Caloptima jobs in Orange, CA

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Program Director - Adult Day Healthcare Center
SeniorServ - 2 reviews - Anaheim, CA
Title 22, CalOptima or Managed Care insurance:. SeniorServ operates two Adult Day Health Care / CBAS centers in *Anaheim and Santa Ana*....
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Manager, Customer Service (OneCare/OneCare Connect)

CalOptima - 27 reviews - Orange, CA
Principles and practices of health care service delivery and managed care, Medicare/ CalOptima eligibility and benefits....
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Medical Authorization Assistant (NOA)

CalOptima - 27 reviews - Orange, CA
Collect additional information from CalOptima members and/or providers to complete NOA information. Effectively utilize computer and appropriate software and...
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Supervisor, Case Management

CalOptima - 27 reviews - Orange, CA
Act as a resource for CalOptima providers, health networks and community partners. Effectively utilize computer and appropriate software and interact as needed...
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Medical Case Manager (PACE)

CalOptima - 27 reviews - Orange, CA
Medical Case Management is an advanced specialty collaborative practice, responsible for providing ongoing case management services for CalOptima PACE members....
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Terms and Conditions Coordinator

KPC Global Management, LLC. - Santa Ana, CA
Extensive knowledge of Medicare, Medi-Cal, Caloptima, CCS, MSI and County claim adjudication. Under the direction of the CBO Director, the T & C Specialist will...
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Clinical Documentation Specialist (RN)-DRG

CalOptima - 27 reviews - Orange, CA
The Clinical Documentation Specialist (RN) provides clinical code expertise in reviewing the accuracy and appropriateness of high dollar hospital and...
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Clinical Documentation Specialist (RN) - Claims

CalOptima - 27 reviews - Orange, CA
The Clinical Documentation Specialist (RN) provides clinical code expertise regarding claims editing, reimbursement rules, clinical coding, clincal rationale...
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Manager, Human Resources (Systems)

CalOptima - 27 reviews - Orange, CA
Create strategy and programs that accomplish the goals and objectives of CalOptima within budget and within applicable legal requirements;...
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Supervisor, Long Term Services and Supports (LTSS)

CalOptima - 27 reviews - Orange, CA
Willingness to travel outside of CalOptima such as to Nursing Facility and CBAS sites. The Supervisor is responsible for planning, organizing, developing and...
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Manager, Case Management

CalOptima - 27 reviews - Orange, CA
The position provides shared responsibility for the daily operations, activities and projects for the Case Management Department. This position will work...
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Terms and Conditions Coordinator
KPC Global Management, LLC. - Santa Ana, CA
Extensive knowledge of Medicare, Medi-Cal, Caloptima, CCS, MSI and County claim adjudication. Under the direction of the CBO Director, the T & C Specialist will...
Easily apply
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