Prospect Medical Systems Jobs & Careers

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21 Prospect Medical Systems jobs found on Monster.

Jobs 1 to 20 of 21
Prospect Medical Systems San Antonio, TX, 78205
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 patie...
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 o...
Prospect Medical Systems Orange, CA, 92868
Prospect Medical is looking for the ideal candidate to fill the Administrative Assistant / MSO Project Coordinator Position in our Orange office: The position of Administrative Assistant / MSO Special Project Coordinator is to provide clerical, technical and project management support to ensure a smooth transition into operations for all departments. ESSENTIAL DUTIES and RESPONSIBILITIES The ...
Prospect Medical Systems San Antonio, TX
Prospect Medical is searching for a qualified: Manager of Healthcare Services / San Antonio, Texas SUMMARY The Director of Healthcare Services is responsible for the daily management and oversight of Inpatient, Prior Authorizations, Quality Management, Case Management, Disease Management, Utilization Management and Clinical Programs for all lines of business. Daily interaction with Care Clinics...
Prospect Medical Systems Orange, CA, 92868
Prospect Medical is searching for a qualified: Manager, Benefits Configuration SUMMARY The Benefit Supervisor oversees the Benefit Department. Areas of responsibility also include staffing, scheduling, system configuration and auditing. Position also interprets and configures the financial risk matrix for each health plan into the IDX system. The position will also be a lead role for the proje...
Prospect Medical Systems Orange, CA, 92868
Prospect Medical is searching for a qualified: Mail Room Clerk I SUMMARY Under supervision, the Mail Room Clerk I receives, sorts, distributes and picks up incoming and outgoing mail on a daily basis. Performs folding, inserting and sealing work using standard mailroom equipment (or manually as needed) to ensure timely delivery and pickup of Company mail. Ensures that the postage machine has po...
Prospect Medical Systems Orange, CA, 92868
Prospect Medical is searching for a qualified: Inpatient 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 and...
Southern California Hospital At Hollywood Los Angeles, CA
JOB OBJECTIVE The Nurse Manager manages organized nursing services and is accountable for the environment in which clinical nursing is practiced. As a member of the Nursing Management Team, the Nurse Manager ensures the development, implementation and evaluation of policies, programs and services consistent with the organization’s mission, goals and objectives. MISSION Southern California Healt...
Southern California Hospital at Van Nuys Van Nuys, CA, 91401
Position: Cook Job Status: Full-Time and Per-Diem, Location: Southern California Hospital AT Van Nuys JOB OBJECTIVE Under the direct supervision of the Food Services Director and /or the Dietary Supervisor, the cook will prepare, seasoned and cook therapeutic diets for patients and regular cousin for our employees and doctors. Observe department policies and procedures specially infection cont...
Prospect Medical Systems Orange, CA, 92868
Prospect Medical is searching for a qualified: Physician/Provider Network Manager JOB SUMMARY: The Physician/Provider Network Manager will manage assigned territory at a level to meet all company objectives. Duties and responsibilities will include develop and maintain relationships with assigned physicians, oversee the compliance with identified revenue driven initiatives, and identify, pursue...
Prospect Medical Systems Orange, CA, 92868
Prospect Medical is searching for a qualified: SR. SQL Developer SUMMARY The SR. SQL Developer creates solutions for a variety of business problems. Develops the plan to design solutions, code, and test modifications and enhancements to the existing systems with a high level of reliability and execution speed. Provides assistance to the user community during the implementation of the system or ...
Prospect Medical Systems Ontario, CA, 91764
Prospect Medical is searching for a qualified: Inpatient Concurrent Review Nurse / Case Manager SUMMARY As an Inpatient Concurrent Review Nurse / Case Manager you will be responsible for coordination of daily inpatient services and discharge planning function in accordance with Prospect Medical Group policies, procedure and processes. ESSENTIAL DUTIES: include but not limited to Interacts wit...
Prospect Medical Systems Orange, CA, 92868
Prospect Medical is searching for a qualified: System Analyst SUMMARY This position serves as a conduit between the customer/user community and the software design and development teams to gather, analyze, interpret, clarify, and develop business requirements. Also, responsible for ensuring that the business requirements are understood and documented sufficiently. ESSENTIAL DUTIES: include but...
Prospect Medical Santa Ana, CA, 92705
Prospect is looking for a ideal candidate to fill our Eligibility Processor Position SUMMARY Responsible for uploading of eligibility files monthly, as well as updating IDX system with add, changes, and terminations, required to do research analysis on eligibility files. This person will be familiar with verifying eligibility through the health plan web sites, as well as on the telephone. Verif...
Prospect Medical Systems Orange, CA, 92868
Prospect Medical is searching for a qualified: Quality Performance Coach SUMMARY The primary goal of this individual is to provide support to the Quality Coach in identifying areas of opportunity for training and assist in rolling out training. This individual is an integral part of the Management Team based on their ability to monitor quality and work with the Member Relation Quality Performan...
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 ...
Prospect Medical Systems Orange, CA, 92868
Prospectis searching for a qualified: Accounting Manager SUMMARY The Accounting Manager will be responsible for the Corporate GL close, intercompany allocations and financial reporting process (monthly/quarterly/yr-end), including but not limited to: preparing/posting journal entries, processing accounts payable, intercompany allocations, account reconciliations, roll forward schedules, consoli...
Prospect Medical Systems Orange, CA, 92868
Prospect Medical is searching for a qualified: HMO Contracting Project Coordinator SUMMARY Works closely with the Contracting team and supports HMO Contracting Department in work flow processes and project management. Act as liaison with various internal departments and Health Plans to facilitate and resolve claim, system, customer service and other related contracting issues. ESSENTIAL DUTIES...
Prospect Medical Systems Orange, CA, 92868
Prospect Medical is searching for a qualified: Claims Revenue and Recovery Analyst SUMMARY Communicate and disseminate, to management, guidelines or documentation relating to Recovery. Review and assess all potential avenues of recovery and make recommendations to management on which items are recoverable and within what time frame. Trend and report on recovery activities. Plan and set goals, i...
Prospect Medical Systems Orange, CA
Prospect Medical is searching for a qualified: Complex/Ambulatory License Nurse Case Manager SUMMARY Performs care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum and ensuring member access to servi...

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