Caloptima jobs in Orange, CA

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Medical Case Manager (Pre Authorization Nurse Reviewer)

Orange, CA
Contacts the health networks and/or CalOptima Customer Service regarding health network enrollments. Under the direction of the Manager of Prior Authorizations...
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Medical Case Manager (NOA-RN)

Orange, CA
The position is responsible for providing Notice of Actions (NOA) coordination for CalOptima’s Utilization Management clinical determinations. The incumbent...
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ACCOUNTING CLERK (Accounts Receivable)

Lake Forest, CA
CalOptima experience preferred. The ACCOUNTING CLERK is responsible for all Medicaid billing, collection of payments, data management and processing in...

RN (PACE) – Intake

Orange, CA
Coordinate with CalOptima Compliance Department to ensure requested documentation is complete. Effectively utilize computer and appropriate software and...
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Customer Service Representative (Bilingual Required)

Orange, CA
Understanding of the CalOptima program. Refer issues to health networks and/or make recommendations for further contacts within CalOptima....
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Psychological Assistant

Laguna Hills, CA 92653
Our number one referral source is CalOptima. A psychological assistant position is now available with Shanti Orange County, a 501c3 non-profit social service...
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Account Receivable Representative Gov't

Santa Ana, CA
Position requires 2 years experience in a business Office with extensive knowledge of Medicare, Medi-Cal, CalOptima, and CCS claim adjudication....

Patient Care Coordinator

Santa Ana, CA 92725 +4 locations
Assist with coordination of enrollee's health care and social service needs both within and outside of the medical group and CalOptima....

Recreation Therapist-PACE

Orange, CA
Responsible for providing a comprehensive therapeutic recreational program for participants of CalOptima PACE, including measurable goals of improvement....
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Data Warehouse Programmer/Analyst

Orange, CA
The Data Warehouse (DW) Programmer/Analyst works in conjunction with the Data Warehouse team to develop and support organization-wide reporting, Extract,...
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Pharmacy Technician
Experience with Caloptima, Medical, and ADAP preferred but not required. Advantage Healthcare Services seeks a Pharmacy Technician for a fast paced environment....
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Registered Nurse - Consultant Full-Time
$6,214 - $7,746 a month
Establish and maintain positive working relationships with Orange County healthcare professionals and organizations, including, but not limited to CalOptima and...
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