Appeals Coordinator Integrated Resources, IncAppeals CoordinatorOrange, CaliforniaContractorEssential Functions: · Maintain a caseload of appeals, non-authorizations, provider disputes and/or PA review scheduling as assigned- Process appeals, non-authorizations and provider disputes according to policies, work flows. · Contribute to CMC/Client's office and department CQI processes by participating in unit goal setting, scorecard development and departmental meetings.
Credentials Coordinator HiredFirstCredentials CoordinatorLos Angeles, CA$38Job Requirements: Education and Work Experience: High School Education/GED or equivalent: Preferred Associates/Technical Degree or equivalent combination of education/related experience: Preferred Two years' experience in a medical staff services department or other related setting: Preferred Facility Specific License/Certifications: Hospital Fire and Life Safety (HLFS): Required Essential Functions: Engages in all assigned credentialing functions for medical and allied health staff, which may include: appointment, reappointment, privileging and focused professional practice evaluations/proctoring. Job Summary: Performs core functions of the credentialing lifecycle to include initial appointments and reappointments, data collection, primary source verification, privileging and file maintenance.
Colony Manager Program Coordinator City of HopeColony Manager Program CoordinatorDuarte, CAAs a successful candidate you will: Serve as the primary liaison between Comparative Medicine (CCM) staff and research teams, collaborating with investigators to develop strategic breeding plans and ensure production goals are met through effective colony management. AALAS Learning Library Transgenic Training Program Courses on Breeding and Colony Management offered by Charles River Laboratory, Jackson Laboratory or any other Educational Training is preferred.
Back office/Referral Coordinator Bespoke Dermatology & AestheticsBack office/Referral CoordinatorArcadia, California$18–$22Soft Skills: Strong communication skills, great attention to detail, and a friendly, patient-focused attitude. Team Communication: Work closely with doctors, medical assistants, and our team to share medical records safely.
Bed Coordinator, Case Manager Utilization RN, 24/hr Night Kaiser PermanenteBed Coordinator, Case Manager Utilization RN, 24/hr NightBaldwin Park, CAReviews, analyses and identifies utilization patterns and trends, problems or inappropriate utilization of resources and participates in the collection and analysis of data for special studies, projects, planning, or for routine utilization monitoring activities. Coordinates the interdisciplinary approach to providing continuity of care, including Utilization management, Transfer coordination, Discharge planning, and obtaining all authorizations/approvals as needed for outside services for patients/families.
Lead Patient Admissions Coordinator - Patient Access Providence Health & ServicesLead Patient Admissions Coordinator - Patient AccessBurbank, CARequsition ID: 452357 Company: Providence Jobs Job Category: Patient Access Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Evening Career Track: Admin Support Department: 7001 PSJMC PATIENT ACCESS Address: CA Burbank 501 S Buena Vista St Work Location: Providence Saint Joseph Medical Ctr-Burbank Workplace Type: On-site Pay Range: $25.00 - $37.98 Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School.
Nursing Admin. Care Coordinator FT Variable 7am-3:30pm AHMC HealthcareNursing Admin. Care Coordinator FT Variable 7am-3:30pmMonterey Park, CaliforniaPerforms a variety of responsible and specialized administrative and office support functions; creates and maintains specialized reports, records and files required in connection with department work processes. Overview: JOB SUMMARY Under the supervision of the NOPS Director or designee, assist in planning, organizing, implementing and evaluating the activities occurring in the administration department by performing facilitator duties and maintain the physical environment of the area.
Nursing Admin. Care Coordinator PT Variable 7am-3:30pm AHMC HealthcareNursing Admin. Care Coordinator PT Variable 7am-3:30pmMonterey Park, CaliforniaPerforms a variety of responsible and specialized administrative and office support functions; creates and maintains specialized reports, records and files required in connection with department work processes. Overview: JOB SUMMARY Under the supervision of the NOPS Director or designee, assist in planning, organizing, implementing and evaluating the activities occurring in the administration department by performing facilitator duties and maintain the physical environment of the area.
NewAmbulatory Pharmacy Operations Coordinator Providence Health & ServicesAmbulatory Pharmacy Operations CoordinatorMission Hills, CAResponsibilities include patient care coordination and scheduling of referrals, answering incoming pharmacy-related telephone calls, emails, chat messages and faxes, addressing pharmacy-related gaps in care with patients and escalating patient issues to the pharmacist, assisting with prior authorizations, perform duties under protocol, and support general pharmacy-related issue resolution under the guidance and direction of Pharmacists. Requsition ID: 454826 Company: Providence Jobs Job Category: Pharmacy Job Function: Clinical Care Job Schedule: Full time Job Shift: Day Career Track: Clinical Support Department: 7520 RX CALL CENTER CA HERITAGE SERVICES Address: CA Anaheim 200 W Center St Promenade Work Location: St Joseph Home Health-Anaheim Workplace Type: Hybrid Pay Range: $27.92 - $42.73
HR Coordinator BiorayHR CoordinatorIrvine, CAThis role ensures that managers are supported, employees are processed correctly, and HR systems operate as a structured and reliable function that scales with the business. This seat supprots the systems, processes, and execution that ensure HR runs accurately, consistently, and without gaps as BIORAY scales.
Registered Nurse, Case Manager & Care Coordinator Team Lead AltaMedRegistered Nurse, Case Manager & Care Coordinator Team LeadNorwalk, CAA minimum of 1 year of experience is preferred in a managed care setting, preferably in utilization or case management in an ambulatory or inpatient setting. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.
Patient Care Coordinator AltaMedPatient Care CoordinatorCommerce, CA$25–$31.03 / houris concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report. Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations.
NewSenior Credentialing Coordinator AltaMed Health Services CorpSenior Credentialing CoordinatorMontebello, CA$27.56–$34.45 / hourThe Credentialing Specialist position specializes in credentialing activities, coordinates the credentialing functions, performs analytical and critical thinking skills when credentialing/re-credentialing an applicant, and acts as a liaison between the credentialing staff and administration within the parameters established by the Credentialing Manager/Chair/Designee/CMO. Under the direction of the Credentialing Supervisor, the Credentialing Specialist is responsible for processing initial and re-credentialing applications for physicians, mid-levels, dentists, and all other applicable providers.
Home Care Attendant myPlace HealthHome Care AttendantCompton, CaliforniaYou’ll provide personal care tailored to each participant’s treatment plan, work closely with the Home Care Coordinator to monitor and respond to changes in participants' conditions, and engage in social activities that bring joy and companionship. As a PACE (Program of All Inclusive Care for the Elderly) organization backed by SCAN Group, myPlace Health brings together customized medical care, social activities, and daily support for participants and their families – all under one roof.
Eligibility Coordinator myPlace HealthEligibility CoordinatorCompton, CaliforniaAs a PACE (Program of All Inclusive Care for the Elderly) organization backed by SCAN Group, myPlace Health brings together customized medical care, social activities, and daily support for participants and their families – all under one roof. Behind that experience is a dedicated, interdisciplinary team working together to coordinate care, remove barriers, and improve quality of life for some of the most medically and socially complex populations.
Research Coordinator II University of Southern CaliforniaResearch Coordinator IILos Angeles, CA$36.90–$40.71 / hourWhen extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations. Interacting with other departments and core resources at NCCC (Clinical staff, Data Sciences Core, Translational Pathology Core, etc) to identify potentially eligible participants and obtain study-related data.
NewCOORDINATOR, INPATIENT ADMISSIONS Pomona Valley Hospital Medical CenterCOORDINATOR, INPATIENT ADMISSIONSPomona, CA$26.69–$37.55 / hourPosition Summary:The Inpatient Admissions Coordinator is responsible for coordinating the inpatient admission process by verifying insurance eligibility and securing insurance authorizations (including the IPA/Medical Group/PPG), following post stabilization and or inpatient notification processes for all inpatient admissions, inpatient transfers, and observation admissions. Working with minimalsupervision, the Inpatient Admissions Coordinator manages moderate to complex cases, communicates directly with payers, clinical teams, and case management, ensuring all information is documented accurately within the financial system.
Sr. Program Coordinator CIBDSr. Program CoordinatorOrange, CAFull timeProgram Coordination : Coordinate team meetings, training sessions, and program-related events; Manage program communications and serve as a point of contact for inquiries; Support onboarding and training of new care coordination staff; Assist with budget tracking, invoice processing, and procurement activities; Collaborate with cross-functional teams including clinical staff, billing, and compliance departments; Support care coordination activities for program participants; Help identify and address barriers to care access; Contribute to quality improvement efforts. Administrative Support: Maintain accurate and organized program records and documentation; Coordinate scheduling for program activities, meetings, and appointments; Prepare reports, presentations, and correspondence as needed; Manage program databases and ensure data integrity; Support communication between team members, healthcare providers, and stakeholders; Assist with general office operations and administrative tasks.
LVN Care Coordinator Allcare Home HealthLVN Care CoordinatorGlendale, California$30–$35Job Description: All Care Home Health is currently seeking a Licensed Vocational Nurse (LVN) Care Coordinator to join our team supporting the Kaiser region . We are looking for a motivated and organized LVN who can help coordinate patient care and ensure smooth communication between clinicians, patients, and the office.
Medical Assistant Bienestar Human ServicesMedical AssistantEast Los Angeles, CA$22–$27 / hourAct as a liaison between patients/participants, healthcare providers, mental health care, substance abuse care, Medication Assisted Treatment (MAT), social services (e.g., housing navigation, legal services, employment services, shelter, etc.) and other relevant programs across the agency to promote effective communication. The position focuses on providing knowledge and skills regarding primary care, HIV/AIDS, STDs, Hepatitis, Substance Abuse, Mental Health and addressing the social determinants of health and community barriers that increase health disparities for Latino LGBTQ+ and underserved community members.