PACE QI Specialist
4 weeks ago
Job Summary: The PACE QI Specialist coordinates quality improvement activities to ensure quality of care standards are consistently achieved. Oversees quality improvement activities to ensure compliance with PACE program and other applicable regulatory standards. Performs other duties as needed.
Education and Experience: Bachelors' Degree in Nursing or other healthcare related field required. Masters' Degree preferred. Minimum three years of quality improvement experience, preferably in the health care field.
Knowledge and Skills: Knowledge of quality improvement methods and regulatory reporting requirements related to home and/or community-based care for the elderly. Knowledge of not-for-profit, healthcare, and insurance concepts, practices, and procedures. Able to read, write legibly, and speak in English with professional quality; use computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook, PowerPoint). Operate/troubleshoot basic office equipment required for the position. Relate and communicate positively, effectively, and professionally with others; work calmly and respond courteously when under pressure; collaborate and accept direction. Think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position.
Licensures and Certifications: Current State of California RN License required. Basic Life Support (BLS) certification from the American Heart Association required within 90 days of hire date.
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PACE AP/AR Specialist
3 weeks ago
Redlands, United States Loma Linda University Medical Center Full timeJob Summary: The PACE AP/AR Specialist resolves errors in charge review, claim edit, and follows up WQ(s) in LLEAP. Works with providers regarding coding errors. Assists department manager and LLEAP team in the creation of Work Que edits. Downloads and reconciles all payments received from CMS and DHCS with financial deposit records, analyzes and reconciles...
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Pace Claims Examiner/data Specialist
1 week ago
Redlands, United States Loma Linda University Full time**Job Summary**: The PACE Claims Examiner/Data Specialist is responsible for processing professional and hospital capitated full risk claims in accordance with the individual provider contract and Medicare and Medi-Cal billing guidelines and processes claims. Initiates check run and performs standard reporting and ensuring audit readiness. Downloads and...
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Medical Biller Specialist
1 week ago
Redlands, United States PERFORMANCE PHYSICAL THERAPY Full timePerformance Physical Therapy is looking for a Medical Biller Specialist to join our strong team Benefits: Medical, Dental, Vision. Retirement. Paid Holidays, Vacations Negotiable salary commensurate with experience **Responsibilities**: - Oversight of insurance management (including verification, authorization) and billing for all payer types including...
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To Go
3 weeks ago
Redlands, United States Brinker International Inc Full timeRole Overview Our To-Go Specialists are responsible for providing fast service and great hospitality for our To-Go Guests. If you take pride in great team work and love making people feel special, then we want to hear from you! * Fast hiring process * Flexible part-time or full-time schedule * Growth opportunities * Great team atmosphere and...
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Physician Family Practice
3 weeks ago
Redlands, California, United States Optum Full timeOptumCare, the largest employer of Providers in the US, is currently seeking a Family Medicine Physician to join our practice in Redlands, CA. We have developed a reputation for providing quality, compassionate care to communities in the Inland Empire and surrounding area.The Family Medicine Physician is responsible for the day to day clinical care of...
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Physician Family Practice
2 weeks ago
Redlands, California, United States Optum Full timeOptumCare, the largest employer of Providers in the US, is currently seeking a Family Medicine Physician to join our practice in Redlands, CA. We have developed a reputation for providing quality, compassionate care to communities in the Inland Empire and surrounding area.The Family Medicine Physician is responsible for the day to day clinical care of...
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Redlands, United States Optum Full timeOptumCare, the largest employer of Providers in the US, is currently seeking a **Family Medicine Physician** to join our practice in **Redlands, CA.** We have developed a reputation for providing quality, compassionate care to communities in the Inland Empire and surrounding area. The Family Medicine Physician is responsible for the day to day clinical care...
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Redlands, United States Optum Full timeOptumCare, the largest employer of Providers in the US, is currently seeking a **Family Medicine Physician** to join our practice in **Redlands, CA.** We have developed a reputation for providing quality, compassionate care to communities in the Inland Empire and surrounding area. The Family Medicine Physician is responsible for the day to day clinical care...
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Family Medicine Physician
3 weeks ago
Redlands, United States UnitedHealth Group Full timeOptumCare, the largest employer of Providers in the US, is currently seeking a **Family Medicine Physician** to join our practice in **Redlands, CA.** We have developed a reputation for providing quality, compassionate care to communities in the Inland Empire and surrounding area. The Family Medicine Physician is responsible for the day to day clinical...
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Family Medicine Physician
3 weeks ago
Redlands, United States UnitedHealth Group Inc. Full timeOptumCare, the largest employer of Providers in the US, is currently seeking a Family Medicine Physician to join our practice in Redlands, CA. We have developed a reputation for providing quality, compassionate care to communities in the Inland Empire and surrounding area. The Family Medicine Physician is responsible for the day to day clinical care of...
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Family Medicine Physician
1 week ago
Redlands, United States UnitedHealth Group Full timeOptumCare, the largest employer of Providers in the US, is currently seeking a Family Medicine Physician to join our practice in Redlands, CA. We have developed a reputation for providing quality, compassionate care to communities in the Inland Empire and surrounding area. The Family Medicine Physician is responsible for the day to day clinical care of...
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Family Medicine Physician
2 weeks ago
Redlands, United States UnitedHealth Group Inc. Full timeOptumCare, the largest employer of Providers in the US, is currently seeking a Family Medicine Physician to join our practice in Redlands, CA. We have developed a reputation for providing quality, compassionate care to communities in the Inland Empire and surrounding area. The Family Medicine Physician is responsible for the day to day clinical care of...
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Family Medicine Physician
1 week ago
Redlands, United States UnitedHealth Group Full timeOptumCare, the largest employer of Providers in the US, is currently seeking a **Family Medicine Physician** to join our practice in **Redlands, CA.** We have developed a reputation for providing quality, compassionate care to communities in the Inland Empire and surrounding area. The Family Medicine Physician is responsible for the day to day clinical...
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Vehicle Service Specialist
2 weeks ago
Redlands, United States Valvoline Instant Oil Change Full timeText henleyjobs to 23000 to start your application today!Are you looking to reach your full potential? Do you enjoy meeting new people and working in a team environment? Whether you are looking for a part-time job with flexible hours, or a full-time career with excellent advancement opportunities, Henley Enterprises, Inc, the largest franchisee of Valvoline...
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Vehicle Service Specialist
3 weeks ago
Redlands, United States Valvoline Instant Oil Change Full timeText henleyjobs to 23000 to start your application today! Are you looking to reach your full potential? Do you enjoy meeting new people and working in a team environment? Whether you are looking for a part-time job with flexible hours, or a full-time career with excellent advancement opportunities, Henley Enterprises, Inc, the largest franchisee of Valvoline...
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Events Specialist, Agenda
2 weeks ago
Redlands, United States Esri Full timeAs a member of our events marketing team, you are enthusiastic about delivering an exceptional event experience for our users. Your strength in planning and executing will enable the success of Esri trade shows and conferences. Event logistics are seamlessly coordinated because of your natural attention to detail, strong organization skills, and deadline...
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Redlands, California, United States Optum Full timeOptumCare, the largest employer of Providers in the US, is currently seeking a Family Medicine Physician to join our practice in Redlands, CA. We have developed a reputation for providing quality, compassionate care to communities in the Inland Empire and surrounding area.The Family Medicine Physician is responsible for the day to day clinical care of...
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Redlands, California, United States Optum Full timeOptumCare, the largest employer of Providers in the US, is currently seeking a Family Medicine Physician to join our practice in Redlands, CA. We have developed a reputation for providing quality, compassionate care to communities in the Inland Empire and surrounding area.The Family Medicine Physician is responsible for the day to day clinical care of...
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Family Medicine Physician
3 weeks ago
Redlands, United States Optum Full timeOptumCare, the largest employer of Providers in the US, is currently seeking a Family Medicine Physician to join our practice in Redlands, CA. We have developed a reputation for providing quality, compassionate care to communities in the Inland Empire and surrounding area.The Family Medicine Physician is responsible for the day to day clinical care of...
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Family Medicine Physician
2 days ago
Redlands, United States Optum Full timeOptumCare, the largest employer of Providers in the US, is currently seeking a Family Medicine Physician to join our practice in Redlands, CA. We have developed a reputation for providing quality, compassionate care to communities in the Inland Empire and surrounding area.The Family Medicine Physician is responsible for the day to day clinical care of...