Integrated Transitional Care Specialist

Overview: What you can expect!    Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!   Under the general direction of the Manager and Supervisor in the Integrated Transitional Care department, the Coordinator - Integrated...

What You Can You Expect?Find joy in serving others with IEHP! We welcome you to join us in healing and inspiring the human spirit and to pivot from a job opportunity to an authentic experience!Join our dynamic team in the Integrated Transition Care Department! Under visionary leadership, you'll collaborate with hospitals and Independent Physician...

Overview: What you can expect!    Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!   Under the direction of the ECM Director, the Manager, ECM Transitional Care is responsible for day-to-day management of clinical and...

Overview: What you can expect! Find joy in serving others with IEHP! We welcome you to join us in healing and inspiring the human spirit and to pivot from a job opportunity to an authentic experience! Under the general supervision of the Manager and direct supervision of the Care Management Supervisor, this position is responsible for working effectively...

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! Under the direction of the Supervisor, Integrated Operations, Engineer II, Technology – Integrated Operations will be focused on overall monitoring of the...

What You Can You Expect? Find joy in serving others with IEHP! We welcome you to join us in healing and inspiring the human spirit and to pivot from a job opportunity to an authentic experience! Lead a dynamic team of Integration/Interoperability Engineers as the Manager of data Integration & Interoperability! Drive system-to-system integrations and...

Under the direct supervision of the Enhanced Care Management Director, the Lead Care Manager provides high quality case management to eligible Chaparral Medical Group patients with complex medical and social needs. They will work with leadership, providers and a multi-disciplinary care to determine the needs of high acuity, vulnerable patients and provide...

Overview: What you can expect!    Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!   The IT Specialist II - EDI will work with the client implementation team to assist in the on boarding of new clients. The IT...

**Positive attitude required!** **Job description** This FT position includes day-to-day management and processing of incoming home health referrals, scheduling, requesting additional visits, ordering DME supplies, excellent communication and timely responses with referral sources, and screening and processing patients with high level customer service....

Under the direct supervision of the Enhanced Care Management Director, the Lead Care Manager provides high quality case management to eligible Chaparral Medical Group patients with complex medical and social needs. They will work with leadership, providers and a multi-disciplinary care to determine the needs of high acuity, vulnerable patients and provide...

Job DescriptionJob DescriptionUnder the direct supervision of the Enhanced Care Management Director, the Lead Care Manager provides high quality case management to eligible Chaparral Medical Group patients with complex medical and social needs. They will work with leadership, providers and a multi-disciplinary care to determine the needs of high acuity,...

Job DescriptionJob DescriptionFor over two decades, NIC Partners (Employee built/Employee owned) has dedicated our expertise and commitment towards enhancing the digital and physical security of K-12 educational campuses in Southern California. NIC Partners offers a great benefit package that includes medical, dental, vision, 401k,11 paid holidays, and...

**What you can expect!** Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an **authentic experience!** Under general leadership within the Finance Department, the Accounting Specialist II will complete a variety of specialized duties to support the...

Overview: What you can expect!    Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!   The Manager, Integrated Transitional Care Manager Quality & Training reports to the Integrated Transitional care Director and is...

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! Under the general supervision of the Enhanced Care Management Department Leadership this position is responsible for working effectively with the Enhanced...

1. Develop and implement medical policy for utilization management activities and functions, including benefit manual statement, policies and procedures, and Utilization Management Subcommittee Guidelines. Provide training and consultation for both internal staff and medical personnel of the Plan regarding policy application.2. Provide direction and control...

Overview:What you can expect!Find joy in serving others with IEHP! We welcome you to join us in healing and inspiring the human spirit and to pivot from a job opportunity to an authentic experience!Under the supervision of the Eligibility Continuity Manager, the Eligibility Continuity Specialist will provide full Redetermination of Eligibility (RE)...

**Job Summary**: **Responsibilities**: - Review and verify accuracy of billing data and revise any errors - Prepare and submit claims to insurance companies - Follow up on unpaid claims within standard billing cycle timeframe - Utilize medical billing software to process claims - Communicate with insurance companies regarding claim denials or...

Job DescriptionJob DescriptionDescription:POSITION SUMMARY:South Coast Community Services takes pride in providing our staff with competitive compensation, opportunities for professional growth, access to diverse client populations, clinical autonomy, and a strong support system of seasoned employees. The Family Specialist develops a strength-based...

Overview: What you can expect! Find joy in serving others with IEHP! We welcome you to join us in healing and inspiring the human spirit and to pivot from a job opportunity to an authentic experience! Under the supervision of the Eligibility Continuity Manager, the Eligibility Continuity Specialist will provide full Redetermination of Eligibility (RE)...