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As an ECM Lead Care Manager, you will play a pivotal role in this historic change by helping CalOptima Health members navigate the healthcare system and access comprehensive care. PREFERRED QUALIFICATIONSTraining in Motivational Interviewing, Trauma-Informed Care, Harm Reduction, Crisis Intervention, De-Escalation, Domestic Violence, Substance Use, Suicide Prevention, or other related training.
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Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese). At CalOptima Health, we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off.
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Ensure accurate coding (ICD-10, CPT-4, HCPCS) and coverage verification specific to CalOptima Healths line of business. Ensure accurate coding (ICD-10, CPT-4, HCPCS) and coverage verification specific to CalOptima Healths line of business.
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At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off.
$49,754 - $69,655 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Maintain accurate and up-to-date client records, progress notes, and documentation in accordance with agency standards and funding requirements using software including CalOptima, HMIS, Apricot/Planstreet as well as confidential hard copies.
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You will be responsible for the enrolling patients to enhanced care management (ECM) program for low income families wtih Caloptima insurance. You will be responsible for the enrolling patients to enhanced care management (ECM) program for low income families wtih Caloptima insurance.
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About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization.
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Communicating changes being made to PCs and HCM team, as neededQuality control on PCs (ensuring authorization are being requested in a timely manner to avoid lapse in payments, making sure all steps are being followed)Updating capacity on CalOptima Connect (weekly)Troubleshooting issues as they arise (with spreadsheets, authorizations, referrals,portals, etc.
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Design a treatment plan by means of computer and/or manual computation with optimal beam geometry to deliver a prescribed radiation dose and spare critical structures in accordance with the Radiation Oncologist's prescription.
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Job DescriptionJob DescriptionTrusted since 2002, Metro Environmental Services (MES) is an industry-leading environmental and construction organization.
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Our Client is seeking a Chief Estimator. This individual must have had at least one of the previous titles; project director (projects over 50 million annually, and 150 million aggregate) proposal manager (40+ million contracts) senior estimator (100+ million annual in awarded work) Software skills in HCSS Heavy bid or other estimating software, Grade Beam, Primavera P6, and On-Screen Takeoff, BIM/Autodesk programs.
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As the Chief Medical Officer (CMO), you will be the key clinical leader of an established Federally Qualified Health Center with an operating budget of over $50M and an operational footprint that spans ten service sites in the East Bay (including the cities of Hayward, Ashland, Castro Valley Union City, and Fremont) and 3 mobile sites.
Starting at $250Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Chief Financial Officer. The CFO will be an integral member of the Bristol Wave Executive Committee working alongside the CEO, VP-Operations, VP-Human Resources, and Director of Sales to maximize company profitability, including managing the company's fishing plan and annual acquisition of additional fishing quota.
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The following departments report directly to the Chief Program Officer: Early Learning Center, Children & Youth, Summer Day Camp, Sports and Recreation, Fitness Center, Green Hills Swim Club, Senior Adult Programming, Membership/Community Engagement, Drama, PJ Library and other departments or programs as assigned.
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Chief Executive Officer (CEO) Spanning two states, these lakes are the largest man-made lake system in the United States boasting over 200 miles of shoreline and offer an array of outdoor activities to include fishing, hunting, camping, boating activities, walking and hiking trails, mountain biking, eagle watching, an elk and bison reserve and a host of educational offerings at local nature center.
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caloptima job Title: chief Company: Association For Community Affiliated Plans
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