RCM Health Care Services Jobs in San Diego
Currently, there are no RCM Health Care Services jobs available in San Diego, California. You may wish to explore jobs in nearby locations on the RCM Health Care Services jobs in California page or view related jobs below.
Large managed care organization is seeking an Eligibility Supervisor to assist with duties on-site at our facility. Eligibility Supervisor Job Summary: Reports Directly to the Manager of Data Management Ensure that the integrity and accuracy of the IPA's database related to member eligibility information is maintained.. Qualifications: Ability to audit and maintain accuracy of database. Org...
Leading physician's medical group with a reputation for offering excellent patient care and superior healthcare solutions is seeking an RN Director of Health Services in Stockton, CA! Medical Director – Part Time Job Summary: On-site review and evaluation of the appropriateness of all inpatient admissions, level of service and length of stay for all contracted commercial and Medicare Plans and ...
Modern hospital is seeking a Registered Nurse for a 13-week (3 month) contract position as a Case Manager in San Rafael, CA. RN Case Manager - 13-Week Travel Assignment near San Rafael, CA Job Summary: Manage a case load up to 25 patients. Work directly with patients to develop treatment plans Interacts with members, providers and provider groups as needed to support Case Responsible for the...
Large managed care organization is seeking a Credentialing Supervisor to assist with Credentialing duties on-site at our facility. Credentialing Supervisor Job Summary: Reports Directly to the VP of Quality Management Endorse and follow company Policies and Procedures. Maintain current knowledge of NCQA and Healthplan credentialing requirements. Responsible for oversight of Credentialing/Rec...
Large managed care organization is seeking a Claims Supervisor to assist with Appeals and Provider Disputes duties on-site at our facility. Claims Supervisor: Appeals and Provider Disputes Job Summary: Supervising a staff of Appeals Specialists responsible for review and re-adjudication of Medical professional and institutional claims. Monitoring the workflow of all appeals/PDR claims processe...
Leading Managed Care Health plan serving Medicare and Medi-Cal populations throughout Southern California and Arizona is looking for a Medical Director in Monterey Park, CA. Medical Director in Monterey Park, CA Job Summary: · Provides medical oversight and physician liaison in the areas of: Utilization Review, Credentialing, Quality Improvement, Peer Review, Case Management, and Disease Manage...
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