Managed Care Jobs in Rancho Cucamonga
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Search Results - Managed Care Jobs in Rancho Cucamonga
Alura Workforce Solutions-Rancho Cucamonga
or coordinator preferably in an HMO or Managed Care setting.
High school diploma or GED required.
Associate's degree or Bachelor's degree from an accredited institution preferred.
Medical Assistant certificate preferred.
Requires knowledge of ICD-9/10 and CPT...
resume-library.com -
Robert Half-Rancho Cucamonga
In House Counsel Opportunity for Large Healthcare Organization!
You will be joining a large legal team and become a Managed Care expert (MediCare). You will advise on regulatory and compliance issues, and a critical HIPAA advisor. The company...
roberthalf.com -
Alura Workforce Solutions-Rancho Cucamonga
and/or health care informatics is required
Experience preferably in an HMO or managed care setting
Key Qualifications
Working knowledge of NCQA HEDIS technical specifications, medical terminology, and health plan processes preferred
INDH...
resume-library.com -
Rancho Cucamonga
California Driver’s license.
• Knowledge of managed care is required. Knowledge of Medicare managed care or Medi-Cal managed care is required. Understanding of and sensitivity to a multi-cultural environment and community.
• Excellent writing, interpersonal...
icims.com -
Alura Workforce Solutions-Rancho Cucamonga
in an HMO or managed care setting, is required
Minimum one (1) year clinical experience in an acute care facility, skilled nursing facility, home health or clinic setting required
Possession of an active, unrestricted, and unencumbered Vocational Nurse...
resume-library.com -
Rancho Cucamonga
and appreciation of IEHP’s application landscape.
• Managed Care organization’s integration with Health Information Exchanges.
• Healthcare issues, trends, and concerns.
• State’s CalHHS and CDII current initiatives and strategies and the role of a managed care...
icims.com -
Alura Workforce Solutions-Rancho Cucamonga
work.
REQUIREMENTS
Two (2) years or more case management, utilization management in managed care setting or related experience in a health care delivery setting.
Experience in an HMO or experience in managed care setting preferred.
High school...
resume-library.com -
Rancho Cucamonga
Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), or similar certification/licensure preferred
Key Qualifications
• Strong knowledge of Managed Care, Medi-Cal, and Medicare programs as well as Marketplace...
icims.com -
Artech LLC-Rancho Cucamonga
Work Experience and Qualifications: Experience in a complex health care environment preferred. Strong working knowledge of federal and state regulations, laws and accreditation standards related to health care and managed care organizations.
Knowledge...
resume-library.com -
Rancho Cucamonga
of successfully working within a team
• Experience in data entry
• Managed care setting experience preferred
• High school diploma or GED required
• Associate's degree or Bachelor's degree from an accredited institution preferred
• Medical Assistant...
icims.com -
Alura Workforce Solutions-Rancho Cucamonga
insurance.
Familiarity with Managed Care and discharge planning is required.
Proficient in evidence-based communication strategies such as Motivational Interviewing or similar empathy-based approaches.
Understanding of and sensitivity to multi-cultural...
resume-library.com -
Rancho Cucamonga
in a health care delivery setting preferred.
• Experience in a Managed Care (HMO, IPA) or in acute facility (i.e. hospital) care management preferred
Key Qualifications
• Bilingual (English/Spanish) preferred
• Highly skilled interpersonally, with excellent...
icims.com -
Alura Workforce Solutions-Rancho Cucamonga
and/or other evidenced-based communication strategies
Master's degree in social work from an accredited institution required
Must have a valid California Driver's License
Familiarity with Managed Care and discharge planning is required
Knowledgeable...
resume-library.com -
Rancho Cucamonga
management tools, developing and managing report and monitoring requirements, comfortable with external and leadership facing presentations, and analytical capabilities
• Experience with Managed Care Compliance Programs required
• Bachelor’s degree in related...
icims.com -
Rancho Cucamonga
revenue codes, NDC’s and other guidelines and general understanding of investigative processes within a healthcare environment are required. Knowledge of Medi-Cal and Medicare rules and regulations, and managed care in California is preferred.
Start...
icims.com -
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