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mst
3 weeks ago
LA Healthcare & Professional Inc. La Mirada, United StatesMedical-surgical telemetry (medsurg tele) nurses are registered nurses who specialize in caring for patients with acute medical conditions and those requiring telemetry monitoring. Their responsibilities may include: · 1. Assessment and Monitoring: Conducting comprehensive assess ...
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Business Analyst
4 weeks ago
West Advanced Technologies Downey, United StatesPosition: Business Analyst · Location: Downey, CA · Duration: 12+ months · Description: · A Business Solutions Analyst performs business systems analysis and is responsible for work that involves applying analytical processes to the planning, design and implementation of new ...
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Senior Manager of Programs
3 weeks ago
InsideHigherEd East Los Angeles, United States Administrative Jobs ,· Senior Manager of Programs & Operations, Fink Center for Finance · University of California Los Angeles · Requisition Number: 37916 · Salary: $5,592 - $12,592 monthly · Position Description: · The Fink Center for Finance and Investments ("The Fink Center") serves as the focal ...
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Director, Perinatal Services
1 week ago
AHMC Healthcare Anaheim, United StatesOverview: · The Director of Perinatal Services is accountable for the strategic planning, direction, organization and control of the inpatient Womens Services Department and the Neonatal Intensive Care Unit (NICU). This position is responsible for the direction of clinical deliv ...
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Huntington Hospital Pasadena, United States Full timeExpectations: · The Nurse Practitioner, Hospitalist assumes a pivotal role in delivering comprehensive healthcare services to patients, fostering close collaboration with board-certified/eligible physicians. This role encompasses the diagnosis of illnesses, formulation and manage ...
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Per Diem Alcohol Nurse Counselor
1 week ago
Kaiser Garden Grove, United StatesJob Summary: · Responsible for nursing assessment, monitoring and support of outpatients and/or inpatients by the Addiction Medicine Department. · Essential Responsibilities: Conducts Nursing assessments of patients, screening for detoxification needs and other health-related c ...
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Part Time Psychiatric Nurse Practitioner
3 weeks ago
Discovery Behavioral Health logo Torrance, United States Part timeThe Psychiatric Nurse Practitioner is responsible for proving psychiatric assessments and ongoing treatment to all clients. Maintains open communication lines with Executive Director, Medical Director, Director of Nursing, facility staff, attending clinicians, clients and familie ...
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Keck School of Medicine Los Angeles, United States· The University of Southern California (USC), founded in 0, is the largest private employer in the City of Los Angeles. As an employee of USC, you will be a part of a world-class research university and a member of the "Trojan Family," which is comprised of the faculty, student ...
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Nurse Practitioner
1 week ago
Cedars-Sinai Pasadena, United StatesGrow your career at Cedars-Sinai · The Smidt Heart Institute is home to a distinguished team of experts who are setting the bar for cardiovascular treatment in the United States. The Institute unites 16 centers and programs to diagnose and treat the full spectrum of heart and va ...
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Medical Specialist
3 weeks ago
Grampians Health Los Angeles, United StatesConsultant Psychiatrist in Specialist Mental Health services · AOD services, Consultation Liaison, Eating Disorder programs · Up to $20,000 incentive payments may be available to support relocation · (Be reimbursed for rent, childcare, school fees, relocation costs and more). ...
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Medical Director
1 week ago
Molina Healthcare Long Beach, United StatesJob DescriptionJOB DESCRIPTIONJob SummaryResponsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and procedures that guide and support the provisions of medical staff services. Maintai ...
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Medical Director
3 weeks ago
Molina Healthcare Long Beach, United States**JOB DESCRIPTION** · **Job Summary** · Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and procedures that guide and support the provisions of medical staff services. Maintain ...
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Practicum Liaison
3 days ago
Azusa Pacific University Azusa, United StatesPosition Title: DCFS Practicum Liaison (LADCFS + UCLA Academy of Workforce Excellence), Part-time, 1-year non-renewable, Department of Social Work Faculty position · Position Tracking Number: F753 · School/College: School of Behavioral and Applied Sciences · Department: Social Wo ...
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Community Care LVN
3 weeks ago
CINQCARE Long Beach, United StatesJob Description · Job DescriptionCINQCARE · Community Care LVN · Position Description · Overview · The Community Care LVN reports to the Chief Medical Officer ACO REACH with accountability for providing strategy, judgment, organization, and evidenced-based analysis to influence d ...
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Agile Team Coach/Scrum Master
3 weeks ago
CACI International Inc Pasadena, United States Full timeAgile Team Coach/Scrum MasterJob Category: Information TechnologyTime Type: Full timeMinimum Clearance Required to Start: Public TrustEmployee Type: RegularPercentage of Travel Required: Up to 25%Type of Travel: Continental US* * * CACI's Business Systems Operating Group is searc ...
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Nurse Practitioner, HCC Wellness
1 day ago
Regal Medical Group Los Angeles, United StatesJob Description · Education and/or Experience: · Active California Nurse Practitioner License · Active California RN License · Current BLS certification · Valid California Driver's License and proof of insurance. · HCC experience · Demonstrated proficiency in use of Microsoft O ...
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Manager - Vascular and Interventional Clinic
2 weeks ago
Rezolut West Covina, United StatesWe are looking for a hands-on VIC Department Manager that is consistently reliable, customer service driven, responsible for team development and motivation, who is a coach and respectful disciplinarian with positive reinforcement, and capable of effective multi-tasking in a fa ...
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Clinical Access Manager
1 week ago
UCLA Health Santa Monica, United StatesJOB DUTIES · Description As the Clinical Access Manager, you will oversee the patient triage and subsequent placement process with a behavioral health provider either within UCLA Behavioral Health Associates, UCLA Behavioral Health Network, or appropriate connections with anoth ...
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Dept. & App Admin Ast III
6 days ago
University of California Irvine, United States Full timeRequired Qualifications · Job Opening ID: 70095 Reports To: CAO Working Title: DEPT. & APP ADMIN AST III Department: Anesthesiology Bargaining Unit: CX FLSA: Non-Exempt Payroll Job Code: Job Location: UCI Campus- Irvine Percent of Time: 100% Work Schedule: 7:30-4, M-F Employee C ...
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Behavioral Health Clinical Advisor
4 days ago
UCLA Health Santa Monica, United StatesJOB DUTIES · Description In this role, you will provide a range of services to multidisciplinary teams with emphasis on outpatient practices of the UCLA Health-Behavioral Health Associates serving adult, geriatric populations, child and adolescents. Duties may include psychosoc ...
Nurse Practitioner Liaison - Cerritos, CA, United States - The Oncology Institute
Description
Founded in 2007, The Oncology Institute of Hope and Innovation (TOI) is advancing oncology by delivering highly specialized, value-based cancer care in the community setting .
TOI is dedicated to offering cutting edge, evidence-based cancer care to a population of more than 1.7 million patients including clinical trials, stem cell transplants, transfusions, and other care delivery models traditionally associated with the most advanced care delivery organizations.
With 100+ employed clinicians and more than 800 teammates in 60+ clinic locations and growing.The Utilization Management Clinical Liaison will serve as a critical clinician expert working in partnership with The Oncology Institute s utilization management/chemotherapy prior authorization teams.
The specialist will provide clinical guidance to these teams, address and/or oversee authorization escalations, and ensure that appropriate regimens are deployed to achieve high quality care that is consistent with our value-based model, as well as ensure that appropriate authorizations are requested based on payer and clinical diagnosis.
The position will also serve in a key liaison role to all TOI s practicing Medical Oncologists, and coordinate with the Medical Director of Utilization Management and clinical and administrative UM leadership.
This is a key corporate office role ensuring high quality and efficient treatment for cancer patients in our clinics across the company.
Ensure appropriate matches between authorization regimen requests, diagnoses on record, and submitted documentation to improve chances of first-time approvals and successful reimbursementInterface with TOI Oncologists to answer questions related to chemotherapy authorization, address adjustments to regimen orders per protocols, and implement UM Medical Director guidance
Participate in the processing of physician orders and preparation of prior authorizations for submission, as appropriate and where clinician specialist expertise is needed
Graduation from an accredited Advanced Practice Provider (APP) program, either Physician Assistant (PA) or Nurse Practitioner (NP)
Minimum of 2 years in medical oncology clinical or administrative environment required, 4+ years preferred
Experience with Utilization Management, Prior Authorizations, and/or Managed Care Operations within a health insurer, medical group, hospital, or other healthcare provider or payer environment
Experience and comfort with Microsoft Office, EMRs, Practice Management Systems, Internet
High level of motivation, and passion for helping put together better processes and systems
