Managed Care Jobs in Orange
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Search Results - Managed Care Jobs in Orange
Orange
Provides support and collaboration with practice sites for performance improvement activities. In collaboration with billing, will ensure managed care contract compliance. Performs financial modeling to optimize contract reimbursement.
Incumbent will also...
uci.edu -
America's Best-Orange
in accordance with National Vision protocol.
Processes and understands managed care plans while obtaining document information from the insurance company as needed.
Provides customers basic and accurate information.
Schedules and confirms appointments, follow...
resume-library.com -
CWS Health-Orange
of the position such as those listed above may also be qualifying. Preferred Qualifications : Bachelor’s degree in nursing (BSN). 2 years of experience in Long Term Care, Community Health, Managed Care Medi-Cal, Medicare programs.
Active Commission for Case...
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 -
CWS Health-Orange
the essential duties of the position such as those listed above may also be qualifying.
Preferred Qualifications : Bachelor’s degree in nursing (BSN).
2 years of experience in Long Term Care, Community Health, Managed Care Medi-Cal, Medicare programs.
Active...
CWS Health-Orange
the essential duties of the position such as those listed above may also be qualifying.
Preferred Qualifications : Bachelor’s degree in nursing (BSN).
2 years of experience in Long Term Care, Community Health, Managed Care Medi-Cal, Medicare programs.
Active...
Impresiv Health-Orange
the essential duties of the position such as those listed above may also be qualifying.
Utilization management reviewer experience – preferred
Managed care experience – preferred
Behavioral health clinical experience - preferred
About Impresiv Health...
resume-library.com -
Orange
commercial, managed care, workers compensation, ERISA, self-funded and all other indemnity health plans. Ensures standards of unit operations are in compliance with all state and federal healthcare regulatory agencies. Participates on organizational...
uci.edu -
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 -
Orange
ambulatory care pharmacy experience or completion of a residency or fellowship in ambulatory care, managed care, primary, community pharmacy through an accredited pharmacy residency program.
• Pharm.D. highly desirable
• Advanced Practice Pharmacist license...
uci.edu -
Equiliem-Orange
perform the essential duties of the position such as those listed above may also be qualifying.
Preferred Qualifications:
Utilization management reviewer experience.
Managed care experience.
Behavioral health clinical experience.
Required Licensure...
resume-library.com -
Orange
essential to the successful performance of assigned duties
• Must demonstrate customer service skills appropriate to the job
• Knowledge of relevant healthcare regulations issued by Federal and State entities.
• Knowledge of managed care, provider enrollment...
uci.edu -
Orange
and verbal communication skills in English
• Demonstrated knowledge and understanding of Managed Care plans
• Demonstrated experience with referral authorization process
• Demonstrated ability to utilize payer and government websites to access and interpret...
uci.edu -
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