Prospect Medical Systems
Prospect Medical Systems Jobs & Careers
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 Medical Systems San Antonio, TX, 78205
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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