Prospect Medical Systems Web Jobs in Orange
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Prospect Medical is searching for a qualified: Quality Care Coordinator SUMMARY This position is responsible for assisting to ensure the highest percentage of compliance is achieved in meeting our P4P yearly goals. Individual will run target reports from Ascender (or similar platform) and organize the Patients Due reports in preparation for contact to schedule or educate the members. Individual wi...
Prospect is looking for ideal candidates to fill our Customer Service Representative I position: Our Customer Service Representatives are highly motivated, establish rapport and interact well with individuals on all levels while maintaining a professional image and attitude. They are responsible for answering telephone calls in a prompt, courteous, professional manner and acting as a liaison betwe...
Prospect is looking for an ideal candidate to fill our Customer Service Coordinator position: This position is responsible for performing outbound telephone calls to Medi-Medi and Medicare members to encourage members to participate and complete Member Satisfaction Surveys. Individual will also accept inbound telephone calls from member returning telephone calls. Individual will assist members as...
Prospect Medical is searching for a qualified: Manager of Facilities SUMMARY Under minimal supervision, the Manager of Facilities coordinates and directs the design, planning, construction, maintenance, and alteration of equipment, machinery, buildings, and other facilities. The Manager communicates and schedules outside vendor work to accommodate the business needs, while ensuring vendor complian...
Prospect Medical is searching for a qualified: NETWORK REPRESENTATIVE - LA REGION JOB SUMMARY: The position of Business Development Network Representative is to grow Prospect Medical Group's membership in Covered CA, Medi-Cal, Commercial and Medicare managed care lines of business through the integration of affiliated hospital network and area primary care providers by participating in campouts at...
Prospect Medical is searching for a qualified: Credentialing Coordinator SUMMARY This position performs credentialing and re-credentialing activities according to Prospect Medical Credentialing Policies, contracted health plan policies, CMS, DMHC, and NCQA accreditation guidelines. This position acts as a liaison between our IPAs and contracted health plans. ESSENTIAL DUTIES: include but not limit...
Prospect is looking for an ideal candidate to fill our Physician Contract Administrator * Must have Healthcare/Medical Background * SUMMARY Responsible for sustaining and building assigned network with full panel of Primary Care Physicians and Specialists. Identify network needs and negotiate Memorandums of Understanding (MOUs) and contracts with providers to ensure availability and accessibility...
Prospect is looking for the ideal candidate to fill our: Case Manager or Inpatient Concurrent Review Nurse - positions in Orange, CA & Los Angeles, CA As Inpatient Concurrent Review Nurse, · You are responsible for coordination of daily inpatient services and discharge planning function in accordance with Prospect Medical Group policies, procedure and processes. · Interacts with the Medical Direct...
Prospect is looking for a dedicated, dependable and goal oriented RN's. Case Management experience in Concurrent Review, Skilled Nursing (SNF/Acute), Complex Cases and Ambulatory Case Management. Ideal candidate who is ready for a challenge to manage patients through the continuum of care for our new, exciting Texas VIDA Network. Inpatient Concurrent Review Nurse - Case Manager - RN positions: Tex...
Prospect Medical is searching for a qualified: Ancillary/Pharmacy Coordinator SUMMARY Prepare and process all referrals. Assist Pharmacists and Case Managers with authorization requests for drugs, diabetic supplies, insulin pumps/supplies, and home infusion. Maintain an atmosphere of professionalism and confidentiality. ESSENTIAL DUTIES AND RESPONSIBILITIES included but not limited to: · Handle st...
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