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 -
Lundbeck-Orange
EXPERIENCE AND SKILLS:
• Previous CNS sales management experience
• Previous sales management experience and/or experience in other areas of the business; i.e., marketing, sales training, managed care account manager, sales operations, account management...
Impresiv Health-Orange
combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.
Previous experience within the healthcare and/or managed care industry.
Medium to advanced...
resume-library.com -
Orange
/underpayments received from Third Party Payers, including Managed Care appeals. The Manager will serve as the key liaison between PFS, Case Management, Contracting, Admitting/Registration, Call Center and other team members within the organization regarding...
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 -
Impresiv Health-Orange
diploma or equivalent required.
2 years of experience in claims resolution required.
1 year of call center experience with high call volumes or customer service experience required.
1 year of HMO, Medi-Cal/Medicaid and healthcare/managed care experience...
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
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 -
Orange
setting
• 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 health plan benefit packages...
uci.edu -
Impresiv Health-Orange
LMFT, RN (with BH experience), Board Certified Behavioral Analyst (BCBA) or Board Certified Behavior Analyst - Doctoral (BCBA-D) required.
Prior authorization/utilization review experience preferred.
Managed care experience preferred.
Post degree ABA...
resume-library.com -
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 -
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
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 -
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 -
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