Care Management Specialist II

Credentialing Specialist II Job SummaryThe Credentialing Specialist II is responsible for managing their workload, addressing all functions for initial and re-credentialing of Health Delivery Organizations (HDOs) and initial and re-credentialing of applicants in accordance with departmental policies and procedures, National Committee for Quality Assurance...

Job Description:The Inpatient After Hours Coordinator Level II plays a vital role in assisting the After Hour Nurse Case Managers with the coordination of patient care within established timeframes and utilizing established guidelines. This position reports directly to the After Hours Lead.Duties and Responsibilities:• Generates authorization numbers...

Job DescriptionMorgner Construction Management Corp. is seeking a highly skilled Project Manager II - Terminal Improvement Specialist to join our team. As a key member of our project management team, you will be responsible for managing the scope, cost, schedule, and operational interfaces of all design and construction-related activities for various...

Care Management Business Data Analyst IIAt L.A. Care Health Plan, we are seeking a highly skilled Data Analyst II for Care Management Business to support our quality and process improvement activities. The successful candidate will produce Care Management (CM) measurements for internal and external reporting, ensuring data quality assurance, process...

Job SummaryThe Customer Solution Center Appeals and Grievances Specialist II plays a critical role in ensuring the highest level of service to our members and providers. This position is responsible for receiving, investigating, and resolving member and provider complaints and appeals, exercising strong independent judgment.This role requires a deep...

Job OverviewThe Inpatient After Hours Coordinator Level II plays a crucial role in ensuring seamless patient care coordination within established timeframes and guidelines. Reporting directly to the After Hours Lead, this individual will work closely with After Hour Nurse Case Managers to achieve exceptional patient outcomes.Key ResponsibilitiesGenerate...

Job DescriptionCedars-Sinai is seeking a highly skilled Respiratory Therapist II to join our team. As a critical care specialist, you will be responsible for providing advanced ventilator management and respiratory care to critically ill patients.Key Responsibilities:Setup and management of continuous invasive and non-invasive ventilator systemsSpecialty...

Job SummaryThe Regulatory Compliance Specialist II is responsible for ensuring the Customer Solution Center (CSC) is ready for regulatory audits. This position will develop a successful auditing strategy for end-to-end processes within CSC, including enrollment processing, timeliness and accuracy of loading members, and outbound health risk assessment calls....

Job SummaryWe are seeking a highly skilled Respiratory Therapist II to join our team at Cedars-Sinai. As a critical care specialist, you will be responsible for providing high-quality patient care in our acute care setting.Key ResponsibilitiesPerform general ward therapy procedures, including oxygen therapy, aerosol therapy, and volume expansion therapy.Set...

About Specialist DirectWe are a leading telehealth company specializing in organ transplant services. Our cloud-based diagnostic solutions have improved organ utilization and increased placements nationwide.The RoleAs our Client Support Manager, you will oversee our 24/7 Client Support team, ensuring seamless client interactions and efficient workflow...

Job Title: Loan Specialist IILocation: Grand Ave., Los Angeles, CA 90071 (Hybrid three times a week in office.)Job Type: ContractCompensation: $30-$Work Requirements: US Citizen, GC Holders or Authorized to Work in the USWe are seeking a skilled Loan Specialist II to join our team at INSPYR Solutions. As a Loan Specialist II, you will be responsible for...

Job Title: GIS Specialist IIJob Summary:CMTS is seeking a highly motivated GIS Specialist II to join our team in Los Angeles, CA. As a GIS Specialist II, you will be responsible for developing and supporting LAWA's ArcGIS Indoors information model for wayfinding and space planning.Key Responsibilities:* Develop and maintain web and mobile geospatial...

Job Description**Job Summary:**The Los Angeles LGBT Center is seeking a dedicated Youth Care Specialist II to provide supportive services to LGBTQ youth experiencing homelessness. As a key member of our team, you will work closely with youth to develop comprehensive wraparound plans of care, address complex needs, and provide crisis intervention and...

L.A. Care Health Plan is seeking a skilled Provider Network Account Manager II to join our team. The ideal candidate will have a strong background in healthcare contracting and a proven track record of building and maintaining positive relationships with healthcare providers.**Job Summary**The Provider Network Account Manager II will be responsible for all...

About AbbottAbbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals, and branded generic medicines.Our 114,000 colleagues serve people in more than 160...

Job Title: Psychiatric Technician II Correctional Health SpecialistJoin the County of Los Angeles Department of Health Services as a Psychiatric Technician II Correctional Health Specialist. This role is a critical part of our team, providing mental health services to clients in a correctional facility setting.Key Responsibilities:Assist mental health...

Job Title:Product Solutions Manager IIJob Summary:The Product Solutions Manager II is a key member of the Product Strategy, Sales and Marketing (PSSM) service area, responsible for identifying and implementing projects, programs, and initiatives that support the achievement of product and enterprise goals.Key Responsibilities:Develops, designs, and...

Job SummaryThe Medical Claims Specialist is responsible for the accurate and timely adjustment of hospital risk claims, ensuring compliance with regulatory requirements and contractual obligations. This role involves researching and reviewing claims, collaborating with providers and other departments to resolve issues, and suggesting process improvements to...

Job SummaryThe Delegation Oversight Account Manager II serves as the primary point of contact between L.A. Care and its contracted entities regarding delegate performance. This role is responsible for facilitating the collection of performance-related data, following up on outstanding data, and executing the internal and delegate communications strategy. The...

Job Title: Registered Nurse II Correctional Health SpecialistJob Summary:The County of Los Angeles is seeking a highly skilled Registered Nurse II Correctional Health Specialist to join our team. As a Registered Nurse II, you will provide professional nursing care and services to inmate patients in a correctional setting.Responsibilities:Provide direct...