Caloptima jobs in Orange, CA

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Jobs 41 to 50 of 68
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Director, Utilization Management

CalOptima 5 reviews - Orange, CA
This professional level Director position is responsible to direct and coordinate the planning, organization, implementation and evaluation of all activities
30+ days ago - save job - email - more...

Licensed Clinical Case Manager/URC

Beacon Health Strategies, LLC - Orange, CA
Reviews outpatient [OP] behavioral health service requests based on specific level of care and medical necessity criteria; provides member assistance with
30+ days ago - save job - email - more...

Clinical Auditor (QI Nurse)

CalOptima 5 reviews - Orange, CA
This position serves as the auditor for Quality Improvement (QI), Utilization Management (UM), and Clinical Grievances (GARS) oversight. This position will
30+ days ago - save job - email - more...

Bilingual Licensed Clinical Case Manager/URC

Beacon Health Strategies, LLC - Orange, CA
Reviews outpatient [OP] behavioral health service requests based on specific level of care and medical necessity criteria; provides member assistance with
30+ days ago - save job - email - more...

Director, Provider Network Management

CalOptima 5 reviews - Orange, CA
Develop and manage the Network Management department to establish and maintain an effective countywide delegated network of qualified, quality providers
30+ days ago - save job - email - more...

Supervisor, Case Management (PCC)

CalOptima 5 reviews - Orange, CA
The Supervisor is responsible for the daily operation of Personal Care Coordinator (PCC) activities. S/he will provide guidance to staff or directly handle
30+ days ago - save job - email - more...

Clinical Auditor, Sr. (RN)

CalOptima 5 reviews - Orange, CA
This position serves as the auditor for Quality Improvement (QI), Utilization Management (UM), and Clinical Grievances (GARS) oversight. This position will
30+ days ago - save job - email - more...

Executive Director, Compliance

CalOptima 5 reviews - Orange, CA
The Executive Director of Compliance shall serve as the Compliance Officer for the organization. The Executive Director coordinates and communicates all
30+ days ago - save job - email - more...

Occupational Therapist (PACE)

CalOptima 5 reviews - Orange, CA
The Occupational Therapist will evaluate and reassess participants upon referral from the interdisciplinary team. Provides and recommends therapeutic exercises
22 days ago - save job - email - more...

Systems Network Administrator, Sr.

CalOptima 5 reviews - Orange, CA
This position is responsible for the day-to-day operations of the company e-Mail, Right Fax, Desktops, Provide Helpdesk Support, Windows Enterprise Servers,
30+ days ago - save job - email - more...
Medical Case Manager (CBAS) (15119-111314)
CalOptima 5 reviews - Orange, CA
This position is responsible for reviewing and processing requests for authorization and notification of medical services from health professionals, clinical
Sponsored by CareerBuilder - 5 days ago
PROVIDER RELATIONS REPRESENTATIVE (07787-102814)
CalOptima 5 reviews - Orange, CA
A Provider Relations Representative is a member of a cohesive unit that responds to and provides education to providers regarding CalOptima and its health
Sponsored by CareerBuilder - 24 days ago
PHARMACY SERVICES SPECIALIST (05645-102214)
CalOptima 5 reviews - Orange, CA
Utilizes specialized pharmacy knowledge and expertise to assist participating pharmacies, members, providers, CalOptima departments, health networks, and
Sponsored by CareerBuilder - 30 days ago
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