Healthcare Management Nurse Specialist
3 weeks ago
We are seeking an experienced Healthcare Management Nurse Specialist to join our team at L.A. Care Health Plan. In this role, you will be responsible for performing telephonic and/or onsite admission and concurrent review, collaborating with onsite staff, physicians, providers, and members to develop and implement successful discharge plans. You will also work closely with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent, post-service, and retrospective claims medical review.
**Responsibilities:**
- Perform telephonic and/or onsite admission and concurrent review.
- Collaborate with onsite staff, physicians, providers, and members to develop and implement successful discharge plans.
- Work closely with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent, post-service, and retrospective claims medical review.
Benefits: As a valued member of our team, you will enjoy a competitive salary range of $88,854.00 (Min.) - $142,166.00 (Max.), plus a comprehensive benefits package, including Paid Time Off (PTO), Tuition Reimbursement, Retirement Plans, Medical, Dental, and Vision, Wellness Program, and Volunteer Time Off (VTO).
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Healthcare Coding Specialist
3 weeks ago
Los Angeles, California, United States MedPOINT Management Full timeJob Title: Healthcare Coding SpecialistAbout MedPOINT Management:MedPOINT Management is a leading healthcare management company dedicated to providing high-quality services to our clients. We are seeking an experienced Healthcare Coding Specialist to join our team.Job Description:The successful candidate will be responsible for reviewing and auditing medical...
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Case Management Specialist
3 weeks ago
Los Angeles, California, United States MedPOINT Management Full timeAre you a compassionate and detail-oriented Case Management Specialist looking for a new challenge? MedPOINT Management is seeking a highly skilled professional to join their team in the San Fernando Valley.The estimated salary for this position is $95,000 - $125,000 per year, depending on experience.Key Responsibilities:Carefully assess patient needs and...
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Healthcare Database Management Specialist
6 days ago
Los Angeles, California, United States MedPOINT Management Full timeJob SummaryWe are seeking a highly motivated Healthcare Database Management Specialist to join our team at MedPOINT Management. This is a hybrid position, allowing for flexibility and work-life balance.About the RoleThis role will report to the Provider Network Operations (PNO) Database Management Supervisor and will be responsible for ensuring accurate,...
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Healthcare Contract Specialist
3 weeks ago
Los Angeles, California, United States MedPOINT Management Full timeJob OverviewAt MedPOINT Management, we are seeking a skilled Healthcare Contract Specialist to join our team. This role offers the opportunity to work in a collaborative environment with competitive salaries and benefits.This position requires a strong background in Managed Care and Healthcare experience in Network Management or Contracting. The ideal...
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Healthcare Credentials Specialist
3 weeks ago
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Healthcare Project Manager
4 days ago
Los Angeles, California, United States MedPOINT Management Full timeJob Overview:We are seeking a skilled Data Analyst and Process Improvement Specialist to join our team at MedPOINT Management. This role involves analyzing data, identifying trends, and producing reports to improve the provider network and processes.About the Role:Analyze data to identify trends and areas for improvement in the provider network.Develop...
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Healthcare Data Specialist
3 weeks ago
Los Angeles, California, United States MedPOINT Management Full timeJob OverviewAt MedPOINT Management, we are seeking a skilled Healthcare Data Specialist to join our team. This role plays a critical part in the day-to-day operations related to 837 encounter data extractions and submissions for assigned clients.
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Healthcare Support Specialist
23 hours ago
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Healthcare Encounter Specialist
3 weeks ago
Los Angeles, California, United States MedPOINT Management Full timeJob OverviewThe Healthcare Encounter Specialist plays a vital role in ensuring the accuracy and timeliness of encounter data submissions to contracted health plans. This position requires a strong analytical mindset, excellent communication skills, and the ability to work well under pressure.We are seeking an experienced professional with a minimum of five...
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Healthcare Operations Specialist
3 weeks ago
Los Angeles, California, United States MedPOINT Management Full timeJob OverviewWe are seeking a highly skilled Healthcare Operations Specialist to join our team at MedPOINT Management. In this role, you will be responsible for overseeing the management of inpatient transplant cases and providing coordination in the delivery of medical services.The ideal candidate will have a strong background in case management, excellent...
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Healthcare Network Specialist
3 weeks ago
Los Angeles, California, United States MedPOINT Management Full timeJob OverviewMedPOINT Management, a leading MSO in the San Fernando Valley, seeks a skilled Healthcare Network Specialist to manage and support the administrative and operational aspects of our PNO Contracts Team. The successful candidate will be responsible for provider negotiations, network research, and analysis.**Key Responsibilities:**• Prepare,...
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UM Healthcare Liaison Specialist
3 weeks ago
Los Angeles, California, United States MedPOINT Management Full timeUM Healthcare Liaison Specialist Job DescriptionEstimated Salary: $65,000 - $85,000 per yearThis role requires a UM Healthcare Liaison Specialist to work closely with health plans, members, and providers to resolve issues and improve care coordination. The ideal candidate will have excellent communication skills and a strong understanding of managed care...
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Healthcare Risk Management Professional
3 weeks ago
Los Angeles, California, United States MedPOINT Management Full timeJob OverviewMEDPOINT MANAGEMENT has an exciting opportunity for a Healthcare Risk Management Professional to join our team. As a Risk Claims Adjuster Specialist, you will be responsible for managing and adjusting hospital risk claims to ensure compliance with regulatory requirements.Key Responsibilities:Accurately review all incoming adjustment requests to...
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Healthcare Contract Specialist
1 day ago
Los Angeles, California, United States MedPOINT Management Full timeAbout the RoleThis position as a Healthcare Contract Specialist is responsible for managing the contract lifecycle, including recruiting, negotiating, and contracting with healthcare providers. The ideal candidate will possess strong analytical and problem-solving skills, with the ability to think critically and work effectively in a fast-paced team...
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Healthcare Claims Specialist
3 weeks ago
Los Angeles, California, United States MedPOINT Management Full timeJob SummaryA Healthcare Claims Specialist is needed at MedPOINT Management to resolve medical claims efficiently and accurately. The ideal candidate will have strong analytical and communication skills.About the Role:Review and adjust medical claims according to established guidelines and protocols.Work collaboratively with healthcare providers and insurance...
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Healthcare Outreach Specialist
1 day ago
Los Angeles, California, United States MedPOINT Management Full timeWe are seeking a Healthcare Outreach Specialist to join our team at MedPOINT Management. In this critical role, you will be responsible for proactively reaching out to members to schedule appointments for preventive care and chronic care services.Your expertise in effective communication, problem-solving, and teamwork will enable you to succeed in this...
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Healthcare Transition Specialist
3 weeks ago
Los Angeles, California, United States MedPOINT Management Full timeJob Summary">We are seeking a highly skilled Healthcare Transition Specialist to join our team at MedPOINT Management. This individual will be responsible for ensuring seamless transitions of care for our members from the inpatient setting to home.">Main Responsibilities">">Retrieve daily Inpatient Notification of admission reports and notify Primary Care...
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Project Management Specialist
3 weeks ago
Los Angeles, California, United States MedPOINT Management Full timeAbout MedPOINT ManagementWe are a leading healthcare organization seeking a highly motivated Project Management Specialist to join our team. In this role, you will be responsible for leading projects, driving results, and resolving problems to improve provider network and process efficiency.Key Responsibilities:Project Leadership: Partner with all...
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Gardening Specialist
3 weeks ago
Los Angeles, California, United States Healthcare Management Full timeJob OverviewHealthcare Management is seeking a skilled Gardening Specialist to maintain and care for multiple residential properties with focus on flowers, fruit trees and other outdoor plants.This is a full-time, daily position that requires dedication, resilience, and a love for working on plants outdoors.
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Nurse Case Management Specialist
3 weeks ago
Los Angeles, California, United States MedPOINT Management Full timeMEDPOINT MANAGEMENT is seeking a skilled Inpatient Senior Nurse Case Manager to join our dynamic team. As a critical component of our healthcare operations, this role plays a vital part in delivering high-quality patient care and ensuring smooth transitions between hospital stays and post-discharge care.About the PositionThe Inpatient Senior Nurse Case...