Health Services Authorization Coordinator
3 weeks ago
We are seeking a highly skilled Health Services Authorization Coordinator to join our Utilization Management and Complex Case Management Department. As a key member of our team, you will play a critical role in processing incoming treatment and referral authorization requests, verifying member plan eligibility, and performing basic research on member authorization requests.
Key Responsibilities- Process incoming treatment and referral authorization requests
- Verify member plan eligibility
- Perform basic research on member authorization requests
- Determine medical necessity and benefit coverage for members based on industry standards
- Interpret, explain, and apply processes, policies, and procedures
- Verify eligibility information utilizing various organizational sources
- Produce and maintain accurate records
- Demonstrate strong customer service skills, specific to telephone inquiries
- High School Diploma or equivalent
- A minimum of two years of experience in the healthcare field
- Knowledge of standard business office practices and equipment, medical terminology or billing codes procedures, and principles and practices of customer service
We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality healthcare that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us.
At Central California Alliance for Health, we are an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status.
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Grievance Coordinator
2 weeks ago
Merced, California, United States Central California Alliance for Health Full timeJob Title: Grievance CoordinatorCentral California Alliance for Health (the Alliance) is seeking a highly skilled Grievance Coordinator to join our team. As a Grievance Coordinator, you will play a critical role in ensuring that our members receive high-quality healthcare services and that their concerns are addressed in a timely and professional manner.Key...
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Mental Health Clinician
1 week ago
Merced, California, United States Sierra Vista Child & Family Services Full timeJob SummaryWe are seeking a skilled Mental Health Clinician to join our team at Sierra Vista Child & Family Services. As a Clinician, you will provide comprehensive mental health services to clients, including assessment, diagnosis, and treatment of emotional and behavioral issues.Key Responsibilities:Provide direct clinical services to clientsUtilize...
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Health Services Operations Manager
4 weeks ago
Merced, California, United States Central California Alliance for Health Full timeHealth Services Operations Manager OpportunityWe are seeking a highly skilled Health Services Operations Manager to join our team at Central California Alliance for Health. As a key member of our Health Services Administration Department, you will be responsible for managing the Health Services Operations function, providing guidance on departmental...
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Grievance Coordinator
3 weeks ago
Merced, California, United States Central California Alliance for Health Full timeAbout the RoleWe are seeking a highly skilled Grievance Coordinator to join our team at Central California Alliance for Health. As a key member of our Member Services Department, you will play a critical role in ensuring that our members receive high-quality healthcare services.Key ResponsibilitiesAdminister and resolve low-complexity cases in support of our...
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Mental Health Clinician
2 weeks ago
Merced, California, United States Sierra Vista Child & Family Services Full timeClinician Position at Sierra Vista Child & Family ServicesWe are seeking a skilled Clinician to join our team at Sierra Vista Child & Family Services. As a Clinician, you will provide comprehensive mental health services to clients, including assessment, diagnosis, and treatment of emotional and behavioral issues.Key Responsibilities:Provide direct clinical...
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Learning Services Coordinator
2 weeks ago
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Automation Services Manager
1 month ago
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SSHA Graduate Services Coordinator
2 weeks ago
Merced, California, United States University of California Full timeJob SummaryThe University of California, Merced seeks a highly skilled Graduate Services Coordinator to provide critical support for the School of Social Sciences, Humanities and Arts (SSHA) seven graduate programs. This role will oversee the administration and processing of academic student employee and graduate student researcher appointments, fellowships,...
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Merced, California, United States Dignity Health Full timeJob Title: Licensed Clinical Social Worker Complex Care CoordinatorAt Dignity Health, we are committed to providing high-quality, personalized care to our community. We are seeking a skilled Licensed Clinical Social Worker to join our team as a Complex Care Coordinator.Job Summary:The Licensed Clinical Social Worker will be responsible for performing social...
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Automation Services Manager
2 weeks ago
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Clinical Pharmacist
1 month ago
Merced, California, United States Central California Alliance for Health Full timeClinical Pharmacist OpportunityCentral California Alliance for Health is seeking a skilled Clinical Pharmacist to join our team in a managed care setting. As a Clinical Pharmacist, you will play a critical role in developing and implementing clinical pharmacy programs, including medication therapy management, medication adherence, and disease state...
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Merced, California, United States Dignity Health Full timeAbout the Role:Dignity Health Medical Foundation is seeking an Audiologist to join our team. As an Audiologist with our organization, you will have the opportunity to make a real difference in the lives of patients facing hearing challenges.Responsibilities:Identify, evaluate, habilitate/rehabilitate individuals with either peripheral or central auditory...
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Course Coordinator
2 weeks ago
Merced, California, United States University of California Full timeAbout the JobThe University of California, Merced is seeking a highly organized and detail-oriented Course Coordinator to support the development of future physicians. The successful candidate will work closely with faculty to ensure students have a positive learning experience and master the foundational science content covered in the first 18 months of the...
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Mental Health Therapists
1 week ago
Merced, California, United States Wellpath Full timeCareer Opportunities in Mental HealthWe are seeking a skilled Mental Health Professional to provide clinical services to individuals under the supervision of the Mental Health Coordinator, Clinical Supervisor or Mental Health Director.Key Responsibilities:Provide individual and group psychotherapy, crisis intervention, and diagnostic evaluations to persons...
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Nurse Practitioner
2 weeks ago
Merced, California, United States Compassionate Care Home Health Agency Full timeJob Title: Registered Nurse - Merced and Surrounding AreasWe are seeking a compassionate and skilled Registered Nurse to join our team at Compassionate Care Home Health Agency. As a Registered Nurse, you will provide high-quality patient care and work collaboratively with our interdisciplinary team to deliver exceptional service to our patients and their...
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Mental Health Social Worker
3 weeks ago
Merced, California, United States Stars Behavioral Health Group Full timeAbout the RoleWe are seeking a skilled Mental Health Social Worker to join our Crisis Residential Unit team. As a key member of our team, you will work with adults (ages 18-59) to provide comprehensive psychosocial evaluations, assessments, and individual/group therapy sessions.ResponsibilitiesConduct comprehensive written psychosocial evaluations and...
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RN Educator Emergency Services Specialist
2 weeks ago
Merced, California, United States CommonSpirit Health Full timeJob SummaryMercy Medical Center, a Dignity Health member, has a rich history of care in our community for over 100 years. We have grown from a small wooden structure into a major healthcare provider with a new 186-bed main campus offering the latest in facility design and technology. Our team is dedicated to providing high-quality, personalized care to our...
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Course Coordinator
1 week ago
Merced, California, United States University of California Full timeAbout the RoleThe University of California, Merced is seeking a highly organized and detail-oriented Course Coordinator to support the development of future physicians. As a key member of the Foundational Science team, you will work closely with faculty to ensure students have a positive learning experience and master the foundational science content covered...
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Mental Health Specialist
2 weeks ago
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Behavioral Health Clinician
2 weeks ago
Merced, California, United States Merced County Office of Education Full timeAbout the EmployerThe Merced County Office of Education is a leading educational institution in Merced County, providing support and oversight to 20 school districts. Our mission is to facilitate local school/government/community partnerships and ensure the fiscal oversight of each school district.Job SummaryUnder the direction of the assigned supervisor,...