Consistently exhibits behavior and communication skills that demonstrate Optum's commitment to superior customer service, including quality, care and concern with each internal and external customer Perform all functions of the UM nurse reviewer Composes denial letter in a manner consistent with federal regulations, state regulations, health plan requirements and NCQA sta

When patients enter our center, we want them to have an exceptional experience starting at the front desk. That's where you come in. As a patient service specialist, you'll manage both the patient side and business side of our center. The front desk is your station to be a patient advocate, communicate with individuals via email and phone, manage patient payments and util

Department Surgical Svcs When you join the Huntington Hospital team, you are aligning yourself with an organization whose values drive our philosophy of compassionate community care. Over the past 129 years, we've grown from a small 16 bed hospital to a nationally recognized healthcare leader with 619 beds. As part of our commitment to providing equitable, high quality car

Registered Nurse Med/Surg Facility Encino Hospital Medical Center Location US CA Encino ID 2024 161759 Category RN Position Type Full Time Shift Days Job Type Non Exempt Overview Join an award winning team of dedicated professionals committed to our core values of quality, compassion and community! Encino Hospital Medical Center, a member of the Prime Healthcare Foundatio

Registered Nurse (RN) Psych Acute Facility West Anaheim Medical Center Location US CA Anaheim ID 2024 161791 Category RN Position Type Full Time Shift Days Job Type Non Exempt Overview Join an award winning team of dedicated professionals committed to our core values of quality, compassion and community! West Anaheim Medical Center, a member of Prime Healthcare, offers in

Registered Nurse (RN) Emergency Room Facility Garden Grove Hospital Medical Center Location US CA Garden Grove ID 2024 161821 Category RN Position Type Part Time Shift Variable Job Type Non Exempt Overview Join an award winning team of dedicated professionals committed to our core values of quality, compassion and community! Garden Grove Hospital Medical Center, a member

IV PHARMACY TECHNICIAN 3RD SHIFT Job Locations US CA CYPRESS | US CA ANAHEIM ID 2024 144376 Line of Business PharMerica Position Type Full Time Pay Min USD $20.00/Hr. Pay Max USD $23.00/Hr. Our Company PharMerica Overview Join our PharMerica team! PharMerica is a closed door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long term care and seni

Welcome to Pathways of California's career website! If you are passionate about helping others and enthusiastic about your future, we want you to join our team! Our company is known for an unwavering commitment to exceptional value and recovery focused, quality care. We are experts in the field of behavioral health care, providing cutting edge mental health and substance

CT Technologist Facility PHS Bio Medical Services Location US CA Huntington Beach ID 2024 161878 Category Clinical Tech Position Type Per Diem Shift Variable Job Type Non Exempt Overview Join our team of dedicated professionals who provide services and operational support to award winning hospitals through roles in supply chain, IT and cybersecurity, clinical engineering,

Staff RN Per Diem Union 12hr CHMC Emergency Services Facility Centinela Hospital Medical Center Location US CA Inglewood ID 2024 161383 Category RN Position Type Per Diem Shift Nights Job Type Non Exempt Overview At Centinela Hospital Medical Center, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of

Case Manager, RN Case Management Per Diem 8 Hour Days (Non Exempt) (Union) Apply Keck Medicine of USC Hospital Los Angeles, California In collaboration with the interdisciplinary team, provides care coordination services evaluating options and services required to meet an individual's health care needs to promote cost effective, quality outcomes. Serves as a consultant to

Palmdale Regional Medical Center serves the region by providing high quality medical services to residents of the Antelope Valley, Santa Clarita Valley and surrounding communities. The Rehabilitation Institute , the hospital features 184 licensed acute care beds as well as inpatient and outpatient surgery , an Advanced Primary Stroke Center , cardiac services featuring a

Positions in this function analyze and monitor claims against potential fraud, waste and abuse related to network pharmacies Investigate, review, and analyze claims data applying knowledge of pharmacy policy and practice and data mining techniques to determine details of potential fraudulent, erroneous, or abusive billing activity on Real Time Application System and vario

Overview Find Your Passion and Purpose as an RN Case Manager. Reimagine Your Career in Home Health As a medical professional, you know that what you do impacts you as much as your patients and their families, and at AccentCare, we are united in our relentless drive to reimagine care because we want to provide the service we would seek for our own families. We think it's r

The Clinical Nurse B MC (SSN) Flexible Integrated Team (FIT) is part of Loma Linda University Shared Services (LLUSS) supplemental staffing. The FIT nurse functions out of a home department and is reassigned to a Loma Linda University Medical Center patient care department where additional staffing is needed to cover sick calls, vacations, federal and state legislative le