Medicare Risk Assessment jobs in San Diego, CA

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Senior Consultant, Risk Adjustment Solutions (Independent Co...
Gorman Health Group - United States
7-10+ years’ experience in the risk adjustment and Medicare managed care environment:. Complex analysis, assessment, and proposed solutions of comprehensive...
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Sponsored
Network Coordinator
SHARP HEALTHCARE - 99 reviews - San Diego, CA
Sharp Health Plan has multiple products and service lines, including but not limited to, HMO, PPO, POS, Individual, Medicare Supplement, ASO, Self-funded, risk...
Sponsored
Nursing Supervisor (RN) / Part Time / Evenings / SNF
Conduct clinical assessment; Complete nursing assessments and documentation as assigned. They have a 5-Star rating by Centers for Medicare & Medicaid!...
Sponsored by Covenant Care

PACE Intake Coordinator

St. Paul's Senior Services - San Diego, CA
Schedules all assessments, including transportation and meals. General knowledge of financing mechanisms such as Medi-cal, Medicare, Prospective Payment Systems...
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Manager, Claims Quality and Audit Support

MedImpact Healthcare Systems - 4 reviews - San Diego, CA
Creates and implements action plans to mitigate risks and resolve issues, working with representatives from stakeholders across the company....

TCMP Benefit Worker

UC San Diego - 35 reviews - San Diego, CA
$26.78 - $31.03 an hour
Casework experience must have included performing psychosocial assessments; Experience with providing direct services to State Prison inmate populations...

Network Coordinator

SHARP HEALTHCARE - 99 reviews - San Diego, CA
Sharp Health Plan has multiple products and service lines, including but not limited to, HMO, PPO, POS, Individual, Medicare Supplement, ASO, Self-funded, risk...

Clinical Evaluator and Managed Care Specialist

Promise Healthcare - 12 reviews - San Diego, CA
Strong medical assessment skills. Experience in commercial insurance, Medicare and Medicaid reimbursements is preferred. Promise Hospital of SAN DIEGO....

CARE MANAGER

Beacon Health Options - 177 reviews - San Diego, CA
Complete the Beacon or Health Plan Health Risk Assessment (HRA) ongoing assessments per delegation; Assessment of caseloads and modification as needed;...

Manager Contracts

SHARP HEALTHCARE - 99 reviews - San Diego, CA
Sharp Health Plan has multiple products and service lines, including but not limited to, HMO, PPO, POS, Individual, Medicare Supplement, ASO, Self-funded, risk...

Case Manager

Molina Healthcare - 222 reviews - San Diego, CA 92123
Demonstrates effective clinical skills in assessment of medical necessity for observation and inpatient encounters....

PACE Social Worker

St. Paul's Senior Services - San Diego, CA
Participant and family education, assessment, and counseling; Ability to provide psychosocial assessment and individual, family and group counseling....
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In-Home Assessment (IHA) Certified Coder

Community Health Group - 16 reviews - Chula Vista, CA 91914
Clinical and Medicare Risk Adjustment Experience:. Responsible for ongoing Medicare risk scoring improvement activities and reports....
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In-Home Assessment (IHA) Certified Coder
Clinical and Medicare Risk Adjustment Experience:. Responsible for ongoing Medicare risk scoring improvement activities and reports....
Easily apply
Sponsored
Case Manager
Demonstrates effective clinical skills in assessment of medical necessity for observation and inpatient encounters....
Sponsored

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Company with Medicare Risk Assessment jobs
Serving a population of 3 million in San Diego County, Sharp has 2600 affiliated doctors, more than 17000 employees and operates 1867 beds.