Healthcare Operations Coordinator
1 week ago
Eastridge Workforce Solutions is a leading provider of workforce management solutions, committed to connecting skilled professionals with meaningful career opportunities.
We are seeking a highly motivated and detail-oriented Healthcare Operations Coordinator to join our team. As a Quality Care Coordinator, you will play a critical role in managing assigned member outreach, tracking data, and documenting healthcare provider interactions.
Key Responsibilities- Member Outreach Management: Close gaps in care and increase HEDIS/IHA/STAR/P4P scores by managing assigned member outreach, including appointment calls, quality measures due, annual wellness visits, and follow-up calls.
- Data Tracking and Documentation: Receive inbound calls from members, track data, and document details of healthcare provider interactions in quality platforms, such as Cozeva.
- Quality Measures and Training: Provide general education to encourage staff and providers to complete required quality measures and develop and maintain the P4P and HEDIS training manual and documentation.
- Alerts and Notifications: Input alerts in the Electronic Medical Record (EMR) to notify providers and staff of outstanding items due for completion.
- Accreditation Support: Assist in support of accreditation activities, such as NCQA reviews, CAHPS, and state audits.
- Lab Services and Medical Records: Provide members with information on the nearest contracted lab location for lab services and request medical records from healthcare providers to verify services were rendered.
- Database Management: Populate the database with new member demographic information.
- Special Projects: Assist with special projects as needed.
- Education: High School Diploma or General Education Development (GED) required.
- Experience: A minimum of three plus (3+) years of IPA/HMO experience and one plus (1+) year/s in P4P/HCC/CMS Star Programs experience. Ability to project excellent customer service, negotiation, and conflict resolution skills via telephone while maintaining a professional demeanor.
Benefits: Eastridge Workforce Solutions offers a competitive benefits package to its temporary employees. Please visit our website to learn more about the benefits available.
Eastridge Workforce Solutions is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
-
Healthcare Operations Coordinator
1 week ago
Orange, California, United States Eastridge Full timeJob DescriptionEastridge Workforce Solutions is a leading provider of workforce management solutions, committed to connecting skilled professionals with meaningful career opportunities.We are hiring a Quality Care Coordinator for a healthcare services company. For immediate consideration, please review the job requirements below.Job ResponsibilitiesMember...
-
Healthcare Authorization Coordinator
2 weeks ago
Orange, California, United States The Midtown Group Full timeJob OverviewOur client, a reputable Healthcare Network based in California, is in search of a dedicated and experienced Healthcare Authorization Coordinator (Prior Authorization) to enhance their operations. The Healthcare Authorization Coordinator will be responsible for managing office and referral processes, acting as a liaison among members, healthcare...
-
Healthcare Operations Lead
6 days ago
Orange, California, United States Alignment Healthcare Full timeJob SummaryAlignment Healthcare is seeking a highly motivated and experienced Healthcare Operations Lead to join our Member Services team. As a key member of our operations team, you will be responsible for leading and managing a team of customer service representatives, ensuring exceptional member experience, and driving business growth.Key...
-
Healthcare Operations Manager
2 weeks ago
Orange, California, United States COMPANY Full timePosition OverviewThe Healthcare Operations Manager plays a crucial role in overseeing the daily functions of the practice. This position is responsible for ensuring that all operations run smoothly and efficiently while adhering to industry standards and regulations.Key ResponsibilitiesDevelop and Implement Procedures: Create and enforce effective workplace...
-
Healthcare Patient Coordinator
1 week ago
Orange, California, United States Pacific Neuropsychiatric Specialists Inc Full timeJob OverviewWe are looking for a dedicated and enthusiastic Patient Care Coordinator to join our dynamic team at Pacific Neuropsychiatric Specialists Inc. This role is essential in providing exceptional support within our mental health practice.Benefits:Comprehensive dental coverageHealth insurance optionsGenerous paid time offVision care plansKey...
-
Referral Coordinator
2 days ago
Orange, California, United States Prospect Medical Holdings Full timeJob DescriptionThe Referral Coordinator plays a crucial role in the healthcare industry, responsible for preparing referrals and addressing stat line requests. This position requires strong organizational skills, attention to detail, and effective communication with various stakeholders.Key Responsibilities:Process referral requests received and assigned...
-
Referral Coordinator
3 days ago
Orange, California, United States Prospect Medical Holdings Full timeJob SummaryThe Referral Coordinator - Healthcare Specialist will play a critical role in ensuring seamless referral management processes for Prospect Medical Holdings. This individual will be responsible for preparing referrals, addressing stat line requests, and completing daily tasks/queues as assigned.Key ResponsibilitiesProcess referral requests received...
-
Administrative Operations Coordinator
2 weeks ago
Orange, California, United States Chapman University Full timeJob OverviewUnder the supervision of the Business Administrator, the Administrative Operations Coordinator will assist various departments with operational functions and challenges. Responsibilities will often encompass data management, scheduling, support inquiries, and a range of administrative duties. This role may require the Coordinator to act as a...
-
Administrative Operations Coordinator
2 weeks ago
Orange, California, United States Chapman University Full timePosition OverviewRole Title: Administrative Operations Coordinator - Temporary RoleEmployment Type: Limited-Term (Renewable)Job Classification: Part-Time (20-29 Hours Weekly)Compensation: $22.00 per hourPosition Summary:As an Administrative Operations Coordinator, you will report directly to the Business Administrator and provide essential support to various...
-
Plumbing Operations Coordinator
6 days ago
Orange, California, United States Barker and Sons Plumbing Full timeJob SummaryWe are seeking a highly skilled and organized individual to join our team as a Plumbing Operations Coordinator. As a key member of our operations team, you will be responsible for ensuring the smooth execution of our plumbing services, from scheduling to customer communication.Key ResponsibilitiesSchedule Management: Effectively manage the...
-
Transportation Operations Coordinator
6 days ago
Orange, California, United States Department of Transportation Full timeJob SummaryThe Department of Transportation is seeking a highly skilled and detail-oriented individual to fill the role of Transportation Operations Coordinator. This position will be responsible for operating and communicating on radio and telephone equipment in the Transportation Management Center, as well as performing various administrative tasks.Key...
-
Bilingual Healthcare Scheduler
1 week ago
Orange, California, United States Marquee Staffing - Healthcare Full timeJob OverviewPosition SummaryThe Bilingual Healthcare Scheduler will oversee both incoming and outgoing tasks within our Call Center environment. Key responsibilities encompass call handling, appointment scheduling, authorization management, responding to inquiries, clinic-based scheduling, and various administrative duties. You will provide exceptional...
-
Administrative Operations Coordinator
1 week ago
Orange, California, United States British Swim School of Greater Anaheim Full timeJob OverviewAt British Swim School of Greater Anaheim, we believe that our roles extend beyond mere employment; they are opportunities to foster growth, learning, and community impact, particularly in promoting water safety among the youngest members of our society.Compensation and Benefits:Competitive salary based on experience.Paid training...
-
Administrative Operations Coordinator
1 week ago
Orange, California, United States British Swim School of Greater Anaheim Full timeJob OverviewA role at British Swim School of Greater Anaheim is not merely a job; it is a chance to develop, advance, and positively influence the lives of individuals in your community, particularly in promoting water safety for children.Compensation and Benefits:Competitive salary based on qualifications.Comprehensive training provided.Opportunity to...
-
Healthcare Appointment Coordinator
6 days ago
Orange, California, United States Planned Parenthood Full timeJob SummaryWe are seeking a highly skilled and customer-focused individual to join our team as a Call Center Representative. As a key member of our customer service team, you will be responsible for providing exceptional service to our patients and clients, answering calls, scheduling appointments, and resolving issues in a timely and professional manner.Key...
-
Healthcare Admissions Coordinator
2 weeks ago
Orange, California, United States University of California Irvine Health Full timePosition Overview:The incumbent acts as the initial point of contact for patients within the outpatient clinics. Responsibilities include performing clerical and reception tasks, entering patient information into the registration system, and confirming insurance or third-party coverage. The role also involves scheduling, confirming, and canceling patient...
-
Administrative Operations Coordinator
1 week ago
Orange, California, United States British Swim School of Greater Anaheim Full timeJob OverviewAt British Swim School of Greater Anaheim, we believe that every position is an opportunity to contribute to our mission of enhancing community safety through swim education. We are currently looking for a dedicated Part-Time Operations Assistant to facilitate the daily functions of our swim programs.Compensation and BenefitsCompensation is...
-
Site Operations Coordinator
1 week ago
Orange, California, United States Kiewit Full timeRequisition ID: Job Level: Entry Level Home District/Group: TIC Southern District Department: Administration Market: OGC Employment Type: Full Time Position OverviewWe are seeking a dedicated Site Operations Coordinator to assist in meeting our expanding operational needs. Responsibilities will encompass a variety of office administration tasks, including:...
-
Healthcare Referral Coordinator
6 days ago
Orange, California, United States Prospect Medical Holdings Full timeJob SummaryThe Referral Nurse Specialist is a key member of the Prospect Medical Holdings team, responsible for providing support to healthcare providers and ensuring seamless referrals for our patients.Key ResponsibilitiesReview Treatment Authorization Requests (TARs) and Cerecons requests for approval, modification, and denial, working closely with the...
-
Sales Operations Coordinator
1 week ago
Orange, California, United States Fortis Fire & Safety Inc. Full timeJob OverviewAt Fortis Fire & Safety Inc., a leader in fire protection services across the nation, we pride ourselves on delivering exceptional safety solutions. Our expanding presence is evident in multiple states, and we continuously seek to enhance our service offerings.We are committed to providing a comprehensive range of certified professionals...