Make patient assessments and determining appropriate levels of care. Determine if additional clinical treatment sessions are needed. Coordinate benefits and transitions between various areas of care. Skills and Requirements Include: Licensed Master's degree. Licensed Ph. D.
Graduate of an approved program of Nursing. Active, unrestricted RN license in state of California. Experience in a managed care setting. Three years supervisory/management experience in a healthcare environment. Evidence of have attained certification in Case Management (CMC) (CCMC) or (CMAC)
Ability to be licensed in other states such as California per client requirements. 3 - 5+ years of clinical experience in Nursing. Proficient computer skills utilizing and navigating multiple applications at one time including Citrix, Outlook, MS office.
Must be able to: Ensure medically appropriate, high-quality, cost-effective care through assessing the medical necessity of inpatient admissions and extensions. Partner with physician clinical reviewers and/or medical directors to interpret appropriateness of care.
A managed care company is seeking a Telecommute Information Security Compliance Analyst in Long Beach. Candidates will be responsible for the following: Ensuring compliance with Information Security policies. Conducting Information Security compliance and risk assessments.
A company that provides health and human service programs has an open position for a Remote Regional QI Supervisor in Northern California. Individual must be able to fulfill the following responsibilities:
A health IT company is searching for a person to fill their position for a Telecommute Commercial Account Manager. Must be able to: Act as primary day-to-day contact for assigned client book of business. Work collaboratively with extended client services team to drive high client satisfaction.
Qualifications for this position include: Knowledge of SQL, SAS or other relational database software. 2 years of managed care or healthcare experience. Bachelor of Science/Arts Degree in accounting, finance, economics, computer sciences or related field.
Three to five years’ experience performing medical record coding in acute care setting required. Required: AHIMA or AAPC approved credential. Attends mandatory coding seminars on annual basis. All other requirements necessary for this position.
Qualifications Include: Valid Driver’s License and California Auto Insurance. California Registered Nurse license. 2+ years clinical nursing experience. Workers’s Compensation Case Management experience or fluent in Spanish. Ability to use Microsoft Word and Excel efficiently.