Claims Medi-Cal Supervisor - Shasta County, CA

Under the direction of the PneumaCare Director, this role provides general supervision over various programs and services. · ...

The Operations Supervisor provides general supervision over the California Advancing & Innovating Medi-Cal (CalAIM) Enhanced Care Management (ECM) and Community Supports(CS) programs. · They are responsible for coordinating and implementing Enhanced Care Management (ECM) and Comm ...

The Psychiatric Mental Health Nurse Practitioner provides compassionate, evidence-based psychiatric care to a diverse patient population. · This includes psychiatric evaluations, diagnosis, treatment planning medication management brief therapeutic interventions patient education ...

The Psychiatric Physician Associate/Assistant (PA-C) provides compassionate, evidence-based psychiatric care to a diverse patient population. · Conduct psychiatric evaluations, assessments, and diagnoses based on diagnostic and statistical criteria. · Develop and implement indivi ...

The Psychiatric Mental Health Nurse Practitioner (PMHNP) provides compassionate evidence-based psychiatric care to a diverse patient population delivering holistic care that addresses medical mental health and social needs. · Graduation from an accredited nursing program with a M ...

We are seeking a Certified Medical Coder with experience in ICD-9, ICD-10 and HCPCS coding standards. · Two years of experience as a data analyst or quantitative analysis discipline. · Bachelor's degree. · ...

Under the direction of the Director of Psychiatric Services, Medical Director, and in collaboration with a supervising or consulting psychiatrist, the Psychiatric Physician Associate/Assistant (PA-C) provides compassionate, evidence-based psychiatric care to a diverse patient pop ...

Under the direction of the Director of Psychiatric Services, Medical Director, and in collaboration with a supervising or consulting psychiatrist (as required), the Psychiatric Mental Health Nurse Practitioner (PMHNP) provides compassionate, evidence-based psychiatric care to a d ...

The Physician Assistant provides compassionate, evidence-based psychiatric care to a diverse patient population. The PA collaborates closely with therapists, medical providers and other interdisciplinary team members to ensure holistic care that addresses medical mental health an ...

To review research and resolve claims for all Medi-Cal claim types within established production standards creates documentation reflects actions taken status of claim routes tracks claims requiring review by other staff departments processes when possible. · ...

This person is accountable for providing quality home health and hospice services to the community, · developing and marketing new programs, · maintaining a positive fiscal stature by ensuring maximum reimbursement from Medi-Cal, Medicare,and third-party payors. · The Director is ...

The role of Therapist is to provide quality mental health services to the various communities that NAMHS is serving. Conduct comprehensive psychosocial assessments to determine client needs and develop individualized treatment plans. · Provide individual, family, and group therap ...

The Psychiatric Provider (PA-C or PMHNP-BC) provides compassionate, evidence-based psychiatric care to a diverse patient population in Redding, CA. · ...

The Pre-Authorization Radiology Specialist verifies eligibility and obtains authorization for radiology exams/services by working with ordering physician's office staff, insurance carriers, and radiology clinics. · * Verify eligibility* Obtain authorization for radiology exams/se ...

The Pre-Authorization Radiology Specialist verifies eligibility, obtains authorization for radiology exams/services by working with ordering physician's office staff, · the applicable Medical Insurance Carriers, · and the radiology clinics.To ensure proper Authorizations are obta ...

To support the Claims Department in maintaining pended claims and claim adjustments within established guidelines. Reviews and processes complex claims. · Researches and processes claim adjustment requests. · Participates in special claim adjustment projects as assigned. · ...

The role of Therapist is to provide quality mental health services to the various communities that NAMHS is serving. · ...

The Clinical Program Coordinator (CPC) leads a multidisciplinary team providing Utilization Management/Quality Assurance services for adult and children's mental health programs. · ...

Provide case management services for patients with complex health and social issues. · ...

The Pre-Authorization Radiology Specialist verifies eligibility obtains authorization for radiology exams/services by working with ordering physician's office staff applicable Medical Insurance Carriers and radiology clinics ensures proper Authorizations are obtained to correspon ...