Must Have 2+ Years of recent Case Manager experience. ...
Enhanced Care Management Care Manager offers more intensive case management services to qualifying members, with a focus on providing community-based healthcare services, including creating care plans and formalized goal setting. We are seeking energetic, reliable professionals with experience in he...
Must Have 2+ Years of recent Case Manager experience. ...
Assists an Ambulatory Care Department Manager by supervising assigned operations of a department providing ambulatory patient care services; ensuring that staff provide high quality, accessible, cost effective care and patient-focused services to members across the continuum which comply with local...
Care Coordination: Facilitate seamless communication and collaboration among the healthcare team to ensure efficient and effective care delivery. Transitional Care Management: Guide patients through their healthcare journey, developing and implementing comprehensive discharge plans that address thei...
Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. The RN Care Team Manager (RNCTM) contributes to AHF’s mission by displaying the qualities of being knowledgeable, caring and dedicated to HIV/AIDS specialty health plan members. AM...
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...
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 4 years of experience in Program/Project Management in a managed care setting or Top 10 management consulting role in the Healthcare industry. Regulatory ...
The Program Manager I will collaborate and consult with key stakeholders at limited levels of the organization, including senior functional managers, on narrow work stream efforts. The Data Governance Program Manager I is a vital entry-level member of the Data Governance Team. Care's Data Governance...
Coordinates with physicians, staff, and non-Kaiser providers/facilities regarding patient care/population based management for patients in specifically defined geriatric or other specifically defined patient populations in order to plan and implement a comprehensive, multi-disciplinary approach to m...
The Manager of Inpatient Care Management will supervise and direct all levels of Care Management team that includes RN Care Managers, Lead CM RN, CM Coordinators, Discharge Planners (DCP), Care Coordinators Inpatient CM Supervisor, Complex CM Team, CM Educator, and UM CM Staff. These services inclu...
For Client Manager - Book of business will include up to 3,000 clients and $25,000,000 in annual revenue. For Business Development Manager - Create and manage new business opportunities, managing Broker relationships and generating up to $2,500,000 in annual revenue. Connect business plan objectives...
Coordinate and manage the care throughout the patient's acute inpatient episode of illness; ensure continuity of services and appropriate utilization as well as management of resources. Demonstrate leadership abilities by exhibiting a proactive approach to the care management process. ...
Kaiser Permanente is seeking a Registered Nurse (RN) Manager, NICU - Neonatal Intensive Care for a nursing job in Los Angeles, California. Manages the delivery of nursing services and safe patient care within assigned department and across the continuum of care. Establishes, implements, and maintain...
We seek a highly motivated and experienced Practice Manager to join our team! The ideal candidate will have a proven track record of success in managing a healthcare practice, including operational, financial, and clinical aspects. Collaborate with physicians and other healthcare professionals to en...
Responsibilities will include building and maintaining strong relationships with healthcare providers and associations, ensuring compliance with regulations, and optimizing network performance to enhance access to quality care for Medi-Cal beneficiaries. The Senior Manager on the Medi-Cal Provider S...
This position will synchronize the work of cross-functional project teams and provide direct or indirect oversight of Senior Project Managers and Project Managers across the organization. This position will synchronize the work of cross-functional project teams, specifically those that are technical...
Experience with Healthcare, HL7, FHIR, EHRs, LIMS. Interact with key business stakeholders, BSAs, Architects, Product Managers, and other IT teams to develop strong working relationships. Collaborate and work closely with your peer engineering managers to deliver projects. Work with Product Managers...
The Department of Health Care Services (DHCS) is the backbone of California’s health care safety net. The role of the Application Processing Manager Iunder the general direction and supervision of the Staff Services Manager II, plans, directs, and organizes the day-to-day operations of the Applicati...
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...
Relationship Manager, Medicaid, Medicare, Customer Service, Healthcare. 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 3 years of experience in contracting and/or regulatory analysis in managed care or...
In conjunction with physicians, develops treatment plan, monitors care, makes recommendations for alternative levels of care, identifies cost-effective protocols and care paths and develops guidelines for care that may require coordination across systems of multiple providers/services. In conjunctio...
The Manager, Managed Care Revenue position oversees the revenue cycle related to health plan contracts. Minimum of 3 years of experience healthcare, particularly in a managed care setting required. We have raised the expectations of what a community clinic can deliver because we think quality care i...
Coordinates with physicians, staff, and non-Kaiser providers/facilities regarding patient care/population based management for patients in specifically defined geriatric or other specifically defined patient populations in order to plan and implement a comprehensive, multi-disciplinary approach to m...
Two years: Experience in Acute Care Management (Care Coordination) or successful completion of the Transitions in Practice (TIP) program for Care Managers. The Case Management process facilitates communication and care coordination along a continuum through effective transitional care management. Ca...