A company is looking for a Behavioral Health Care Manager Supervisor to manage a team of Behavioral Health Care Managers and oversee patient care within the Collaborative Care Program. ...
Adventist Health is a faith-based, nonprofit, integrated health system serving more than 90 communities on the West Coast and Hawaii with over 400 sites of care, including 26 acute care facilities, clinics, home care, and hospice agencies in both rural and urban communities. Communicates plan of car...
Job Requirements:Education and Work Experience: Bachelor's Degree in Nursing (BSN): Preferred One year of professional nursing experience: Required Acute care facility or home health experience: Preferred Licenses/Certifications: Registered Nurse (RN) licensure in the state of practice: Required Car...
By reimagining how healthcare is delivered, we can help create greater health equity for those most at risk and break down barriers to care. Here at Men's Health Foundation, we envision a world where inequity and stigma do not separate people from healthcare. Our Medical Care Coordination (MCC) ...
EliteCare Medical Staffing is looking for a dedicated and experienced RN-Care Manager to join our Home Health team in Clearlake. In this role, you will be responsible for managing patient care in a home health setting, ensuring that patients receive high-quality care tailored to their individual nee...
Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities. We are the nation’s la...
We are driven by our passion to help transform health care delivery, align financial incentives to support population health management and build the workforce needed for value-based care. The Program Manager independently maintains the day-to-day operations at one of our Health Scholar sites, locat...
Claims, Healthcare Administration, Risk Management, Medicare, EMR, Insurance, Healthcare, Finance. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. Care’s mission is to provide access to quality...
EliteCare Medical Staffing is looking for a dedicated and experienced RN-Care Manager to join our Home Health team in Clearlake. In this role, you will be responsible for managing patient care in a home health setting, ensuring that patients receive high-quality care tailored to their individual nee...
Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents. At least...
The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestiv...
The Post Acute Care Management (PACM) Department is seeking a PTA or COTA to join our team as a PACM Liaison!. This is not a hands on patient care position however, as a Liaison you will use your skills as a PTA or COTA to evaluate patients for post acute rehab needs and help them get into one of ou...
At least 3 years of experience in provider relations, account management, or relationship management in managed care or healthcare industry. At least 3 years of healthcare experience in Managed Care; or, with a physician group, clinical-based organization, and/or in a hospital/facility setting. The ...
Acute Care Management (Care Coordination) or successful completion of the Transitions in Practice (TIP) program for Care Managers. Lead Care Manager LCSW at our Health Center, located in Santa Monica, CA. Recognizing the patient's right to self-determination, the significance of the social determina...
This position supports the development and implementation of Care Management initiatives to comply with regulatory and accreditation requirements such as those stated in contracts, memorandums of understanding, CalAIM Policy Guides, National Committee on Quality Assurance (NCQA) PHM, Department of H...
The Department of Health Care Services (DHCS) is the backbone of California’s health care safety net. The role of the Health Program Auditor I (Specialist) (HPAM I) is to preside over informal level of reviews, fair hearings, other administrative hearings and appeals involving financial assessments ...
Working knowledge of Department of Health Care Services (DHCS), Department of Managed Health Care (DMHC), Centers for Medicare and Medicaid Services(CMS) and/or National Committee for Quality Assurance (NCQA) requirements. At least 4 years of experience in Program/Project Management in a managed car...
The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestiv...
Knowledge of healthcare product types inclusive of managed care and insurance products. Working knowledge of the company’s healthcare products, functions and regulatory guidelines. Understanding of Medi-Cal managed care model, eligibility requirements, benefits, enrollment processes, and regulatory ...
This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of opportunities for referral to a Health Coach/case management, and identification and res...
The Manager, Claims directs the efforts of others in the achievement of the strategic, regulatory and operational objectives of the Health Plan. Works with the Claims Director, Claims Managers and Supervisors to ensure the Plan’s core system produces a high level of claims auto adjudication. Works w...
Elitecare Medical Staffing is seeking a compassionate and experienced Travel Registered Nurse (RN) for the Care Manager role in Home Health in Clearlake, CA. Job Title: Travel RN, Care Manager (Home Health). This position involves providing high-quality nursing care to patients in their homes and re...
Assess, plan, coordinate, implement and evaluate care for eligible members with chronic and complex health care, social service and custodial needs in a nursing facility or home and community-based care setting. Educate members or caregivers regarding health care needs, available benefits, resources...
We are driven by our passion to help transform health care delivery, align financial incentives to support population health management and build the workforce needed for value-based care. COPE Health Solutions is a national tech-enabled services firm, with a population health management analytics s...
Place Health was founded in 2021 by mission-aligned healthcare leaders and organizations that are committed to drastically improving health outcomes, quality and experience for vulnerable older adults and frail seniors. We pursue this mission through our myPlace PACE (Program of All-Inclusive Care f...