,441.52 Annually Location Los Angeles County, CA Job Type Full time Job Number V0009F Department… more
- LA Care Health Plan (Los Angeles, CA)
- …health risk assessment (HRA), risk stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health Homes ... Care Management Specialist II Job Category: Clinical Department: Care Management Location:...Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and… more
- LA Care Health Plan (Los Angeles, CA)
- …management referrals (5%) Performs prospective, concurrent, post-service, and retrospective claim medical review processes. Utilizes clinical judgement, ... Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location:...Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and… more
- LA Care Health Plan (Los Angeles, CA)
- Authorization Technician II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: ... Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and...to achieve that purpose. Job Summary The Authorization Technician II supports the Utilization Management (UM) Specialist by handling… more
- The County of Los Angeles (Los Angeles, CA)
- PUBLIC HEALTH MICROBIOLOGIST II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4163716) Apply PUBLIC HEALTH MICROBIOLOGIST II Salary ... a regular station. Their particular organizational role requires Public Health Microbiologists II to assist supervision in the identification and tryout of new… more
- MetroLink (Los Angeles, CA)
- Manager II , Contract and Compliance Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4470890) Apply Manager II , Contract and Compliance Salary ... Benefits + Questions SUMMARY PURPOSE OF POSITION The Manager II , Contract & Compliance, will perform highly complex work...APPLY: This is a continuous recruitment, with the first review of applications beginning May 1, 2024. Interested applicants… more
- The County of Los Angeles (Los Angeles, CA)
- TISSUE ANALYSIS TECHNICIAN SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4498740) Apply TISSUE ANALYSIS TECHNICIAN SUPERVISOR ... II Salary $71,855.04 - $96,829.20 Annually Location Los Angeles...policies and procedures to enhance the overall operational effectiveness, quality , and safety standards of the laboratory. Organizes continuing… more
- LA Care Health Plan (Los Angeles, CA)
- …Physician Advisor on case reviews for pre-service, concurrent, post-service and retrospective claims medical review . Monitors and oversees the collection and ... Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location:...Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and… more
- LA Care Health Plan (Los Angeles, CA)
- …Fair Hearing cases as assigned. Prepares resolved complaint files for CMS external review organization - Quality Improvement Organization (QIO) or Independent ... Customer Solution Center Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances...Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Training Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, ... the right time. Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents… more
- LA Care Health Plan (Los Angeles, CA)
- …Duals program administration including stars, quality , financial performance review , operational functions ( claims , enrollment, readiness). Preferred: Direct ... Product Solutions Manager II Job Category: Administrative, HR, Business Professionals Department:...Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and… more
- Elevance Health (Los Angeles, CA)
- …Responsible to collaborate with healthcare providers and members to promote quality member outcomes, to optimize member benefits, and to promote effective ... of resources for more complex medical issues. Ensures medically appropriate, high- quality , cost-effective care through assessing the medical necessity of inpatient… more
- The County of Los Angeles (Los Angeles, CA)
- …Two years of full-time experience at the level of an Agricultural/Weights & Measures Inspector II in the service of the County of Los Angeles . Experience at the ... level of an Agricultural/Weights & Measures Inspector II is defined as an inspector that performs inspections and investigations to enforce Federal, State and local… more
- The County of Los Angeles (Los Angeles, CA)
- …will be accepted starting January 25, 2021 at 8:00 am (PT). The first review of applications will take place onFebruary 8, 2021. The exam will remain open ... Coping with Uncertainty + Responsibility + Working to High Quality Standards + Willingness to Learn + Maintaining Good...multiple choice test in order to proceed to Part II - writing assessment. MULTIPLE CHOICE TESTS ARE NOT… more