Prospect Medical Systems Web Jobs in Orange

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Prospect Medical is searching for a qualified: Purchasing Coordinator SUMMARY The Purchasing Coordinator will be responsible for planning, organizing and implementing the comprehensive purchasing functions for all Prospect Medical and its related entities. This position will oversee daily activities including major purchases, negotiating terms and conditions with vendors and or service providers;...
Prospect Medical is searching for a qualified: Contract Specialist SUMMARY Negotiate Memorandum of Understanding (MOUs), maintain and update Contracting Database Application of contracted providers, act as liaison with various internal departments to facilitate and resolve claims, system, customer service and other related issues. Provide support to Provider Contracting Department. ESSENTIAL DUTIE...
Prospect Medical is searching for a qualified: Coordinated Regional Care Medical Director – Los Angeles JOB SUMMARY: Provide oversight for the development and execution of the population health management components of the CRC strategy in each local market. Work in cooperation with corporate, the CRC market lead, the IPA management company and local delivery system executive leadership and hospita...
Prospect Medical is searching for a qualified: Referral Nurse SUMMARY This position provides support to health network providers. Responsible to review Treatment Authorization Requests (TAR’s)/Cerecons requests for approval, modification and works with Medical Director daily on denials and medical necessity reviews. ESSENTIAL DUTIESinclude, but are not limited to: · Referral Review: Review of refe...
Prospect Medical is searching for a qualified: UM Coordinator – San Antonio, Texas Summary: Responsible to verify eligibility, benefit and authorization request for entry into EZ- Cap. Duties and Responsibilities: (include but not limited to) Coordinate eligibility and benefits Manage MCNET submissions Gather sufficient information for UM Nurse to review Communicate with Provider offices Manage ex...
Prospect Medical is searching for a qualified: Inpatient/ Referral Coordinator SUMMARY Responsible to coordinate hospital, home health, provider services as requested/ordered by Prospect Hospitalist on duty. ESSENTIAL DUTIES AND RESPONSIBILITIES The following are included but not limited to: Maintains accurate daily admission and discharge record for assigned patient. Notifies PCP of patient admit...
Prospect is looking for the ideal candidate to fill our Case Manager or Inpatient Concurrent Review Nurse positions: As Inpatient Concurrent Review Nurse, You are responsible for coordination of daily onsite and inpatient concurrent reviews and discharge planning including Transition of care management for MA, Commericial and Dual Eligible population in accordance with Prospect Medical Group polic...
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...
Tittle: Director, Physical Therapy Status: Full-Time, Benefited Location: Southern California Hospital at Hollywood. JOB OBJECTIVE The Clinical Director of Rehabilitation Services reports to the Chief Executive Officer and is responsible for the planning, development, coordination and administration of Physical Therapy, Occupational Therapy and Speech Pathology. The Director is responsible for org...
Join a company that is committed to a long-term strategy and growing nationwide. Prospect Medical is searching for a qualified: Corporate/ Healthcare Recruiter The Corporate Recruiter is responsible for delivering all facets of recruiting success throughout the organization. This will be achieved by developing and executing cost effective traditional as well as creative sourcing, recruiting and re...
Position: Paralegal Company: Prospect Medical Holdings, Inc. Job Location(s): Norwalk, CA Start Date: As soon as possible Employment Term: Regular Employment Type: Full Time Work Hours (i.e. shift): Day Starting Salary Range: Required Education: Bachelor's Degree Required Experience: 2 to 20+ years Required Security Clearance: None Related Categories: Legal - Paralegal and Support Staff Key Respon...
Prospect Medical is searching for a qualified: Referral Nurse – Rhode Island SUMMARY This position provides support to health network providers. Responsible to review Treatment Authorization Requests (TAR’s)/Cerecons requests for approval, modification and works with Medical Director daily on denials and medical necessity reviews. ESSENTIAL DUTIES include, but are not limited to: Referral Review:...
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