Managed Care Enrollment Coordinator Loan Administration Network, Inc (LANI)Managed Care Enrollment CoordinatorLos Angeles, CAUnder the direct supervision of the Director of Managed Care Services, the Managed Care Enrollment Coordinator is responsible for implementing patient enabling services, including member's enrollment into Managed Care Plans (MCPs), selection of Primary Care Physicians (PCPs), transfers of MCPs and PCPs, eligibility verification, as well as health care coverage navigation and orientation. The Managed Care Enrollment Coordinator validates and prepares monthly eligibility reports from the contracted Independent Physician Association (IPA) and MCPs, detailing monthly enrollment, disenrollment, as well as new membership outreach and engagement activities, patient assistance and other duties as assigned.
NewHospice Director of Patient Care Services (RN) Mission HealthcareHospice Director of Patient Care Services (RN)Irvine, California$150,000–$165,000 / yearPay range (depending on experience): 150k-165k Schedule/Shift : Mon-Fri 8am-5pm Territory/Location: Irvine, CA Responsibilities Coordinates and oversees all direct and indirect patient services provided by clinical organization personnel. Provides guidance and counseling to coordinators and Clinical Supervisors/Nursing Supervisors to assist them in continually improving all aspects of home health care services, provided through organization personnel.
Hospice Director of Patient Care Services RN Mission HealthcareHospice Director of Patient Care Services RNIrvine, CA$150,000–$165,000 / yearProvides guidance and counseling to coordinators and Clinical Supervisors/Nursing Supervisors to assist them in continually improving all aspects of home health care services, provided through organization personnel. We believe our people, partners, patients and their families deserve care delivered with Compassion, Accountability, Respect, Excellence and Service (CARES), Mission Healthcare's core values.
Care Manager - RN COPE HEALTH SOLUTIONSCare Manager - RNCARemote$80,000–$110,000 / yearOur comprehensive NCQA certified population health management platform and highly experienced team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers. Position Description: The Care Manager (CM) RN will lead a multidisciplinary healthcare team in a primary care / telephonic setting, focusing on coaching and coordination of care for patients needing navigation, addressing nursing care needs and follow up after clinical events.
Director of Care Coordination YalentDirector of Care CoordinationIrvine, CA12+ years of experience in Assisted Living, Skilled Nursing, or Senior Care community settings, with at least 5 years in leadership roles (Executive Director, Administrator, Regional Director, or equivalent). Own the playbooks for how Care Partners handle medication reconciliation, census updates, schedule confirmations, outbound pharmacy communication, callbacks, and escalations — across both facilities and direct consumers.
Enhanced Care Manager- Licensed Vocational Nurse (LVN)- Los Angeles COPE HEALTH SOLUTIONSEnhanced Care Manager- Licensed Vocational Nurse (LVN)- Los AngelesLos Angeles, CAUnder the clinical direction and oversight of the Primary Care Physician and Registered Nurse, the LVN coordinates care for patients needing support by collaborating with the patient, family, physician, nurses, and other members of the ECM healthcare team to identify needs and expedite valuable, appropriate, and cost-effective care. They will engage patients and encourage them to take an active role in their health by providing them with the tools necessary to make healthy lifestyle choices, adopt life-long healthy behaviors, close gaps in care, and reduce unnecessary ER utilization and hospital readmissions.
Transplant Coordinator II - RN (Critical Care/ICU/ER RN's Required!) OneLegacy BrandTransplant Coordinator II - RN (Critical Care/ICU/ER RN's Required!)Azusa, California3. Meets with and solicits advice from the Medical Director(s), Director of Organ Clinical Operations, Supervisor, Donor Management, SOP (Supervisor on call), CRS, Transplant Centers, Attending Physicians, Director of Nursing Services and Nursing Staff concerning donor patient care. 4. Collaborates with the RTS (Referral Triage Specialist), CRS (Clinical Resource Specialist), SOP (on call Supervisor of Organ Procurement), Medical Director of Referral Management and/or clinical leadership to manage active referrals.
Business Development Representative In Home Care Qualicare, Orange County CentralBusiness Development Representative In Home CarePlacentia, CaliforniaBuild and grow a referral pipeline of hospitals, skilled nursing facilities (SNFs), rehabs, assisted living and MCs, primary care and geriatric physicians, hospital case managers, discharge planners, hospice agencies, and community organizations. Qualicare is a nurse-managed home care provider built around a simple promise: families deserve more than a caregiver who shows up — they deserve a clinical partner who advocates for their loved one.
Care Management Specialist II (RN 12 month Contract) L.A. Care Health PlanCare Management Specialist II (RN 12 month Contract)Los Angeles, CAApplies clinical knowledge and experience to evaluate information regarding prospective care management members referred by health risk assessment (HRA), risk stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data sources to determine whether care management intervention is necessary to meet the members needs. Collaborates and communicates with member, family, and interdisciplinary health team to promote wellness and member empowerment, while ensuring access to appropriate services across the healthcare continuum and maximizing member benefit: Serves as clinical advocate for members, active interdisciplinary team member, liaison with other departments and external health care team.
Care Management Specialist II (RN or LCSW) L.A. Care Health PlanCare Management Specialist II (RN or LCSW)Los Angeles, CAApplies clinical knowledge and experience to evaluate information regarding prospective care management members referred by health risk assessment (HRA), risk stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data sources to determine whether care management intervention is necessary to meet the members needs. Collaborates and communicates with member, family, and interdisciplinary health team to promote wellness and member empowerment, while ensuring access to appropriate services across the healthcare continuum and maximizing member benefit: Serves as clinical advocate for members, active interdisciplinary team member, liaison with other departments and external health care team.
Patient Care Navigator COPE HEALTH SOLUTIONSPatient Care NavigatorLos Angeles, CA$22–$25 / hourLeveraging our extensive, hands-on expertise in helping IPAs, ACOs and health systems achieve successful outcomes in risk contracts, our team of managed care experts draw insights from the analytic outputs that are tailored to each organization's unique circumstances to interpret the data and recommend initiatives to help improve total cost and quality. COPE Health Solutions' Analytics for Risk Contracting (ARC) Suite provides a powerful array of analytic and reporting tools designed to achieve optimal value and performance for organizations currently in or planning to move to risk-based arrangements.
Patient Care Navigator- Entry Level COPE HEALTH SOLUTIONSPatient Care Navigator- Entry LevelLos Angeles, CA$22–$25 / hourLeveraging our extensive, hands-on expertise in helping IPAs, ACOs and health systems achieve successful outcomes in risk contracts, our team of managed care experts draw insights from the analytic outputs that are tailored to each organization's unique circumstances to interpret the data and recommend initiatives to help improve total cost and quality. COPE Health Solutions' Analytics for Risk Contracting (ARC) Suite provides a powerful array of analytic and reporting tools designed to achieve optimal value and performance for organizations currently in or planning to move to risk-based arrangements.
Director Of Care Coordination YalentDirector Of Care CoordinationIrvine, CA$160,000–$200,000 / year12+ years of experience in Assisted Living, Skilled Nursing, or Senior Care community settings, with at least 5 years in leadership roles (Executive Director, Administrator, Regional Director, or equivalent). Own the playbooks for how Care Partners handle medication reconciliation, census updates, schedule confirmations, outbound pharmacy communication, callbacks, and escalations — across both facilities and direct consumers.
Care Management Coordinator III (2 Open Positions) L.A. Care Health PlanCare Management Coordinator III (2 Open Positions)Los Angeles, CAResponsible for the timely, end to end management of care coordination of DHS cases, including obtaining specialty authorizations, scheduling appointments, initiating the coordination of referrals to internal departments and external community resources, ensuring accurate and compliant documentation, managing computer data input, secure communications, and the organization of confidential member information, as well as maintaining logs of activity, etc. Facilitates, documents, schedules and organizes Interdisciplinary Care Team meetings, manages regulatory notifications by monitoring utilization trends and initiating timely communication with Primary Care Physician (PCP), PPG and members during a transition of care.
Family Practice Physician VieMed Healthcare StaffingFamily Practice PhysicianLos Angeles, CAThis role offers a stable schedule for part-time providers and a chance to make a meaningful impact in patients lives while working in a friendly, supportive environment. This role is ideal for clinicians with at least 2 years of experience and bilingual skills in Spanish, offering a stable schedule with consistent patient volume.
Family Practice Physician (MD/DO) Anphon CorporationFamily Practice Physician (MD/DO)Inglewood, CAPart timeEssential duties and responsibilities include the following: Obtain health history and perform physical examinations; Diagnose and direct counseling for each patient on a plan for treatment; Prescribe medication in accordance with California statute and professional practice guidelines; Perform minor surgical procedures; Arrange referral for patients requiring services not offered at Anphon Medical Center; Review incoming reports (e.g. The position involves providing full scope of primary care services including but not limited to diagnosis, treatment, coordination of care, preventative care and health maintenance for patients of all ages, focusing on preventive medicine, chronic disease management, and overall wellness.
Part Time Physician MD/DO Part Time Tia IncPart Time Physician MD/DO Part TimeCAYou're adept at providing primary care services to women including: preventative care, hypertension management, diabetes management, urgent care concerns (coughs, sore throat, abdominal pain, etc.), basic dermatological condition management, STD screens, UTI & vaginal infections consults, pelvic pain, vaginal bleeding, birth control counseling, etc., and are motivated to deliver this care and collaborate with other members of the care team to ensure every Tia patient receives excellent care. We practice excellence at Tia by demonstrating the following types of behaviors: • We chose (and actively choose) excellence as Tia's highest order value because it crystalizes into one word several behaviors that we hold dear, specifically: • A drive to constantly improve through experimentation, reflection, and an insatiable growth mindset - said another way, we're energized by the possibility of invention, innovation, and iteration • Being present in and grateful for the journey - not just the goal line.
Physician - PACE - Redondo Beach Los Angeles Jewish HealthPhysician - PACE - Redondo BeachRedondo Beach, California$250,000–$275,000Participates as an active member of the Interdisciplinary Team by attending Intake and Assessment meetings; participating in daily meetings, family meetings and clinical case conferences as needed; consulting with Nurses and other staff as medical care issues arise; and attending staff and other meetings when appropriate and possible. Collaborates with and supervises Nurse Practitioner activities including: reviewing quarterly participant assessments and co-signing Plans of Care; providing consultation, reviewing evaluations and co-signing intervention plans for episodic illness; and performing formal assessment and physical exams on every participant followed by the Nurse Practitioner at least annually.
Family Medicine Physician MASC MedicalFamily Medicine PhysicianLos Angeles, CaliforniaWe are seeking a dedicated Family Medicine Physician to join a mission-driven outpatient healthcare organization serving underserved and uninsured patient populations in the greater Los Angeles area. Collaborate with physicians, advanced practice providers, behavioral health professionals, and support staff to ensure coordinated patient care.
Family Medicine Physician HCP TalentFamily Medicine PhysicianWilmington, CaliforniaPhysicians work alongside an integrated care team that includes primary care physicians, specialists, advanced practice providers, behavioral health clinicians, and dental professionals. This is an excellent opportunity for physicians seeking meaningful work in a collaborative outpatient environment with strong work-life balance and the ability to make a measurable impact on community health.