Clinical Audit Coordinator

Job DescriptionJob DescriptionPOSITION SUMMARY Strong background on Medi-Cal, Commercial, and Medicare benefits, including coordination of benefits. Works closely with all departments necessary to ensure that processes, programs and services are accomplished in a timely and efficient manner in accordance with AMM policies and procedures and in compliance...

Job DescriptionJob DescriptionPOSITION SUMMARY Strong background on Medi-Cal, Commercial, and Medicare benefits, including coordination of benefits. Works closely with all departments necessary to ensure that processes, programs and services are accomplished in a timely and efficient manner in accordance with AMM policies and procedures and in compliance...

About the RoleThe Clinical Services Coordinator, Intermediate, plays a vital role in the medical management process at Blue Shield of California. As the initial point of contact for providers and members, this position requires strong communication and interpersonal skills to ensure effective and efficient management of member care.Key...

Your Role The Clinical Services Coordinator, Intermediate (CSC) will report directly to the supervisor of care management support operations and will serve as initial point of contact for providers and members in the medical management process by telephone or correspondence.  The CSC will interact telephonically with members as per established protocol or...

Position OverviewThe Clinical Access Program's Facility Site Review team is dedicated to ensuring that all MediCal members receive access to safe and high-quality healthcare providers. The Clinical Nurse Auditor, Consultant will report directly to the Clinical Training and Auditing Manager. In this capacity, you will evaluate physical site locations to...

Position OverviewThe Clinical Access Program's Facility Site Review team is dedicated to ensuring that all MediCal members receive care from safe and high-quality providers. The Clinical Nurse Auditor, Consultant will report directly to the Clinical Training and Auditing Manager. In this capacity, you will evaluate physical site locations to confirm adequate...

Position OverviewThe Clinical Access Program's Facility Site Review team is dedicated to ensuring that all MediCal members receive care from safe and high-quality providers. The Clinical Nurse Auditor, Consultant will report directly to the Clinical Training and Auditing Manager. In this capacity, you will assess physical site locations to confirm adequate...

Your Role The Clinical Services Coordinator, Intermediate (CSC) will report directly to the supervisor of care management support operations and will serve as initial point of contact for providers and members in the medical management process by telephone or correspondence.  The CSC will interact telephonically with members as per established protocol or...

Your Role The Clinical Services Coordinator, Intermediate (CSC) will report directly to the supervisor of care management support operations and will serve as initial point of contact for providers and members in the medical management process by telephone or correspondence.  The CSC will interact telephonically with members as per established protocol or...

Your Role The Clinical Services Coordinator, Intermediate (CSC) will report directly to the supervisor of care management support operations and will serve as initial point of contact for providers and members in the medical management process by telephone or correspondence.  The CSC will interact telephonically with members as per established protocol or...

Your Role The Clinical Services Coordinator, Intermediate (CSC) will report directly to the supervisor of care management support operations and will serve as initial point of contact for providers and members in the medical management process by telephone or correspondence.  The CSC will interact telephonically with members as per established protocol or...

Job DescriptionJob DescriptionPOSITION SUMMARY Strong background on Medi-Cal, Commercial, and Medicare benefits, including coordination of benefits. Works closely with all departments necessary to ensure that processes, programs and services are accomplished in a timely and efficient manner in accordance with AMM policies and procedures and in compliance...

Job DescriptionYour RoleThe Clinical Services Coordinator, Intermediate (CSC) will report directly to the supervisor of care management support operations and will serve as initial point of contact for providers and members in the medical management process by telephone or correspondence.  The CSC will interact telephonically with members as per established...

Position OverviewThe Clinical Access Program's Facility Site Review team is dedicated to ensuring that all MediCal members receive access to safe and high-quality healthcare providers. The Clinical Nurse Auditor, Consultant will report directly to the Clinical Training and Auditing Manager. In this capacity, you will evaluate physical site locations to...

Company DescriptionYork Clinical Research, LLC is seeking an experienced Clinical Research Study Coordinator for immediate employment. You will join a team of dedicated, research professionals in an organization founded in 2001. A proven work history of team building and the ability to effectively function in a fast-paced and occasionally stressful...

Company DescriptionYork Clinical Research, LLC is seeking an experienced Clinical Research Study Coordinator for immediate employment. You will join a team of dedicated, research professionals in an organization founded in 2001. A proven work history of team building and the ability to effectively function in a fast-paced and occasionally stressful...

Company DescriptionYork Clinical Research, LLC is seeking an experienced Clinical Research Study Coordinator for immediate employment. You will join a team of dedicated, research professionals in an organization founded in 2001. A proven work history of team building and the ability to effectively function in a fast-paced and occasionally stressful...

Your Role The Promise Compliance Audit Services team oversees all functions of an effective Compliance Program for Blue Shield of California Promise Health Plan. The Compliance Audit Services, Principal will report to the Senior Director, Compliance Audit Services. In this role you will be involved in monitoring and oversight of operational business areas to...

Job DescriptionJob Summary:The Joint Chiropractic is seeking a highly motivated and customer-focused Chiropractic Clinic Coordinator to join our team. As a key member of our clinic staff, you will be responsible for providing exceptional patient service, promoting our wellness programs, and contributing to the overall success of our clinic.Key...

The ideal candidate will have a strong foundation in Medi-Cal, Commercial, and Medicare benefits, with expertise in coordinating benefits. This role requires close collaboration with various departments to ensure that processes, programs, and services are executed efficiently and within the required timeframes. All work must align with company policies and...