HEDIS Nurse (LVN)

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APPLY NOW Job Number 19-00214 Job Type Direct Placement Category Nursing 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 […]

Data Entry

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APPLY NOW Job Number 19-00203 Job Type Full Time/Contract Category Administration Location Irvine, CA Job Description JOB TITLE Date Entry LOCATION Orange County, CA DESCRIPTION Update company databases with information as it becomes available Correct and modify inaccurate files and records Transfer data from written records, and paper formats via computer, recorders, or scanners Handle […]

UM Quality Improvement Nurse

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APPLY NOW Job Number 19-00207 Job Type Direct Placement Category Case Management Location Torrance, CA Job Description Position   UM Quality Improvement Nurse (IPA/Medical Group)   Description   Under the direction of the Manager, Utilization Management, the UM Quality Improvement Nurse ensures that all UM functions are in compliance with health plan and regulatory standards.  […]

UM QI and UM Review Nurse – Medical Group/IPA

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APPLY NOW Job Number 19-00168 Job Type Direct Placement Category Managed Care Nursing Location Torrance, CA Job Description Position UM Review Nurse (IPA/Medical Group)   Description   UM Review Nurse Under the direction of the UM Manager and the Senior Director of Medical Management, as defined through the authority of the Medical Director, evaluates requests […]

Certified Medical Coder; Physician Surgical

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APPLY NOW Job Number 19-00147 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 […]

Administrative Assistant

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APPLY NOW Job Number 19-00200 Job Type Full Time/Contract Category Administration Location Irvine, CA Job Description JOB TITLE Administrative Assistant LOCATION Tustin, CA DESCRIPTION Answering high-volume incoming calls Provides quality administrative support to Management team Coordinates meeting and travel arrangements Composes electronic written communication Provides administrative support in starting and completing projects JOB REQUIREMENTS Minimum […]

Transplant Case Manager-Medical Group

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APPLY NOW Job Number 19-00169 Job Type Direct Placement Category Managed Care Nursing Location Torrance, CA Job Description Position Transplant Case Manager / Medical Group (IPA/Medical Group) Description The Out of Area (OOA) and Transplant Care Manager provides evidence-based concurrent case management to support the delivery of effective and efficient member care in the acute […]

Accountable Care Coordinator

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APPLY NOW Job Number 19-00235 Job Type Full Time/Contract Category Quality Assurance Location Fountain Valley, CA Job Description Position Accountable Care Coordinator Description Under the direction of the Executive Director of Accountable Care Organization (ACO), the ACO Care Coordinator serves as a resource and liaison to ACO patients, physician practices, case managers and the health […]

UM Coordinator

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APPLY NOW Job Number 19-00236 Job Type Direct Placement Category Utilization Management 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 […]

Facilities Coordinator

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APPLY NOW Job Number 19-00246 Job Type Full Time/Contract Category Recruiting Location Rancho Cucamonga, CA Job Description JOB TITLE Facilities Coordinator LOCATION Rancho Cucamonga, CA DESCRIPTION This position requires a good working knowledge of facilities operations for multiple site locations. Works effectively and provides timely response to a wide range of facilities support requests, building […]