Ambulatory Care Manager – RN

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APPLY NOW Job Number 19-00371 Job Type Direct Placement Category Case Management Location Torrance, CA Job Description Position Ambulatory Care Manager – RN Description The Ambulatory Care Manager RN (ACM) coordinates and monitors the health needs of members, such as pain, symptom management, behavioral health, DME’s, home health, assistance with daily living, and/or community resources. […]

Certified Medical Coder; Physician Surgical

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APPLY NOW Job Number 19-00378 Job Type Direct Placement Category Coding Location Los Angeles, CA Job Description Position Certified Medical Coder; Surgical Physician Inpatient Surgical Services Description The Certified Medical Coder (Coder) assigns diagnosis and procedural codes and modifiers for physician inpatient and outpatient surgical cases. The Coder also verifies and audits physician-completed charge tickets […]

Case Manager RN

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APPLY NOW Job Number 19-00417 Job Type Full Time/Contract Category Recruiting Location Pasadena, CA Job Description Position UM Review Nurse – RN (Managed Care/Medical Group) Description The Utilization Nurse is responsible to assure health care services are available to Medical Group members in an appropriate cost-effective manner and delivery of those services to promote healthy […]

Refund Specialist

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APPLY NOW Job Number 19-00425 Job Type Full Time/Contract Category Billing/Collections Location Santa Ana, CA Job Description POSITION SUMMARY Seeking a Refund Specialist who will focus on reviewing and processing patient and insurance refunds. The Refund Specialist will analyze refunds which will include an overview of amounts billed and paid which will result in a […]

Pharmacy Technician-Customer Service

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APPLY NOW Job Number 19-00440 Job Type Full Time/Contract Category Recruiting Location Rancho Cucamonga, CA Job Description JOB TITLE PHARMACY PROGRAM SPECIALIST JOB DESCRIPTION Under the direction of the Medicare Pharmacy Program Specialist Supervisor, the Medicare Pharmacy Program Specialist is responsible for the technical management of Medicare Part D Coverage Determination and Exception requests.  The […]

UM Coordinator

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APPLY NOW Job Number 19-00369 Job Type Direct Placement Category Recruiting Location Monterey Park, CA Job Description Position UM Coordinator (IPA/Medical Group)   Description Provides access to appropriate services within the time frame specified by NCQA and NIPAC standards.  Guidelines used to determine medical necessity for all authorizations are based on established community standards Will […]

Junior Estimator

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APPLY NOW Job Number 19-00388 Job Type Direct Placement Category Recruiting Location Anaheim, CA Job Description JOB TITLE Junior Estimator Our client is looking for a full-time salaried Project Coordinator/Jr. Estimator to join their team! They are mid-size successful and growing insulation company and have been doing business in Los Angeles and Orange County since […]

Contract Billing Analyst

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APPLY NOW Job Number 19-00426 Job Type Full Time/Contract Category Recruiting Location Santa Ana, CA Job Description Position Contract Billing Analyst Description This client is hiring a Contract Billing Analyst. The position will report to the Director, Revenue Cycle and will focus on reviewing, billing and following up on Direct Bill Invoice accounts to RP […]

HEDIS Nurse (LVN)

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APPLY NOW Job Number 19-00406 Job Type Direct Placement Category Recruiting Location El Monte, CA Job Description Position QCI HEDIS Nurse (LVN) Description: The QCI HEDIS Nurse is responsible for performing medical record review and audit, data extraction and maintaining the HEDIS data and computer systems. This position will provide clinical support, training, development and […]

Risk Adjustment Data Analyst

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APPLY NOW Job Number 19-00443 Job Type Direct Placement Category Recruiting Location El Monte, CA Job Description POSITION Risk Adjustment Data Analyst LOCATION El Monte, Ca SUMMARY The Risk Adjustment Data Analyst is responsible for providing data reporting support to Risk Adjustment departments by analyzing, reviewing, forecasting, trend, and present information and recommendations on quality […]