Regal Medical Group Jobs in United States

Call Center Representative

1 week ago

Job Title: Bilingual Customer Service Representative · We are seeking a skilled and bilingual customer service representative to join our Member Services team. As a key member of our team, you will be responsible for providing excellent customer service to members, health plans, ...

HR Generalist

1 week ago

Job Title: Leave of Absence and Workers' Compensation Specialist · About Regal Medical Group · We are a fast-paced, welcoming, and supportive work environment that promotes teamwork, nurtures learning, and encourages advancement for all employees. Our success depends on our emplo ...

Project Specialist

1 week ago

Regal Medical Group is seeking a Claims Processing Specialist to join our team. This role is responsible for processing and releasing professional claims according to established policies and procedures. Key responsibilities include identifying procedural and system inefficiencie ...

Call Center Lead Auditor

5 days ago

This position is responsible for routine audits on individual's customer service representatives on Customer Service Module and REA/LEAD customers service case. It involves training the customer service representatives and answering questions relating to eligibility, referrals, p ...

physician - family practice thousand oaks

1 day ago

Position Summary: · Provides Family Medicine health care and performs selective medical services under the direction of their Supervising Physician and Chief Medical Officer. · Essential Duties and Responsibilities include the following: · Obtain pertinent health history and perf ...

After Hours Supervisor Inpatient Case Management

1 week ago

Job Description · Position Summary: · The Supervisor (RN) is responsible for managing and overseeing inpatient review as it relates to concurrent review and discharge planning of inpatient cases. The position directly manages the daily operations of the Inpatient department for o ...

Outpatient Coordinator

1 week ago

The Outpatient Coordinator plays a vital role in supporting the delivery of care to members who meet case management criteria. This position is responsible for coordinating non-clinical tasks, including scheduling medical appointments, durable medical equipment, home health, elig ...

Cardiologist

1 day ago

Dynamic Cardiology Practice with a Focus on Preventive Care · Lakeside Community Healthcare, part of Heritage Provider Network, is seeking a Board-Certified or Eligible Cardiologist to join our team in Burbank, CA. · We offer a fast-paced, exciting, welcoming, and supportive work ...

Clinical Project Manager, RN

5 days ago

Clinical Project Manager · The Clinical Project Manager is responsible for ensuring the efficient transition of patients through the inpatient care experience. They oversee contractual relationships and clinical capabilities of inpatient facilities, monitoring the transition proc ...

Case Manager Prior Authorization

1 day ago

Job Title: Case Manager Prior Authorization LVN · The Regal Medical Group is seeking a skilled and experienced Case Manager Prior Authorization LVN to support the process of managing outpatient services. The successful candidate will be responsible for monitoring, auditing, and m ...

Senior Web Developer Coldfusion

1 week ago

Job Title: Sr. Coldfusion Web Developer · The Sr. Coldfusion Web Developer has responsibility for design, testing, installation, training, upgrades, enhancements and ongoing support of all systems developed internally by Regal Medical group and other affiliates of Heritage Medica ...

Lead Claims Examiner

1 week ago

Job Description · To evaluate and determine the appropriate path for expedited processing of all claims, special projects, and escalated reconsiderations originating from various internal and external sources. This role serves as the first level of telephonic and written response ...

Operating Room RN

5 days ago

Job Summary · Assists clinical director in organization and daily function of the operating room in accordance with established Federal, State, and accreditation standards and center policies and procedures. · Essential Duties and Responsibilities · Provides directions and guidan ...

Outpatient Case Manager

1 week ago

Case Manager Outpatient RN · The Case Manager Outpatient RN is responsible for the assessment, treatment planning, intervention, monitoring, evaluation and documentation on identified High Risk members. The goal of the Case Manager Outpatient RN is to effectively manage members o ...

IV Infusion RN Nurse

5 days ago

Position Summary: · The Registered Nurse (RN) will work as part of the patient care team in a staff model clinic. They will provide services that may or may not require licensed staff to render within the scope of practice, including infusion, medication administration, patient e ...

Physician-Primary Care

1 day ago

Position Summary · Provides Family Medicine health care and performs selective medical services under the direction of their Supervising Physician and Chief Medical Officer. · Essential Duties and Responsibilities: · Obtain pertinent health history and perform appropriate physica ...

Network Manager

1 week ago

Marketing Network Manager · Under the direction of the VP of Network Management, the Marketing Network Manager develops and executes marketing plans and oversees specific programs/services in support of organization goals and strategies. Working with multiple departments and stak ...

hcc risk adjustment coder

1 week ago

Job Description: · We are seeking highly skilled HCC Risk Adjustment Auditors/Coders to join our team at Regal Medical Group. · Key Responsibilities: · Maintain and monitor the Quality Assurance auditing plan for outpatient clinical data. · Improve the quality of coding documenta ...

Sr. Healthcare Programmer, Data Analyst

2 days ago

Job Title: Senior Healthcare Programmer/Analyst · The Regal Medical Group is seeking a highly skilled Senior Healthcare Programmer/Analyst to join our team. As a key member of our data analysis department, you will be responsible for designing and executing SQL queries to extract ...

physician-primary care

1 day ago

Position Summary · We are seeking a Family Medicine physician to provide high-quality patient care and medical services in one of our busiest hubs. This role will serve as part of our multidisciplinary team, working closely with Supervising Physicians, Chief Medical Officers, and ...