Managed Care Jobs in Orange
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Search Results - Managed Care Jobs in Orange
JobTracks, Inc.-Orange
head to 75 degrees - Frequency - approximately 5%.
Hand/grip dexterity - Frequency - approximately 85%.
SPECIFICS:
Manage large number of clinical and non clinical staff in a managed care environment
Develop, operationalize and manage inpatient...
resume-library.com -
Orange
computer software programs
• Excellent written and verbal communication skills in English
• Demonstrated knowledge and understanding of Managed Care plans
• Demonstrated experience with referral authorization process
• Demonstrated experience with MS Office...
uci.edu -
Pyramid Consulting, Inc-Orange
or Discharge Planning
Computer Skills- Microsoft, Teams, Zoom
Good communication skills for clinical rounds
2. 4 years of hospital, managed care, UM exp
Knowledge of InterQual reviews
Graduate from an accredited School of Nursing
Microsoft, basic...
resume-library.com -
AmeriPharma-Orange
to support the process and the company’s core values
Required Qualifications
• Payors contracting and enrollment experience
• Advanced knowledge of health care delivery systems, Managed Care Organizations as well as Medicaid/Medicare and related state...
surfingwave.app -
US Tech Solutions, Inc.-Orange
administrative and routine tasks specific to the assigned program and may also perform administrative support functions.
Minimum Qualifications:
High School diploma or equivalent required PLUS 2 years of experience in a health care or managed care setting...
resume-library.com -
Orange
third party payers, government funded programs, and managed care
• Demonstrated experience with referral authorization process
Preferred Qualifications:
• Previous experience as an admitting worker or surgery scheduler
• Familiarity with UC policies...
uci.edu -
Impresiv Health-Orange
diploma or equivalent
1+ year of data entry experience required
Experience in a managed care environment highly preferred
Knowledge of data entry techniques and standard medical terminology
About Impresiv Health:
Impresiv Health is a healthcare...
resume-library.com -
Impresiv Health-Orange
of experience working as a data analyst in the health care industry, or in a managed care environment, required.
2 years of experience writing SQL queries using tools such SQL Server Management Studio required.
An equivalent combination of education...
resume-library.com -
Equiliem-Orange
Minimum Qualifications:
High School diploma required.
5 years of health care/managed care experience required. Preferably in the following related areas of responsibility: Grievances and Appeals, Utilization Management and/or Quality Management...
resume-library.com -
Impresiv Health-Orange
charts, spreadsheets, and/or other information applicable to the position assignment.
What You Will Bring:
High school diploma or equivalent required PLUS 2 years of experience in a health care or managed care setting required; an equivalent combination...
resume-library.com -
Impresiv Health-Orange
Will Bring:
Associate's degree in nursing required, Bachelor of Science in Nursing preferred
Current and unrestricted RN license in the state of CA
3+ years of clinical nursing experience and/or managed care experience required
2+ years of pediatric...
resume-library.com -
US Tech Solutions, Inc.-Orange
or equivalent required.
2 years of experience in a health care or managed care setting required.
An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also...
resume-library.com -
Impresiv Health-Orange
school diploma or equivalent required
2+ years of experience in a healthcare or Managed Care setting required
Certified Medical Assistant (CMA) certification preferred
Experience working with the needs of seniors or persons with disabilities (SPD)...
resume-library.com -
Equiliem-Orange
Complete other projects and duties as assigned.
Minimum Qualifications
Associate degree in nursing (ADN) or related field required PLUS 3 years of clinical experience and/or managed care experience required; an equivalent combination of education...
resume-library.com -
Equiliem-Orange
certification.
Managed care experience.
Knowledge of:
Current CPT-4, ICD-10 and HCPCS codes and continual updates to knowledge base regarding the codes.
Medical terminology.
Medi-Cal and Medicare benefits and regulations.
Physical Demands and Work...
resume-library.com -
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