Caloptima jobs in Orange, CA

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Supervisor, Regulatory Affairs & Compliance

CalOptima - 28 reviews - Orange, CA
Understand and assess compliance with CalOptima policies, contracts, regulatory and statutory requirements....
Easily apply

Medical Case Manager (Ambulatory RN)

CalOptima - 28 reviews - Orange, CA
Case Management is an advanced specialty collaborative practice, responsible for providing ongoing case management services for CalOptima members....
Easily apply

Medical Case Manager (LVN) (As Needed)

CalOptima - 28 reviews - Orange, CA
Contacts the Health Networks and/or CalOptima Customer Service regarding health network enrollments. This position, under the direction of the Manager of Prior...
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Clinical Documentation Specialist (RN)

CalOptima - 28 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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Administrative Assistant

Decton Staffing Services - Orange, CA
$16 - $17 an hour
Represent CalOptima PACE on projects or act as a liaison within, or outside CalOptima. Provide administrative support for specific and/or ongoing projects, such...
Easily apply

PROJECTS ANALYST

Decton Staffing Services - Orange, CA
$22 - $27 an hour
Work in conjunction with the Claims Training Coordinator to help develop tools for training by collaborating with other departments within CalOptima....
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Insurance Verifier - Per-diem, Days

MemorialCare - 91 reviews - Fountain Valley, CA
PPO, HMO, POS, EPO, Medicare, Medi-Cal, & Caloptima Bi-lingual (English, Spanish, or Vietnamese) preferred Positive work ethic, General computer skills required...

Certified Coding Specialist

CalOptima - 28 reviews - Orange, CA
Effectively utilize computer and appropriate software and interact as needed with CalOptima Information Systems....
Easily apply

RN (PACE) - (As Needed)

CalOptima - 28 reviews - Orange, CA
Meet a standardized set of competencies for the specific position description established by CalOptima PACE and approved by regulatory agencies before working...
Easily apply

Grievance Resolution Specialist

Decton Staffing Services - Orange, CA
$19 - $22 an hour
CalOptima organizational operations. Effectively utilize computer and appropriate software and interact as needed with CalOptima Information Systems....
Easily apply
Psychologist
$86,462 - $117,233 a year
As needed, provide written recommendation for ABA services for individuals served by RCOC who may be eligible for ABA services through CalOptima....
Easily apply