Optometrist Sublease - Hattiesburg, MS VSP VisionOptometrist Sublease - Hattiesburg, MSRancho Cordova, CaliforniaOptometrists also have access to advanced diagnostic technology, including Topcon Maestro, support for electronic health records, technicians or clinical specialists to assist with patient workups and contact lens care, and a practice model built around high foot traffic, quality equipment, brand recognition, marketing support, and full onboarding support. With affordable housing options, a manageable pace of life, and easy access to larger Gulf Coast cities, Hattiesburg is a great place for optometrists looking to build a successful practice and enjoy a fulfilling lifestyle.
Utilization Management Nurse, Senior- Medicare Concurrent Review Blue Cross and Blue Shield AssociationUtilization Management Nurse, Senior- Medicare Concurrent ReviewEl Dorado Hills, CARequires a current California RN License Requires at least 5 years of prior relevant experience Requires strong communication and computer navigation skills Desires strong teamwork and collaboration skills Requires independent motivation and strong work ethic Requires strong critical thinking skills Hybrid Virtual Work This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need. Your Work In this role, you will: Perform prospective, concurrent and retrospective utilization reviews and first level determination approvals for members using BSC and CMS evidenced based guidelines, policies and nationally recognized clinal criteria for BSC Medicare line of business.
NewReferral & Scheduling Coordinator Marshall Medical CenterReferral & Scheduling CoordinatorPlacerville, CaliforniaConsistently facilitates effective communication between our patients, families, insurance companies, providers and members of the patient care support staff and participates in quality performance improvement activities to support a positive patient focused customer service experience. The Referral & Scheduling Coordinator is an integral member of the healthcare team and is responsible for appointment scheduling and referral functions throughout Marshall Medical Center’s (MMC) outpatient clinics.
Genetic Counselor Iconma LLCGenetic CounselorRancho Cordova, CARequires at least 3-5 years of prior relevant experience which includes a strong clinical understanding of molecular, cellular, and genetic medicine and somatic and germline genetic testing, carrier screening, prenatal testing, newborn testing, and neonatal ICU. Prepare and present cases to Medical Director (MD) for second level review oversight and necessity determination and communicate determination to providers in compliance with state, federal and accreditation requirements as appropriate.
Registered Nurse Caring Hand Home Health SolutionsRegistered NurseMarysville, California$110–$130 / hourDescription Caring Hand Home Health Solutions, Inc’s mission is to provide professional and paraprofessional services to clients in their homes assigning them to achieve the highest level of potential in their day-to-day self-care activities. As a Registered Nurse with Caring Hand Home Health Solutions, you will play a key part in ensuring the accuracy and quality of clinical documentation, helping our patients receive the right care at the right time.
Registered Nurse Premier Home Health Providers Inc.Registered NurseLoomis, CA$110–$130 / hourAt Premier Home Health Providers Inc., our compassionate and experienced clinicians are certified and expertly trained to help you manage your condition, prevent rehospitalizations, and improve your health and quality of life in the comfort and familiarity of your own home. As a Registered Nurse with Premier Home Health Providers, you will play a key part in ensuring the accuracy and quality of clinical documentation, helping our patients receive the right care at the right time.
Registered Nurse Caring Hand Home Health Solutions, Inc.Registered NursePlacerville, CA$110–$130 / hourCaring Hand Home Health Solutions, Inc’s mission is to provide professional and paraprofessional services to clients in their homes assigning them to achieve the highest level of potential in their day-to-day self-care activities. As a Registered Nurse with Caring Hand Home Health Solutions, you will play a key part in ensuring the accuracy and quality of clinical documentation, helping our patients receive the right care at the right time.
Registered Nurse Premier Home Health ProvidersRegistered NurseCarmichael, CaliforniaAt Premier Home Health Providers Inc., our compassionate and experienced clinicians are certified and expertly trained to help you manage your condition, prevent rehospitalizations, and improve your health and quality of life in the comfort and familiarity of your own home. As a Registered Nurse with Premier Home Health Providers, you will play a key part in ensuring the accuracy and quality of clinical documentation, helping our patients receive the right care at the right time.
Physical Therapist Center Therapy Director ConcentraPhysical Therapist Center Therapy DirectorWest Sacramento, California$90,000–$120,000 / yearThis position is eligible to earn a base compensation rate in the state range of $90,000 to $120,000 annual salary depending on job-related factors as permitted by applicable law, such as level of experience, geographic location where the work is performed, and/or seniority. Masters use of clinical systems to ensure efficient and excellent supportive documentation, appropriate and optimal coding levels, charge capture, and follow-through on all patient care orders.
Primary Care Provider (FNP or PA-C) Florence HealthPrimary Care Provider (FNP or PA-C)Sacramento, CAPrimary Care Advanced Practitioner (FNP or PA-C) (Chinese Fluency Required) Join an Established Family Medicine Practice Dr. Dawei Zheng’s physician-led family medicine practice has been serving the Sacramento community for over 25 years, providing comprehensive, patient-centered primary care. Providers benefit from practicing in a supportive private practice environment with the ability to build meaningful long-term relationships with patients.
Quality Assurance Registered Nurse (RN) - Home Health Pennant ServicesQuality Assurance Registered Nurse (RN) - Home HealthSacramento, CaliforniaRemoteThis role is responsible for reviewing and ensuring the accuracy, completeness, and consistency of OASIS assessments and ICD-10 coding, while collaborating closely with clinical and leadership teams to improve outcomes and agency performance. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US.
Authorization Rep eTeam Inc.Authorization Repsacramento, CARemote$920–$960 / weekSKILLS AND KNOWLEDGE: Medical terminology, Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS)/International Classification of Diseases (ICD)-9 coding knowledge. Management reserves the right to revise the job description or require that other tasks be performed when the circumstances of the job change (for example, emergencies, staff changes, workload, or technical development).
Patient Services Representative 3 University of CaliforniaPatient Services Representative 3Davis, CA$29.46–$36.63 / hourIn depth knowledge of health care insurance systems, which may include Medi-Cal, MediCare, HMO, PPO, fee-for-service, county funded coverage, and workers' compensation, sufficient to properly obtain and track authorizations, appoint patients, make referrals for consults, diagnostics and ancillary services, coordinate hospital services, complete and submit billing documentation, and explain provisions and requirements to patients. Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.
Patient Services Representative 2 University of CaliforniaPatient Services Representative 2Davis, CA$28.97–$35.93 / hourKnowledge of health care insurance systems, which may include Medi-Cal, MediCare, HMO, PPO, fee-for-service, county-funded coverage, and workers' compensation, sufficient to properly obtain and track authorizations, appoint patients, make referrals for consults, diagnostics, and ancillary services, coordinate hospital services, complete and submit billing documentation, and explain provisions and requirements to patients. Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.
NewRefund Analyst CommonSpirit HealthRefund AnalystRancho Cordova, CADemonstrate a solid understanding of accounts receivable and your role as a Refunds Analyst: Payor Rules & Regulations, Understanding contract language, CCI Coding Issues, Read and interpret DOFR, Comprehend how transactions affect account, Coordination of Benefits rules, Offsets / Takebacks, Payment Posting. Ability to determine correct systems to locate pertinent info: IDX, MPV, Medical Records Systems, Insurance Payor Web Sites, Code Correct Web Site.
Sr. Patient Account Associate Adventist Health SystemSr. Patient Account AssociateRoseville, CAOur compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God''s love by inspiring health, wholeness and hope. Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities.
Sr. Patient Account Associate Adventist HealthSr. Patient Account AssociateRoseville, CAAdventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Requirements: Education and Work Experience: Associate's/Technical Degree or equivalent combination of education/related experience: Required.
INFORMATION TECHNOLOGY SPECIALIST II State Of CaliforniaINFORMATION TECHNOLOGY SPECIALIST IISacramento, CA$8,625–$11,557 / yearThe IT Specialist II meets these responsibilities by leading Information Technology (IT) projects and by performing under general supervision, acts as a team leader on the more complex systems software projects, and/or works independently as a high-level technical specialist on the more complex systems assignments. The State of California has a generous benefits package that includes medical coverage, CalPERS pension upon retirement, two weeks paid vacation per year, two weeks paid sick leave per year, two paid Professional Development Days, one paid Personal Holiday, pre-tax parking fee program.
Engineering Manager Corpay IncEngineering ManagerSacramento, CA$160,000–$190,000 / yearThis role requires a leader who can manage delivery across related domains, coordinate dependencies across teams, and help maintain a strong connection between product priorities, engineering execution, system reliability, and customer outcomes. Ability to manage two related engineering teams across invoice and payment domains, balancing roadmap delivery, operational stability, technical debt, production support, and team development.
Medical Informatics Analyst, Consultant Blue Cross and Blue Shield AssociationMedical Informatics Analyst, ConsultantEl Dorado Hills, CAThe successful candidate will act as "two-in-a-box" collaborator to share LOB Membership Retention & Growth goals, and Covered CA regulatory reporting, translate complex business problems into structured analytical approaches, design smart analytical tools, and leverage internal data structures to uncover CoHC optimization and member acquisition opportunities. Reporting to the Sr Manager of Medical Informatics, this role is responsible for acting as an AI & Analytics partner to key leaders and cross-functional stakeholders across IFP, Actuarial, HQA, Network Operations, and Finance to achieve their Growth-related business objectives.