Grievance & Appeals Nurse Specialist CalOptimaGrievance & Appeals Nurse SpecialistOrange, CA$90,820–$145,312 / yearHigh school diploma required PLUS 5 years of health care/managed care experience required, preferably in the following related areas of responsibility: grievances and appeals, utilization management and/or quality management; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. We are hoping you will join us as a Grievance & Appeals Nurse Specialist and help shape the future of healthcare where you'll be an integral part of our Grievance & Appeals team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders.
26-27 Campus Aide - Valor Academy Middle School Bright Star Schools26-27 Campus Aide - Valor Academy Middle SchoolLos Angeles, CA$18–$20 / hourWhat you'll Bring Minimum: • High school diploma required • Ability to connect and build relationships with students and their families • Ability to facilitate connections with students and faculty • Experience working with at-risk youth a plus • Proactive approach essential Desired (but not required) in order of importance: • Bachelor s Degree or college course units toward BA desired • Strong oral and written communication skills including advocacy skills; fluency in Spanish highly desired • Bilingual in Spanish or Korean preferred. This Campus Aide will primarily support with supervision of students during lunch, recess, supervision of transitions to classes, and clerical support for teachers and office staff.
Genesis Design Center - Senior Professional, Design Program Management Hyundai America Technical Center, Inc.Genesis Design Center - Senior Professional, Design Program ManagementEl Segundo, CA$76,000–$109,000 / yearCollaborate closely with cross-functional teams and internal stakeholders to ensure smooth design project execution. Closely understand requirements and requests from global partner teams and clearly communicate them to designers.
26-27 Campus Aide - Valor Academy Elementary School Bright Star Schools26-27 Campus Aide - Valor Academy Elementary SchoolLos Angeles, CA$18–$20 / hourWhat You'll Do: This Campus Aide will primarily support with supervision of students during lunch, recess, supervision of transitions to classes, and clerical support for teachers and office staff. Must possess Interpersonal skills to establish and maintain effective relationships, demonstrated ability to communicate in situations requiring tact and poise; skilled in confidentiality and discretion.
Clinician Sr (Behavioral Health)(Clinical/Care Management) CalOptimaClinician Sr (Behavioral Health)(Clinical/Care Management)Orange, CA$84,092–$134,548 / yearWe are hoping you will join us as a Clinician Sr (Behavioral Health)(Clinical/Care Management) and help shape the future of healthcare where you'll be an integral part of our Behavioral Health Integration team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. Provides frequent evaluation of members' progress, schedules follow-ups to assess progress, and if progress is static or regressive, identifies the cause and proactively initiates appropriate referrals to a higher level of case management or makes appropriate adjustments in the care plan, providers and/or services to promote better outcomes.
Y AS-NEEDED - Pharmacy Services Specialist CalOptimaY AS-NEEDED - Pharmacy Services SpecialistOrange, CA$47,840–$64,584 / yearWe are hoping you will join us as a AS-NEEDED Pharmacy Services Specialist and help shape the future of healthcare where you'll be an integral part of our Pharmacy Management team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet.
Y AS-NEEDED - Clinical Pharmacist CalOptimaY AS-NEEDED - Clinical PharmacistOrange, CA$120,881–$193,410 / yearParticipates in medication review, disease state management and other clinical quality improvement programs, including Stars and Healthcare Effectiveness Data and Information Set (HEDIS) Quality Improvement Programs, Medication Therapy Management (MTM), interdisciplinary care teams and drug utilization reviews. We are hoping you will join us as an AS-NEEDED - Clinical Pharmacist and help shape the future of healthcare where you'll be an integral part of our Pharmacy Management team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders.
Member Liaison Specialist (Behavioral Health) CalOptimaMember Liaison Specialist (Behavioral Health)Orange, CA$49,754–$69,655 / yearThe Member Liaison Specialist (Behavioral Health) will be responsible for assisting Medi-Cal and OneCare members with behavioral health care management needs in a call center environment, including securing behavioral health appointments for members, following up with members before and after the initial appointment, providing members with information, referring to community resources and assisting members in navigating the behavioral health system of care. We are hoping you will join us as a Member Liaison Specialist (Behavioral Health) and help shape the future of healthcare where you'll be an integral part of our Behavioral Health Integration team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders.
Sr Fraud, Waste and Abuse Investigator (Investigator Sr) CalOptimaSr Fraud, Waste and Abuse Investigator (Investigator Sr)Orange, CA$72,096–$115,353 / yearWe are hoping you will join us as a Sr Fraud, Waste and Abuse Investigator (Investigator Sr) and help shape the future of healthcare where you'll be an integral part of our OOC - Fraud & Waste team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet.
EHS Teacher, Lugo (51267) ST. ANNES MATERNITY HOMEEHS Teacher, Lugo (51267)Lynwood, CA$23.08–$24.85 / hourAbout the Program: The Early Childhood Education (ECE) program is an Early Head Start and Head Start program that services children, ages birth to 5 years of age, and their families. Role Summary: You will directly impact young children, from the ages of 0-3 years old and be responsible for the overall monitoring and active care and supervision of the children in the classroom.
Territory Sales Representative / Restaurant Specialist - East Hollywood, CA SpotOnTerritory Sales Representative / Restaurant Specialist - East Hollywood, CAHollywood, CaliforniaRemoteWe can’t take care of our clients without taking care of our employees first, and that’s why we invest in your wellbeing with a competitive benefits package designed to support your health, family, and future: Medical, Dental, and Vision Options: Nationwide plans to fit your personal healthcare needs. At SpotOn, you will be working in your local assigned territory and responsible for promoting our full product suite while building positive relationships with local businesses & restaurant owners to help take their businesses to the next level.
Automotive Sales Professional - Tustin Lexus Group 1 Automotive, Inc.Automotive Sales Professional - Tustin LexusTustin, California$50,000–$120,000 / yearFull timeQualifications: *]:pointer-events-auto R6Vx5W_threadScrollVars scroll-mb-[calc(var(--scroll-root-safe-area-inset-bottom,0px)+var(--thread-response-height))] scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]" dir="auto"> What We're Looking For. About Us: Group 1 Automotive, Inc. (NYSE: GPI) is a Fortune 250 leader in global automotive retail, operating more than 250 dealerships and collision centers across the United States and United Kingdom.
Supervisor Social Work (PACE) CalOptimaSupervisor Social Work (PACE)Garden Grove, CA$90,820–$145,312 / yearWe are hoping you will join us as a Supervisor Social Work (PACE) and help shape the future of healthcare where you'll be an integral part of our PACE- Clinic team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. Master's degree in social work from an accredited college or university PLUS 3 years of social work experience in a health-related field required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.
Member Liaison Specialist CalOptimaMember Liaison SpecialistOrange, CA$49,754–$69,655 / yearWe are hoping you will join us as a Member Liaison Specialist and help shape the future of healthcare where you'll be an integral part of our CS - Member Liaison team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. Communicates with community-based organizations, health networks, providers and vendors on behalf of members to resolve disputes, helps coordinate access to care and investigates issues preventing members from receiving medical benefits and services.
Activity Coordinator (PACE) CalOptimaActivity Coordinator (PACE)Garden Grove, CAWe are hoping you will join us as a Activity Coordinator (PACE) and help shape the future of healthcare where you'll be an integral part of our PACE- Clinic team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet.
Paraeducator - Bogen EHS (49510) ST. ANNES MATERNITY HOMEParaeducator - Bogen EHS (49510)Los Angeles, CAQualifications: 6+ months' experience as a student intern, tutor, or instructional assistant working in an educational setting with pre-elementary school children is strongly preferred. You will collaborate with and assist Teaching staff in planning, facilitating, and implementing individual and group activities designed to stimulate children's social, emotional, physical, and intellectual growth.
Medical Case Manager CalOptimaMedical Case ManagerOrange, CA$90,820–$145,312 / yearWe are hoping you will join us as a Medical Case Manager and help shape the future of healthcare where you'll be an integral part of our Case Management team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet.
NewMedical Office front and back office Tustin Fyzical Fall Prevention Center and ENT Sinus & AllergyMedical Office front and back officeTustin, California$18–$25 / hourBusy outpatient medical office in need of a full or part time experienced medical assistant who can manage the administrative duties of the front office including scheduling, file management and insurance verifications but also the ability to do back office work if needed. Job duties include: Answer multi-line phones and either direct the caller to the appropriate party or handle basic questions directly.
Activity Coordinator (PACE) CalOptima HealthActivity Coordinator (PACE)Garden Grove, CaliforniaWe are hoping you will join us as a Activity Coordinator (PACE) and help shape the future of healthcare where you’ll be an integral part of our PACE- Clinic team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet.
Customer Service Rep, Covered California CalOptimaCustomer Service Rep, Covered CaliforniaOrange, CA$47,840–$64,584 / yearWe are hoping you will join us as a Customer Service Rep, Covered California and help shape the future of healthcare where you'll be an integral part of our Customer Service team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet.