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Authorization for Treatment Temporary/Relief Primary Care Physician shall agree that, as required by law, excluding emergency and primary care services, prior authorization must be obtained in writing from the respective CDCR/CCHCS Institution/Facility CEO/CME or designee, in accordance with CCHCS's Utilization Management Plan. Temporary/Relief Primary Care Physician shall complete and return all forms required by CDCR regarding treatment of patient/youth.
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Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. About Cigna Healthcare. The AVP, Network Management serves as an integral member of the Network Management & Affordability Team and reports to the VP, Network Management.
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Provides payer account management to ensure customer satisfaction with all aspects of Gateways Hospital and Mental Health Center delivery of services, population health management, performance goals and outcomes.
$165,000 - $175,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Guided by world leaders, scientists, and entrepreneurs, EIT seeks to accelerate innovation by driving scientific and technological advancements across four humane endeavors: medical sciences and healthcare, food security and sustainable agriculture, clean energy and climate change, and government policy and economics.
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Sodexo is currently seeking a full time Clinical Nutrition Manager, Patient Services Manager to join our food services healthcare team at Valley Presbyterian Hospital. Credentials Requirement:Registered Dietitian Nutritionist (RD/RDN) by the Commission on Dietetic Registration (CDR)Certification/licensure as required by state(s) of practiceSpecialty credential in area(s) of focused management practice, as applicableSodexo is an EEO/AA/Minority/Female/Disability/Veteran employer.
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Possesses a current California Registered Dental Assistant License, current California X-Ray Certificate, current CPR Certification, and current Basic Life Support (BLS) for Healthcare Providers Certification.
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OBSERVES REGULATORY AGENCY REQUIREMENTS: National Patient Safety Goals, Patient identifiers, Unapproved abbreviations, Universal Protocol (Procedural Time Out), Hand-Off, Medication Reconciliation, Clinical Alarms, Other: Hazardous waste management, Biohazard, Medication, Sharps.
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POSITION REQUIREMENTS A. Education High school diploma or GED required Medical Assistant Training preferred B. Qualifications/Experience Two (2) years continuous recent experience in a healthcare setting as unit clerk /care coordinator or similar position required.
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Prior experience building from the ground up or scaling a provider network or contract management function at a high-growth healthcare organization preferred. Our client is seeking a Vendor and Provider Network Manager to play a key role in establishing oversight and management of vendor and provider network partnerships for their integrated care delivery startup.
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Drive collaboration, education and training and maintaining working relationships across the Stars Core team and with multiple departments throughout LAC including but not limited to QI, Pharmacy, Care Management, Utilization Management, Risk Adjustment, Products, Customer Solution Center (CSC), reporting and Analytics, Appeals and Grievances and the provider network.
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5+ years of relevant management experience in healthcare, managed care, admitting, billing and all aspect of the revenue cycle functions. Work across functional lanes to help monitor and improve all aspects of revenue cycle, including, but not limited to, patient registration, insurance verification, authorization, co-pay collection, billing, AR follow-up, denial management, payment posting, refund and account reconciliation.
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JOB QUALIFICATIONSThree years of experience in casework management, preferably in a healthcare setting in a medical case worker or case manager capacity, assisting patients/clients with social problems - OR - A Bachelor's degree from an accredited college or university and one year of professional casework experience interviewing, counseling, and assisting patients/clients with social problems.
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The Accounting Manager will also be responsible for oversight and management of all finance, accounting, and reporting activities for the company as a tax-exempt 501 (3) (C) non-profit organization.
$72,000 - $115,000ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Must have experience working in healthcare domains - Membership Portals, Provider Portals, Claims (QNXT/Facets) and EDI. Reporting to the Quality Assurance (QA) Manager, Information Technology (IT) Quality Management, the Software Quality Assurance Engineer II will perform test planning, manual test case authoring, scripting automated scripts, test execution, review test activities, test reporting on assigned tasks and deliverables of QA consultants.
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Skills Required : *Bachelor's degree or higher required, PMP (nice to have) Epic implementation experience/ exposure to Epic project builds, EMR/EHR (Cerner, AllScripts, eClinicalWorks, NextGen), experience managing large, multi-functional project teams, experience with preferred project management application software (Jira, MS Project, Plainview, Smart Sheet.
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healthcare management jobs in Los Angeles, CA
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