Utilization Management Coordinator II Mso - Gilbreth Road Burlingame, California, United States

Description · The Managed Care Compliance and Audit Coordinator (C & A Coordinator) works closely with the Managed Care Compliance and Audit Manager to assist with compliance and auditing functions of NEMS MSO (Management Services Organization), including, but not limited to, int ...

Description · The Managed Care Compliance and Audit Coordinator (CA Coordinator) works closely with the Managed Care Compliance and Audit Manager to assist with compliance and auditing functions of NEMS MSO (Management Services Organization), including, but not limited to, intern ...

Description · The MSO Provider and Client Services Representative (PCSR) is responsible for providing general administrative support to the MSO Department and works in conjunction with the MSO Value Based Care Programs team. · This position is responsible for handling inquiries f ...

Description · The Utilization Management (UM) Nurse is a licensed nursing professional responsible for reviewing UM cases and discharge planning activities. The UM Nurse may also assist with preparing files for audits and required reporting and ensuring UM cases are reviewed and ...

Description · The Health Services and Care Coordinator plays an important and unique role in the MSO Care Coordination and Case Management team. Candidate is required to have well understanding to the many benefits and coverage offered by the different managed care products, incl ...

Description · SUMMARY OF POSITION: · The Health Services and Care Coordinator plays an important and unique role in the MSO Care Coordination and Case Management team. Candidate is required to have well understanding to the many benefits and coverage offered by the different mana ...

The Utilization Management (UM) Nurse is responsible for reviewing UM cases and discharge planning activities. · The UM Nurse will work closely with the UM/QI Manager, MSO UM team, MSO Medical Director, and MSO Physician Reviewer on UM case reviews. · Applies clinical skills and ...

Description · The Claims Manager is responsible for overseeing the end-to-end claims operations within the MSO managed care delegated functions.  This role provides guidance on healthcare claims adjudication and payment processing for Medi-Cal, Medicare, PACE, and other lines of ...

Description · The Senior Data Analyst will be responsible for projects involving research, analysis, and the presentation of findings, insights, and recommendations based on various factors (ex: data insights, regulatory changes, feedback from QA reviews, market information, etc. ...

Description · Nurse Case Managers are licensed nursing professional responsible for coordinating continuum of care and discharge planning activities, developing individualized person- centered care plans and goals, and facilitating case conferences among all service providers for ...

Description · SUMMARY OF POSITION: · Nurse Case Managers are licensed nursing professional responsible for coordinating continuum of care and discharge planning activities, developing individualized person- centered care plans and goals, and facilitating case conferences among al ...

Description · Nurse Case Managers are licensed nursing professional responsible for coordinating continuum of care and discharge planning activities, developing individualized person- centered care plans and goals, and facilitating case conferences among all service providers for ...

Description · SUMMARY OF POSITION: · Nurse Case Managers are licensed nursing professional responsible for coordinating continuum of care and discharge planning activities, developing individualized person- centered care plans and goals, and facilitating case conferences among al ...

Description · The MSO Value-Based Care (VBC) Program Specialist I is responsible for providing support for the various Medicare and Medi-Cal VBC programs' performance and improvement activities that include facilitation of program implementation and monitoring of intervention act ...

The MSO Value-Based Care Program Specialist I provides support for various Medicare and Medi-Cal VBC programs' performance and improvement activities. · Participate in various Medicare and Medi-Cal VBC programs and activities. · Compile and review statistical data collected from ...

Nurse Case Managers are licensed nursing professionals responsible for coordinating continuum of care and discharge planning activities,Nurse Case Managers act as consultant to the clinical team, service lines, and other departments regarding patient assessment and patient care,T ...

Nurse case managers coordinate continuum of care and discharge planning activities. · Develop individualized person-centered care plans and goals · Facilitate case conferences among all service providers · ...

Nurse Case Managers are licensed nursing professionals responsible for coordinating continuum of care and discharge planning activities. · Develops and manages individualized plan of care to assure consistent timely and appropriate care is provided in a patient-focused manner. · ...

Serves customers in a fast efficient courteous manner. · ...

We're looking for a Regional Sales Manager to expand SleepQuest's presence throughout the San Francisco Bay Area and surrounding regions. As a key player in our sales team, you'll leverage your healthcare sales experience to build strong provider relationships, drive growth, and ...