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Caloptima jobs

Viewing 1 - 10 of 54 jobs

  • MEMBER LIAISON SPECIALIST (BILINGUAL POSITION) (091214)

    Caloptima - Orange, CA

    knowledgeable of the available health plans and CalOptima’s benefit structure. Communicate effectively, both ... Medi-Cal/Medicare CalOptima eligibility and benefits. Principles and techniques for effective communication and...

    4 days ago from MiracleWorkers.com

  • ONECARE CLINICAL CASE MANAGER, RN (08021-14316-081914)

    Caloptima - Orange, CA

    for providing ongoing case management services for CalOptima members. The Case Manager facilitates ... Accept referrals for case management and serve as a CalOptima OneCare liaison to community agencies,...

    27 days ago from CareerBuilder

  • AUDITOR (CREDENTIALING) (14339-082514)

    Caloptima - Orange, CA

    Responsibilities Inform various departments within CalOptima and delegates of CalOptima of any changes to ... and appropriate software and interact as needed with CalOptima Information Services.Experience & Education...

    15 days ago from CareerBuilder

  • Credentialing Coordinator

    Prospect Medical - Orange, CA

    facility site reviews from appropriate source (ie. CalOptima) on applicable providers. Responsible for the generating, mailing, tracking, and subsequent processing of provider re-credentialing applications. All re-credentialing files are...

    7 days ago from ZipRecruiter

  • Licensed Clinical Case Manager/URC

    Beacon Health Strategies - Orange, CA

    as prescribed by the Orange County Mental Health Plan and CalOptima. Interacts with physicians and other members of the provider clinical team for authorization decisions Performs telephonic assessments and case review as needed Provides...

    30+ days ago from MiracleWorkers.com

  • CLAIMS COMPLIANCE AUDITOR (07782-082914)

    Caloptima - Orange, CA

    skills. Understand and assess providers compliance with CalOptima policies, contracts, regulatory and statutory ... and appropriate software and interact as needed with CalOptima Information Systems. Experience & Education 5...

    15 days ago from CareerBuilder

  • Bilingual Licensed Clinical Case Manager/URC

    Beacon Health Strategies - Orange, CA

    as prescribed by the Orange County Mental Health Plan and CalOptima. Interacts with physicians and other members of the provider clinical team for authorization decisions Performs telephonic assessments and case review as needed Provides...

    30+ days ago from MiracleWorkers.com

  • QI NURSE SPECIALIST (FSR AUDITOR) (14284-081914)

    Caloptima - Orange, CA

    Auditor is responsible to audit the health network and CalOptima Direct provider offices based on prescribed State, ... and appropriate software and interact as needed with CalOptima Information Systems.Experience & Education...

    27 days ago from CareerBuilder

  • PROVIDER ENROLLMENT DATA COORDINATOR (15036-01531-091214)

    Caloptima - Orange, CA

    appropriateness for entering the information into to CalOptima database. Assist in resolving inaccurate or ... and appropriate software and interact as needed with CalOptima Information Systems.Experience & Education 1-2...

    1 day ago from CareerBuilder

  • ENROLLMENT COORDINATOR-PACE (BILINGUAL KOREAN) (091214)

    Caloptima - Orange, CA

    Responsibilities Evaluates potential participants to the CalOptima PACE program to initially determine participant ... and Medi-Cal eligibility preferred. Culture and needs of the socially and ethnically diverse population CalOptima...

    1 day ago from CareerBuilder

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