Prospect Medical Systems Jobs & Careers

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12 Prospect Medical Systems jobs found on Monster.

Jobs 1 to 12 of 12
Prospect Medical Holdings Providence, RI
Prospect Medical is searching for a qualified: Coordinated Regional Care Medical Director – RI 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 hospital staff t...
Prospect Medical Systems Orange, CA, 92868
Personal Care/ Case Management Coordinator/ Medical Assistant Prospect Medical is seeking Medical Assistants who are energetic and articulate who possess great critical thinking and strong managed care or care management experience with excellent computer skills to work as Personal Care Coordinators in a dynamic, forward thinking and cutting edge company. JOB SUMMARY: This position of Personal Car...
Prospect Medical Systems Orange, CA, 92868
Prospect Medical is searching for a qualified: Controller SUMMARY The Controller will lead and manage the Company’s strategic direction and daily operations for all accounting functions, including general accounting, accounts payable and receivable, account reconciliations, financial and operational reporting, budgeting and forecasting. The position will also be responsible for developing and main...
Prospect Medical Systems Orange, CA, 92868
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 Orange, CA, 92868
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 Holdings Los Angeles, CA, 90025
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 Systems San Antonio, TX
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 Systems San Antonio, TX
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 Systems San Antonio, TX
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 Medical Systems San Antonio, TX
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 Systems Orange, CA, 92868
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...
Southern California Hospital at Hollywood Culver City, CA, 90232
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...
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