of providers. Job Description The Operations Nurse Manager, Care Advice Line provides operational leadership and oversight... Nurse Manager to ensure seamless integration of clinical and operational functions. The Operations Manager is responsible...
Senior Manager oversees clinical operations teams responsible for medical necessity reviews, clinical grievances and appeals... communities and residents and to support the safety net required to achieve that purpose. Job Summary The Senior Manager...
Overview: Under the general supervision of the case management Director acts as a patient advocate/case manager... health care team (i.e. Case Mgmt, Business Office, Physicians, Social Services, Nurse Manager, etc.) Is a clinical resource...
Overview: Under the general supervision of the case management Director acts as a patient advocate/case manager... health care team (i.e. Case Mgmt, Business Office, Physicians, Social Services, Nurse Manager, etc.) Is a clinical resource...
Overview Under the general supervision of the case management Director acts as a patient advocate/case manager... health care team (i.e. Case Mgmt, Business Office, Physicians, Social Services, Nurse Manager, etc.) Is a clinical resource...
Overview Under the general supervision of the case management Director acts as a patient advocate/case manager... health care team (i.e. Case Mgmt, Business Office, Physicians, Social Services, Nurse Manager, etc.) Is a clinical resource...
Overview: Under the general supervision of the case management Director acts as a patient advocate/case manager... health care team (i.e. Case Mgmt, Business Office, Physicians, Social Services, Nurse Manager, etc.) Is a clinical resource...
Overview Under the general supervision of the case management Director acts as a patient advocate/case manager... health care team (i.e. Case Mgmt, Business Office, Physicians, Social Services, Nurse Manager, etc.) Is a clinical resource...
Job Category: Customer Services and Operations Job Description: Your Role The Medicare and Medi-cal Appeals..., post service or claim denial. The Medicare Appeals and Grievances RN Lead will report to the Appeals and Grievances Manger...
RESPONSIBILITY: Provide supervision to RN Case Management staff and Care Management staff. Multipurpose Senior Services Program (MSSP... and termination of MSSP Care Management staff. Facilitates and oversees day-to-day operations; insuring that appropriate systems...
network request and negotiate with Clinic Operations as appropriate. Identify and manage high risk members for readmission... Nurse (RN) in the State of California. At least 3 to 5 years of Nursing Management Experience in a Medical Group, Hospital...
Plans, Commercial Plans, HMO, and/or Medi-Cal/ACA standards Preferred 2 to 3 years of UM Manager Experience in a Medical...Job Category: Support Services Job Description: The UM Nurse Manager is responsible for providing strategic...
outcomes. Job Description: EDUCATION: Graduate of an accredited school of nursing. CERTIFICATION & LICENSURE: RN... EXPERIENCE: 5 years recent relevant experience. SKILLS AND KNOWLEDGE: Solid understanding of operations and workflows...
in science (BSN) CERTIFICATION & LICENSURE: RN-Registered Nurse of California BLS-Basic Life Support Healthcare Provider...: Solid understanding of operations and workflows and how department’s process/workflow impacts other flows or departments...
. Job Description: EDUCATION Graduate from an accredited school of nursing Required. BSN Preferred CERTIFICATION & LICENSURE RN-Registered... understanding of operations and workflows and how department’s process/workflow impacts other flows or departments. Knowledge...
Job Category: Healthcare Services and Operations Job Description: Your Role The Clinical Quality Review (CQR..., or an internal or external partner. The Clinical Quality Reviewer - Nurse, Senior will report to the Manager, Clinical Quality Review...
special needs program (SNP) case management team. The Care Coordinator works in collaboration with the RN Case Manager as part... needs as directed by the RN Case Manager. The Special Needs Plan (SNP) team is responsible for the health care management...
Job Category: Healthcare Services and Operations Job Description: Your Role The Enterprise Learning team... Senior Stakeholder Manager in Enterprise Learning. In this role you will be supporting the following: Clinical education...
Job Category: Healthcare Services and Operations Job Description: Your Role The Care Management team will serve... outpatient setting. The Senior Care Manager will report to the Manager of Care Management. In this role you will ensure...
. A Registered Nurse, who, under the supervision of the Nurse Manager/ Director, has continual opportunity to exercise initiative... in science (BSN) CERTIFICATION & LICENSURE: RN-Registered Nurse of California BLS-Basic Life Support Healthcare Provider...