Community Outreach Program Manager CFHP

POSITION SUMMARY/RESPONSIBILITIES Assists Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by ensuring that members have access to all of the health care services they need in the most efficient and effective manner possible. Responsibilities include but are not limited to overseeing the allocation of...

Full Time 12238 Silicon Drive Professional Non-Nursing Day Shift POSITION SUMMARY/RESPONSIBILITIES Responsible for the administration of pharmaceutical services to CFHP members for all lines of business. Implements decisions set forth by the CFHP Pharmacy & Therapeutics Committee. Evaluates medication utilization and prior authorization requests for...

Full Time 12238 Silicon Drive Allied Health Day Shift POSITION SUMMARY/RESPONSIBILITIES: Prepares pharmacy prior authorization requests for review by nurse/pharmacist/physician reviewers. Completes pharmacy authorization requests and issues review outcome notifications to Community First Health Plans (CFHP) members and providers. Follows clinical...

POSITION SUMMARY/RESPONSIBILITIES Serves as a Manager to the Community First Health Plan (CFHP) Clinical Services support staff. Also serves as the clinical expert, educator, researcher and mentor to the Clinical Services team. Reviews healthcare service delivery and provides standardized training programs for plan staff to improve quality, control medical...

This Position is responsible for new admissions and developing relationships with **Akua Alumni and **partners such as **Community resources,** hospitals, facilities, clinicians, colleges & universities. Currently hiring for Community Outreach Specialists for the **SAN DIEGO** area. **_This Position involves Local Travel and Outreach. M - F Days / Some...

**OUR STATEMENT** The San José State University Research Foundation (SJSURF) is committed to building a work environment where everyone can show up as their own self and have an opportunity to contribute, develop, and advance in their career. Diversity, Equity, and Inclusion (DEI) are core values of the organization. We strive to attract, retain, and...

This Position is responsible for new admissions and developing relationships with Akua Alumni and partners such as Community resources, hospitals, facilities, clinicians, colleges & universities. Currently hiring for Community Outreach Specialists for the SAN DIEGO area. This Position involves Local Travel and Outreach. M - F Days / Some evenings...

Full Time 12238 Silicon Drive Clerical Day Shift POSITION SUMMARY/RESPONSIBIILITIES The Service Coordinator-Non-Clinical (SC-NC) supports medical, behavioral, and social support staff within the Service Coordination team to provide a holistic evaluation of STAR Kids Members' individual dynamics, needs and preferences while providing education and...

POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and senior claim examiners that affect claims payment. Act as consultant to claims staff in complex claim issue resolution. Work cooperatively with Configuration in...

POSITION SUMMARY/RESPONSIBILITIES Assists Community First Health Plan (CFHP) members in regaining optimum health or improved functional capacity by ensuring that members have access to health care services they need in the most efficient and effective manner possible as it relates specifically to Applied Behavioral Analysis (ABA) therapy. Responsibilities...

POSITION SUMMARY/RESPONSIBILITIES Assists Community First Health Plan (CFHP) members in regaining optimum health or improved functional capacity by ensuring that members have access to health care services they need in the most efficient and effective manner possible as it relates specifically to Applied Behavioral Analysis (ABA) therapy. Responsibilities...

Full Time 12238 Silicon Drive Professional Non-Nursing Day Shift POSITION SUMMARY/RESPONSIBILITIES Assists Community First Health Plan (CFHP) members in regaining optimum health or improved functional capacity by ensuring that members have access to health care services they need in the most efficient and effective manner possible as it relates...

POSITION SUMMARY/RESPONSIBILITIES Assists Community First Health Plan (CFHP) members in regaining optimum health or improved functional capacity by ensuring that members have access to health care services they need in the most efficient and effective manner possible as it relates specifically to Applied Behavioral Analysis (ABA) therapy. Responsibilities...

POSITION SUMMARY/RESPONSIBILITIES Assists Community First Health Plan (CFHP) members in regaining optimum health or improved functional capacity by ensuring that members have access to health care services they need in the most efficient and effective manner possible as it relates specifically to Applied Behavioral Analysis (ABA) therapy. Responsibilities...

Job DetailsJob LocationLOC020 PRN Pacific Research Network San Diego - San Diego, CACommunity Outreach CoordinatorTitle: Community Outreach Coordinator Location: San DiegoAbout us:ERG is a leading U.S. based, privately held, independent clinical research site company, and provider of clinical development services with expertise in early and late-stage...

Job DetailsJob LocationLOC020 PRN Pacific Research Network San Diego - San Diego, CACommunity Outreach CoordinatorTitle: Community Outreach Coordinator Location: San DiegoAbout us:ERG is a leading U.S. based, privately held, independent clinical research site company, and provider of clinical development services with expertise in early and late-stage...

Job DescriptionJob DescriptionSalary: Upto $115,000This Position is responsible for new admissions and developing relationships with Akua Alumni and partners such as Community resources, hospitals, facilities, clinicians, colleges & universities.Currently hiring for Community Outreach Specialists for the SAN DIEGO area.  This Position involves Local...

Vivo HealthStaff has been retained by a large established geriatric healthcare organization in San Francisco to find Public Health Outreach Registered Nurses. The Public Health Outreach RN coordinates outreach events and health screenings, providing up-to-date education and information on services and programs to community members and partners. 1. Conduct...

Vivo HealthStaff has been retained by a large established geriatric healthcare organization in San Francisco to find Public Health Outreach Registered Nurses. The Public Health Outreach RN coordinates outreach events and health screenings, providing up-to-date education and information on services and programs to community members and partners. 1. Conduct...

About Adaptive Strategies Group: Adaptive Strategies Group is committed to empowering communities through impactful programming. We focus on creating resilient communities by providing training, tools, and resources to foster success and empowerment. Role Overview: We are looking for a self-motivated and enthusiastic Community Outreach Coordinator. This...