- UpvoteDownvoteShare Job
- Suggest Revision
Helpful, but not required: Familiarity with the plants and animals of the region, including the planting and care of trail-side native plants. As an innovator in the management of Southern California's urban wildlands, IRC works in partnership with landowners, community leaders, and residents in Orange County and beyond to engage, educate, and foster a shared vision for responsible, long-term care and protection of the natural resources we all share.
$19.5 - $20.5 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Reproductive, managed/primary health care and/or abortion services experience desirable. Planned Parenthood of Orange and San Bernardino Counties has a full-time opportunity for an Ultrasound Technician / Medical Assistant in Anaheim, CA t o provide ultrasounds for surgical and non-surgical patients up to 24 weeks gestation as well as supporting functions in the delivery of reproductive health care, primary care and surgical services.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Proficiency in core case work, with at least 2 years of recent casework in CalWORKs/CalFresh/Foster Care/Medi-Cal programs is highly desired. CACI is a repository of child abuse investigation reports managed by the Department of Justice (DOJ) that contains information related to substantiated cases of physical abuse, sexual abuse, mental/emotional abuse, and/or severe neglect of a child.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Ensures compliance with managed care contracts, county, state, and federal regulations for facility site reviews, medical chart reviews, provider credentialing, OSHA, OSHPD, HIPAA, FQHC, CLIA, etc.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
All clinical & state regulatory supervision of support teammates (PTA) are to be directly managed with direct support from their Clinic Manager (CM), Regional Clinic Manager (RCM) & Director of Clinical Operations (DCO.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Has thorough knowledge of managed care contracts, current payor rates, understanding of terms and conditions, as well as Federal and State requirements. Knowledge of HMO, POS, PPO, EPO, IPA, Medicare Advantage, Covered California (Exchange), capitation, commercial and government payors (i.e. Medicare, Medi-Cal, TriCare, etc) and how these payors process claims.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
10+ years' of business development experience, preferably in behavioral healthcare/managed care, selling into the Health Plan and State Government/Public sector. A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The managed care pharmacist is responsible for performing various clinical duties related to utilization management of specialty (injectable) medications. Serves as an effective participant on clinical rounds and participates in committee meetings and programs to promote patient care, provider understanding and optimal drug therapy 10.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Knowledge of generally accepted Accounting Principles and Managed Care contracting. Proven track record of success as a CFO in an acute care hospital setting. A minimum of five years of progressive administrative experience in an acute care hospital setting overseeing multiple areas.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Brand: EyeMed Vision Care. EyeMed is the fastest growing managed vision benefits company in the country with consistent double-digit membership growth! Through our commitment to innovation, we’re reimagining the way employers and their employees think about vision care.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Maintain extensive knowledge of Managed Care, Specialty Pharmacy, Medicare Part B and State Medicaid selling and reimbursement environments/strategies. Recognize, understand and navigate managed care obstacles and opportunities.
ExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
Work with Dietary Supervisor to see what leftovers are used and inventories are properly managed to keep costs in line. Frontier Senior Living is seeking an outstanding Cook for Crescent Landing at South Coast Memory Care community located in Santa Ana, California.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
EDUCATION, TRAINING, EXPERIENCE:Minimum Bachelors degree from accredited University, Masters preferredValid CA clinical license; RN, LCSW, PsyD, NPMinimum 10 years management role Managed Care Environment, preferably in Behavioral health.
Full-timeExpandApply NowActive JobUpdated 17 days ago - UpvoteDownvoteShare Job
- Suggest Revision
At least two (2) years’ experience in ambulatory case management, preferably in a managed care organization, medical group, or health plan setting required. |Collaborate with member’s family and physicians for seamless coordination of care and services|Collaborate and coordinate care with Health plans, Community Based Programs (CBAS), Managed Long Term Supportive Services (MLTSS) and Behavioral Health Providers|Monitors and evaluate effectiveness of the care management plan and modify as necessary based on members’ progress, changes in condition and to minimize unnecessary utilizations, admissions, and readmissions.
Full-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Monitors for inquiry requests from the Department of Managed Health Care (DMHC), Medicare Complaint Tracking Module (CTM) from the Centers for Medicare Medicaid Services (CMS), the Medicare Quality Improvement Organization (QIO) and the State Hearing Office from Department of Social Services (DSS.
Full-timeExpandApply NowActive JobUpdated 17 days ago
managed care jobs in Tustin, CA
FEATURED BLOG POSTS
Why Work in Sales? 9 Reasons & Tips on Answering as an Interview Question!
Working in sales can be demanding and challenging, but it can also be gratifying. Sales is an excellent career with a clear path full of excitement and potential for growth. So, if you're contemplating careers and have wondered "why work in sales?", keep reading to determine if sales is a suitable role for you.
How to Fire an Employee
So… you've finally decided to let one of your employees go. Drafting the paperwork and corresponding with HR is the easy part, but knowing how to fire an employee is where things get complicated. In fact, it is one of the most challenging conversations to have in the workplace. However, it must be done, and it must be done with poise and tact. Not only should you keep your state law in mind, but you should also consider your former employee's wellbeing.
How Long Does it Take to Hear Back from a Job?
Are you applying for your very first job? Maybe you’re anticipating your termination from your current role and want to be proactive. Either way, waiting to hear back on your job application can be stressful. If time has passed since you applied, you may wonder how long does it take to hear back from a job. Well, the answer is... it depends.
How to Respond to a Recruiter Through Email? (Tips & Examples)
Rather than wading through an endless list of open roles, wouldn’t it be nice if relevant job opportunities come to you?
How to Reject a Candidate Professionally
When deciding on how to reject a candidate, your first question may be
How Does Salary Pay Work? (Compared to Hourly Pay)
At the bottom of each job advertisement, companies label a role as salaried or hourly. Both methods will get you paid (yay), but each in very different ways. So, it's essential to figure out how does salary pay work? While employees paid by the hour are paid based on how long they work, employers pay salaried employees a fixed amount.
The Quiet Quitting Phenomenon
The term, quiet quitting, was coined in 2009, but only now is it gaining traction as young Millennials and Gen Z workers are experiencing record levels of burnout. With the pandemic and the state of the economy, young employees are feeling the pressure. So, quiet quitting comes into effect when that pressure is exasperated by work stress and no managerial support.