- Centene Corporation (Sacramento, CA)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** The Regional Network Director develops provider network strategies; negotiates, ... who live in the state of California and/or have previous experience working with Medi - Cal , Medicare, and the Health Insurance Marketplace in the state of… more
- Scripps Health (San Diego, CA)
- …Communicates this information to all applicable departments. * Reviewing all Medicare and Medi Cal newletters updates performs periodic review of the CMS ... adopt and or implement changes. * Reviewing Medicare intermediary Medi Cal California Workers Compensation and other...to: * Initiating develop and establish facility specific and regional models for financial analyses as related to requested… more
- LA Care Health Plan (Los Angeles, CA)
- …management/supervisory experience and relevant health plan experience. Experience with Medi - Cal and Medicare populations and regulatory requirements. ... substitute for the supervisory/management experience requirement. Preferred: Experience with Medi - Cal , under-served and culturally diverse populations. Experience… more
- Universal Health Services (Corona, CA)
- …/ SKILLS Excellent understanding of HMO, PPO, Medicare & Medi - Cal ; pre-authorization/pre-certification process, reimbursement and payor criteria. Knowledge ... Team! INTAKE COORDINATOR - RN Full-Time located at Corona Regional Rehabilitation Psychiatric Unit, Magnoila Campus in Corona, Ca....Magnoila Campus in Corona, Ca. Reporting to the Program Director , the C harge Nurse - Intake has the… 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 ... of the total possible score as determined by the Director . APPEAL PROCESS: Persons who believe their applications have...criminal justice systems, special education, child welfare, physical healthcare, regional center). + I am not aware nor am… 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 ... of the total possible score as determined by the Director . APPEAL PROCESS: Persons who believe their applications have...criminal justice systems, special education, child welfare, physical healthcare, regional center). + I am not aware nor am… more