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Familiarity with the Affordable Care Act, Mental Health Parity and Addictions Equity Act, 2016 Medicaid Managed Care Final Rule, Knox-Keene Health Care Service Act of 1975, electronic health care systems, CalAIM, Medi-Cal delivered specialty mental health services, and DMC-ODS delivery systems to address substance use disorders is highly desirable.
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Other duties as assigned Minimum Requirements: Minimum Experience: 3 years' experience as a medical assistant preferably in a physician office including working knowledge of managed care.
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Auditor, Healthcare Revenue Integrity ProgramFull-time, salaried positionWork from homeJoin the Exela Technologies Managed Care Professionals Team as an auditor. About Exela Exela is a business process automation (BPA) leader, leveraging a global footprint and proprietary technology to provide digital transformation solutions enhancing quality, productivity, and end-user experience.
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The CRS manages the overall resident assessment process and tracking of all Medicare/Managed Care/Medicaid case mix documents in order to ensure appropriate and optimal reimbursement for services provided within the Care Center.
$56.84 an hourFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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We staff all four major divisions of acute care - nursing, lab, radiology, and rehab therapy One point of contact for both travelers and facilities (per division) In-house compliance and accounting specialists On-staff clinical liaisons Mentoring program that is run and managed by actual clinicians - yeah, you read that right And more (because of course there’s more) Are we the biggest.
$1,393 a weekFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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TravelNurseSource is working with Triage Staffing to find a qualified Long-Term Care RN in California! One point of contact for both travelers and facilities (per division) In-house compliance and accounting specialists On-staff clinical liaisons Mentoring program that is run and managed by actual clinicians - yeah, you read that right And more (because of course there’s more) Are we the biggest.
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Managed by Oakmont Management Group, we provide exceptional quality, comfort, and care with five-star services and amenities. Oakmont of Silver Creek is a premier senior living community situated on a beautifully landscaped campus.
$23 an hourFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Must possess knowledge of regulatory compliance and Continuing Care Retirement Community operations. Responsibilities also include assisting with the coordination of resident care planning processes under the direction of the DON or CRM (where applicable.
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Develop and own the project timeline – Ensure that product deliverables are successfully met Plans agendas for and facilitates required meetings; prioritizes and drives cross-functional activities as related to the event programs being managed, and develops and manages communications, summary reports, and status for various audiences; The position has working relationships with, but not limited to Public Relations, Marcom, Procurement, IS&T, Finance, RE&D as well as external service providers.
$63.46 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Prior experience with managed care plans, Medi-Cal and Medicare programs, and working with underserved populations. Spanish, Vietnamese, Chinese, or Tagalog language bi-lingual skills. Minimum four years of experience in a call center one year of which was in a supervisory or lead capacity.
$120,642 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Managed care principles, medical group management, hospital and health plan operations, California Health and Safety Codes (Title 22 and 28, HEDIS, NCQA standards, Medi-Cal, Medicare, and Utilization Management guidelines such as Milliman and InterQual.
Full-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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R) One year of experience within a Managed Care Health Plan. (D) Knowledge of managed care principles and practices with emphasis in Utilization Management and/or Case Management.
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Whole Body: Stocker (Vitamins, Supplements, Body Care, Clothing and gifts) Prepared Foods: Deli Counter Service, Kitchen, Food Prep, Dishwasher, Culinary Venues (Pizza Maker, Sandwich Maker, Runner: Hot Food / Salad Bar.
$21.7 an hourPart-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Knowledge and experience working in specific revenue cycle management functional areas including patient access (scheduling, insurance verification, financial counselling, registration and admitting), mid revenue cycle (revenue integrity, charge capture, coding) and patient accounting (billing, collections, denials, managed care contract administration, etc.
$233,000 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Must be willing to be an active liaison to all managed care plan for all 4 counties, local community medical providers, DSS, DDS and with the San Andreas Regional Center Quality Assurance Manager to improve quality of services offered to the individuals served by SARC.
$10,711 a monthFull-timeExpandApply NowActive JobUpdated 4 days ago
managed care jobs in San Jose, CA
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