Sr Director, Managed Care/MSO

The Administrative Director of MSO is a seasoned, strategic and process minded leader. Directs and oversees the daily operations of the MSO, as well as all functions related to provider contracting, utilization management, quality management, network management and claims. Participates in the strategic planning process and works closely with the VP Managed...

The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nations top hospital systems for best pr Director, Healthcare, Operations, Management, Education, Skills

p> The Managed Care Compliance and Audit Coordinator will assist with compliance and auditing functions of PHP/MSO (Management Services Organization), including, but not limited to, internal and external audit activities to the Claims, UM, Credentialing, CM functions, and quality improvement initiatives. This role will also be responsible for monitoring...

The Managed Care Compliance and Audit Coordinator will assist with compliance and auditing functions of PHP/ MSO (Management Services Organization), including, but not limited to, internal and external audit activities to the Claims, UM, Credentialing, CM functions, and quality improvement initiatives. This role will also be responsible for monitoring...

The Managed Care Compliance and Audit Coordinator will assist with compliance and auditing functions of PHP/ MSO (Management Services Organization), including, but not limited to, internal and external audit activities to the Claims, UM, Credentialing, CM functions, and quality improvement initiatives. This role will also be responsible for monitoring...

The Managed Care Compliance and Audit Coordinator will assist with compliance and auditing functions of PHP/ MSO (Management Services Organization), including, but not limited to, internal and external audit activities to the Claims, UM, Credentialing, CM functions, and quality improvement initiatives. This role will also be responsible for monitoring...

The Clinical Educator is responsible for the development of the plan of education for the Transitional Care Unit (TCU) and the Acute Rehabilitation Center (ARC). The Clinical Educator works with the Clinical Director to orient, educate, and train the TCU and ARC Staff in accordance with standards, regulations, and best practice, using a variety of teaching...

The Clinical Educator is responsible for the development of the plan of education for the Transitional Care Unit (TCU) and the Acute Rehabilitation Center (ARC). The Clinical Educator works with the Clinical Director to orient, educate, and train the TCU and ARC Staff in accordance with standards, regulations, and best practice, using a variety of teaching...

If you are interested please apply online and send your resumes to NOrozco@mlkch.org POSITION SUMMARY The Nurse Director is a skilled and experienced professional Registered Nurse (RN) responsible for excellence in the clinical practice of nursing and the management of patient care. Reporting to the Sr. Director of Acute Care Services, the Nurse Director...

The Care Management Nurse Educator works with the Care Management Director to facilitate quality improvement initiatives in the practice and learning environment to assist with staff and department development. Is responsible for department quality metric reports to demonstrate effectiveness of programs and performance in accordance with regulatory standards...

**Position: Memory Care Director** Pay Range: 65k-70k **Oakmont of Whittier **is a premier senior living community situated on a beautifully landscaped campus. Managed by Oakmont Management Group,** **we provide exceptional quality, comfort, and care with five-star services and amenities. Residents enjoy a rewarding lifestyle with individualized...

Job DescriptionJob DescriptionDescription:Position: UM Case ManagerUM Case Manager implements the effective and best practices of Utilization Management. The UM Case Manager will provide high quality medical care review and service by appropriately applying the Milliman Care Guidelines, Health Plan and CMS/DMHC clinical guidelines to determine medical...

:Position: UM Case ManagerUM Case Manager implements the effective and best practices of Utilization Management. The UM Case Manager will provide high quality medical care review and service by appropriately applying the Milliman Care Guidelines, Health Plan and CMS/DMHC clinical guidelines to determine medical necessity for all authorizations.Position...

:Position: Claims Mailroom ClerkInnovative Management Systems is looking for an innovative candidate that is able to support our Claims Department regarding clerical and administrative aspects in areas of data entries, file organizations, scanning files, and mailroom responsibilities.This person will be responsible for all mailroom assistance and will need...

Watermark Retirement Communities is one of the Top 25 Best Workplaces in Senior Housing for Independent Living, Assisted Living, Memory Care, Skilled Nursing and Home Healthcare. For over 30 years, we've been a company that celebrates people, their stories, and their meaningful interactions—because every interaction matters Watermark is focused on keeping...

Provides cardiac monitoring for patients of assigned department under the direction of the RN and Physician.  Performs duties necessary to maintain the flow of patient care. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully...

Reporting to the Sr. Director Human Resources, this position is accountable for maintaining the accuracy and integrity of data in the organization's HR systems, as well as ensuring proper file management protocols are followed. The Compliance Manager may interact with senior leadership and have exposure to highly sensitive information, requiring exceptional...

Reporting to the Sr. Director Human Resources, this position is accountable for maintaining the accuracy and integrity of data in the organization's HR systems, as well as ensuring proper file management protocols are followed. The Compliance Manager may interact with senior leadership and have exposure to highly sensitive information, requiring exceptional...

Tracking Code22224-977Job Location12401 Washington Blvd., Whittier, CaliforniaCategoryProfessional Reporting to the Sr. Director Human Resources, this position is accountable for maintaining the accuracy and integrity of data in the organization's HR systems, as well as ensuring proper file management protocols are followed. The Compliance Manager may...

Job Description Reporting to the Sr. Director Human Resources, this position is accountable for maintaining the accuracy and integrity of data in the organization's HR systems, as well as ensuring proper file management protocols are followed. The Compliance Manager may interact with senior leadership and have exposure to highly sensitive information,...